Information Collection

Request for Certificate of Degree of Indian or Alaska Native Blood (CDIB)

IC 43773 under ICR 201103-1076-001 · OMB 1076-0153.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1076-0153 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Request for Certificate of Degree of Indian or Alaska Native Blood (CDIB)	Form and Instruction
Request for Certificate of Degree of Indian or Alaska Na CDIB Form 2011 FINAL.doc	Form and Instruction

IC Title:

Request for Certificate of Degree of Indian or Alaska Native Blood (CDIB)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	n/a	Request for Certificate of Degree of Indian or Alaska Native Blood	CDIB Form 2011 FINAL.doc		No		Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title: Tribal Rolls, Interior, BIA-7

FR Citation: 46 FR 19038

Number of Respondents: 154,980

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	154,980	154,980
Annual IC Time Burden (Hours)	232,470	232,470
Annual IC Cost Burden (Dollars)	6,199,200	6,199,200

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.