Electrical Power Service Application, 25 CFR 175

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Electrical Power Service Application, 25 CFR 175	Form and Instruction	Modified	Available
3-31-16.Renewal of Agency Information Collection for Water Delivery and Electric Service Data for the Operation of Irrigation and Power Projects and Systems.pdf	Supplementary Document	Uploaded 2016-03-31	Available
SS - Electric Power Service Application 3-22-16 CLEAN.doc	Supporting Statement A	Uploaded 2016-03-22	Available
12-14-15.Renewal of Agency IC_Collection for Water Delivery and Electric Service Data.pdf	Supplementary Document	Uploaded 2016-03-21	Available
25 CFR 175.pdf	Supplementary Document	Uploaded 2012-12-19	Available
Indian Electric Power Utilities--Interior, BIA-26.txt	Supplementary Document	Uploaded 2012-12-19	Repair queued
Debt Collection Improvement Act.pdf	Supplementary Document	Uploaded 2009-06-15	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
43768	Electrical Power Service Application, 25 CFR 175	Form and Instruction	Modified

ICR Details

OMB Control No: 1076-0021	ICR Reference No: 201603-1076-003
Status: Historical Active	Previous ICR Reference No: 201210-1076-001
Agency/Subagency: DOI/BIA	Agency Tracking No:
Title: Electrical Power Service Application, 25 CFR 175
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/13/2016
	Date Received in OIRA: 03/31/2016
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2019	36 Months From Approved	06/30/2016
Responses	1,300	0	3,000
Time Burden (Hours)	650	0	1,500
Cost Burden (Dollars)	0	0	0

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Abstract: Customers of BIA electric power facilities must provide information to BIA to obtain electric service.

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Authorizing Statute(s): US Code: 31 USC 3701-3733 Name of Law: Debt Collection Improvement Act of 1996
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 77371	12/14/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 18642	03/31/2016
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Electrical Power Service Application, 25 CFR 175	N/A	Electric Service Application

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	1,300	3,000	0	0	-1,700	0
Annual Time Burden (Hours)	650	1,500	0	0	-850	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: There was an adjustment in the hour and cost burden due to fewer applications for electrical power service. Many of the applications that are filed are for long term service, so the number of new applications declines as a result of customers staying in the same location for a number of years.

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Annual Cost to Federal Government: $6,689

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 03/31/2016

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