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Federal forms, ICRs, and supporting documents

Information Collection

IHS Background Investigation of Individuals in Positions Involving Regular Contact with or Control Over Indian Children

IC 6586 under ICR 201209-0917-001 · OMB 0917-0028.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
IC Document
Information Collection (IC) Details

View Information Collection (IC)

IHS Background Investigation of Individuals in Positions Involving Regular Contact with or Control Over Indian Children
 
No Modified
 
Required to Obtain or Retain Benefits
 
42 CFR 136.401-418

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0917-0028 Addendum to Declaration for Federal Employment (OF 306) ; IHS Child Care and Indian Child Care Worker Positions" Final_OMB_0917-0028_2015_Version_7-10-2012.doc http://www.ihs.gov/Jobs/permanentDocs/ChildcareAddendumOMBApprovedForm-2012.doc Yes No Printable Only

Workforce Management Training and Employment

 

3,000 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 3,000 0 0 0 0 3,000
Annual IC Time Burden (Hours) 600 0 0 -150 0 750
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Declaration for Federal Employment (OPM OF 306; OMB No. 3206-0182) OMB Form No. 3206-0182 0306[1].pdf 06/11/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.