Information Collection

Information for ISP

IC 192898 under ICR 201403-1076-003 · OMB 1076-0017.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1076-0017 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5-6602 Information for ISP	Form and Instruction
5-6602 Individual Self-Sufficiency (ISP) / Case Plan ISP Form_Updated.docx	Form and Instruction

IC Title:

Information for ISP

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 20.303

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	5-6602	Individual Self-Sufficiency (ISP) / Case Plan	ISP Form_Updated.docx		No		Printable Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title: BIA-8, Indian Social Services Case Files

FR Citation: 55 FR 34085

Number of Respondents: 95,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	95,000	95,000
Annual IC Time Burden (Hours)	95,000	95,000
Annual IC Cost Burden (Dollars)	0	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.