BIA Dataset Survey

DOI Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0011 can be found here:

Documents and Forms

Document Name Document Type
Dataset Survey 9-9-15.pdf Other-Survey
Justification for Data Set Survey 9-11-15.docx Justification for BIA Dataset Survey IC Document

Information Collection (IC) Details

IC Title:	BIA Dataset Survey	Agency IC Tracking Number:	FT-25

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
Other-Survey			Dataset Survey 9-9-15.pdf		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,500	1,500
Annual IC Time Burden (Hours)	125	125
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Justification for BIA Dataset Survey	Justification for Data Set Survey 9-11-15.docx	09/15/2015

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.