Information Collection

Application for admission to SIPI

IC 187215 under ICR 201711-1076-001 · OMB 1076-0114.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1076-0114 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Application for admission to SIPI	Form and Instruction
Application for Admission Southwestern Indian Polytechni SIPI Application.pdf www.sipi.edu/acadprog/admiss/	Form and Instruction

IC Title:

Application for admission to SIPI

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 25 CFR 32

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	n/a	Application for Admission Southwestern Indian Polytechnic Institute (SIPI)	SIPI Application.pdf	http://www.sipi.edu/acadprog/admiss/	No		Paper Only

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title: BIA - 22 "Indian Student Records"

FR Citation: 73 FR 40605

Number of Respondents: 3,000

Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	3,000	0	3,000
Annual IC Time Burden (Hours)	1,500	0	1,500
Annual IC Cost Burden (Dollars)	0	-1,770	1,770

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.