Information Collection

Part B Form

IC 196091 under ICR 201005-1076-003 · OMB 1076-0176.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1076-0176 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form BIE-XXXX (To be as Part B Form	Form and Instruction
BIE-XXXX (To be as Part B IDEIA Tribal Count Data Requirements Part B Table 2.17.11 CLEAN VERSION.docx	Form and Instruction

IC Title:

Part B Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	BIE-XXXX (To be assigned upon receipt of OMB No.)	Part B IDEIA Tribal Count Data Requirements	Part B Table 2.17.11 CLEAN VERSION.docx		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 61

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	61	61
Annual IC Time Burden (Hours)	1,220	1,220
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.