Information Collection Request

ICR 201206-1076-004 · OMB 1076-0143 · Public filing

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1076-0143 can be found here:

Forms and Documents

Forms and supporting documents for this ICR
Document	Type	Status	Availability
Self-Governance Minimum Data Collection	Form	Modified	Available
11-28-12.Renewal IC_Self-Governance Program_30 day.pdf	Supplementary Document	Uploaded 2012-11-28	Available
1076-0143 - OSG Program SS.doc	Supporting Statement A	Uploaded 2012-11-15	Available
25 CFR 1000.pdf	Supplementary Document	Uploaded 2012-11-14	Available
7-24-12.IC_60 day_Self-Governance Program.pdf	Supplementary Document	Uploaded 2012-11-14	Available
Tribal Self Governance Act.pdf	Supplementary Document	Uploaded 2009-07-28	Available

IC Document Collections

Information collection document groups
IC ID	Collection	Type	Status	Form
43770	1000.17 - Admission to applicant pool		Modified
190042	1000.382 - Annual self-governance report	Form	Modified	Self-Governance Minimum Data Collection
190041	1000.333 - Notice to retrocede		Modified
190040	1000.248 - Notice of proposed changes		Modified
190039	1000.243 - Progress reports and financial status reports		Modified
190038	1000.222 - Request for waiver		Modified
190037	1000.181 - Request to negotiate successor FA		Modified
190036	1000.173 - Request to negotiate a FA		Modified
190035	1000.169, 1000.170 - Letter of interest and supporting documents for FA		Modified
190034	1000.66 - Application for planning and negotiation grant		Modified
190031	1000.50 - Tribal resolution, audits, and proposal for planning phase		Modified
190030	1000.47 - Request for a negotiation grant		Modified
190029	1000.32 - Withdrawal from consortium FA		Modified
190028	1000.19, 20, 21 - Planning report		Modified
190024	1000.18 - Withdrawal from consortium to become member of applicant pool		Modified

Record metadata
OMB Control No	1076-0143