Information Collection

Verification of Indian Preference for Employment in BIA and IHS, 25 CFR 5

IC 11552 under ICR 201801-1076-001 · OMB 1076-0160.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1076-0160 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 4432 Verification of Indian Preference for Employment in BIA and IHS, 25 CFR 5	Form and Instruction
4432 Verification of Indian Preference for Employment in BIA Application Form 2014.doc www.bia.gov/WhatWeDo/ServiceOverview/TribalGov/index.htm	Form and Instruction
n/a (Attachment to Family History Chart Family History Form 2011.doc www.bia.gov/WhatWeDo/ServiceOverview/TribalGov/index.htm	Form

IC Title:

Verification of Indian Preference for Employment in BIA and IHS, 25 CFR 5

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 25 CFR 5

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	4432	Verification of Indian Preference for Employment in BIA and IHS	Application Form 2014.doc	http://www.bia.gov/WhatWeDo/ServiceOverview/TribalGov/index.htm	Yes	No	Paper Only
Form	n/a (Attachment to 4432)	Family History Chart	Family History Form 2011.doc	http://www.bia.gov/WhatWeDo/ServiceOverview/TribalGov/index.htm	Yes	No	Paper Only

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title: OS-79, General Personnel Records

FR Citation: 64 FR 20010

Number of Respondents: 5,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	5,000	5,000
Annual IC Time Burden (Hours)	2,500	2,500
Annual IC Cost Burden (Dollars)	6,920	6,920

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.