Version 1 - Statistical Report

Reporting System for P.L. 102-477 Demonstration Project

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1076-0135 can be found here:

Documents and Forms

Document Name Document Type
Form IA 7702 Version 1 - Statistical Report Form and Instruction
IA 7702 Version 1 - Statistical Report IA 7702 - Statistical Report.doc Form and Instruction

Information Collection (IC) Details

IC Title:	Version 1 - Statistical Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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	IA 7702	Version 1 - Statistical Report	IA 7702 - Statistical Report.doc		No		Printable Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title: BIA-8, Indian Social Services Case Files	FR Citation: 55 FR 34085

Number of Respondents: 22	Number of Respondents for Small Entity: 22

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 1 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	22	-40	62
Annual IC Time Burden (Hours)	352	-640	992
Annual IC Cost Burden (Dollars)	110	-200	310

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.