Information Collection

Compile documented petition and technical assistance response

IC 11474 under ICR 201402-1076-001 · OMB 1076-0104.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1076-0104 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 8304 Compile documented petition and technical assistance response	Form
8304 Individual History Chart INDIVIDUAL HISTORY CHART.doc	Form
8305 Ancestory Chart ANCESTRY CHART.doc	Form
8306 Membership Roll Form MEMBERSHIP ROLL.doc	Form

IC Title:

Compile documented petition and technical assistance response

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 83.40(a)-(g)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form	8304	Individual History Chart	INDIVIDUAL HISTORY CHART.doc	No	Paper Only
Form	8305	Ancestory Chart	ANCESTRY CHART.doc	No	Paper Only
Form	8306	Membership Roll Form	MEMBERSHIP ROLL.doc	No	Paper Only

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title: BIA-7, Tribal Rolls

FR Citation: 61 FR 36573

Number of Respondents: 10

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 20 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	10	0	0	10
Annual IC Time Burden (Hours)	12,240	-8,510	0	20,750
Annual IC Cost Burden (Dollars)	21,000,000	0	21,000,000	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.