Law and Order on Indian Reservations - Marriage & Dissolution Applications

ICR 201111-1076-004

OMB: 1076-0094

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supplementary Document
2011-12-23
Supporting Statement A
2011-12-12
Supplementary Document
2011-12-08
Supplementary Document
2011-11-29
Supplementary Document
2008-07-15
Supplementary Document
2008-07-15
Supplementary Document
2008-07-15
IC Document Collections
ICR Details
1076-0094 201111-1076-004
Historical Active 200807-1076-001
DOI/BIA
Law and Order on Indian Reservations - Marriage & Dissolution Applications
Extension without change of a currently approved collection   No
Regular
Approved without change 04/23/2012
Retrieve Notice of Action (NOA) 12/23/2011
  Inventory as of this Action Requested Previously Approved
04/30/2015 36 Months From Approved 04/30/2012
260 0 260
65 0 65
0 0 0

Basic Information is required of applicants for the issuance of a marriage license or the dissolution of a marriage by a Court of Indian Offenses under 25 CFR 11.

US Code: 25 USC 2 Name of Law: Duties of Commissioner
   US Code: 25 USC 13 Name of Law: Expenditure of Appropriations by Bureau
   US Code: 25 USC 9 Name of Law: Regulations by President
  
None

Not associated with rulemaking

  76 FR 56786 09/14/2011
76 FR 80387 12/23/2011
No

1
IC Title Form No. Form Name
Marriage & Dissolution Applications, 25 CFR 600(c) and 606(c) N/A, N/A Marriage License Application ,   Application for Dissolution of Marriage

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 260 260 0 0 0 0
Annual Time Burden (Hours) 65 65 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$7,025
No
No
No
No
No
Uncollected
Amanda Begay 443 966-1599 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
12/23/2011


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