Information Collection Request

Request for Certificate of Degree of Indian or Alaska Native Blood (CDIB)

ICR 201712-1076-002 · OMB 1076-0153 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Request for Certificate of Degree of Indian or Alaska Native Blood (CDIB) Form and Instruction Modified Available
12-28-17.Agency IC-Certificate of Degree of Indian or Alaska Native Blood 30-day.pdf Supplementary Document Uploaded 2017-12-28 Available
10-16-17.Agency IC Activities_ CDIB (60-day).pdf Supplementary Document Uploaded 2017-12-15 Available
CDIB Form_2017 renewal supporting statement_response to OMB.doc Supporting Statement A Uploaded 2018-03-06 Available
CDIBSupportStatement-Attachment.pdf Supplementary Document Uploaded 2008-07-07 Available
1998-StatutesRegs-IndianBloodDegrees.pdf Supplementary Document Uploaded 2008-01-04 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
43773 Request for Certificate of Degree of Indian or Alaska Native Blood (CDIB) Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2021 36 Months From Approved 03/31/2018
100,000 0 154,980
150,000 0 232,470
4,000,000 0 6,199,200





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Request for Certificate of Degree of Indian or Alaska Native Blood (CDIB) None Request for Certificate of Degree of Indian or Alaska Native Blood

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 100,000 154,980 0 0 -54,980 0
Annual Time Burden (Hours) 150,000 232,470 0 0 -82,470 0
Annual Cost Burden (Dollars) 4,000,000 6,199,200 0 0 -2,199,200 0


Reginfo record details
  No