Information Collection

Indian Child Welfare Assistance Quarterly and Annual Report

IC 11499 under ICR 201104-1076-002 · OMB 1076-0131.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1076-0131 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Indian Child Welfare Assistance Quarterly and Annual Report	Form
ICWA Quarterly and Annual Report Form.080211.docx www.bia.gov/WhoWeAre/BIA/OIS/HumanServices/index.htm	Form

IC Title:

Indian Child Welfare Assistance Quarterly and Annual Report

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 25 CFR 23.47

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	n/a	ICWA Quarterly and Annual Report	Form.080211.docx	http://www.bia.gov/WhoWeAre/BIA/OIS/HumanServices/index.htm	Yes	No	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 536

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	2,144	2,144
Annual IC Time Burden (Hours)	1,072	1,072
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.