Information Collection

Tribal Requests for Accelerated Exercise of Jurisdiction Under Section 204(a) of the Indian Civil Rights Act of 1968, as amended

IC 209153 under ICR 201310-1105-002 · OMB 1105-0101.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1105-0101 can be found here:

Documents and Forms

Document Name Document Type
Form XXXX Tribal Requests for Accelerated Exercise of Jurisdiction Under Section 204(a) of the Indian Civil Rights Act of 1968, as amended Form and Instruction
XXXX Application Questionnaire for the VAWA Pilot Project on 1103-NEW_VAWA Pilot Project Application_111413.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Tribal Requests for Accelerated Exercise of Jurisdiction Under Section 204(a) of the Indian Civil Rights Act of 1968, as amended	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	XXXX	Application Questionnaire for the VAWA Pilot Project on Tribal Criminal Jurisdiction	1103-NEW_VAWA Pilot Project Application_111413.doc		Yes	Yes	Printable Only

Line of Business: Law Enforcement

Subfunction: Citizen Protection

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 40	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	960	960
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.