Law and Order on Indian Reservations - Marriage & Dissolution Applications, 25 CFR 11

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Marriage & Dissolution Applications, 25 CFR 600(c) and 606(c)	Form and Instruction	Unchanged	Available
5-31-18.Agency IC Activities; Submission to OMB for Review and Approval; Marriage and Dissolution Applications OMB# 1076-0094.pdf	Supplementary Document	Uploaded 2018-05-31	Available
3-30-18.Agency IC Activities; Law and Order on Indian Reservations-Marriage and Dissolution Applications.pdf	Supplementary Document	Uploaded 2018-05-14	Available
2018 SS - Marriage and Dissolution 1076-0094 5-14-18.docx	Supporting Statement A	Uploaded 2018-05-14	Available
25 CFR 11.600-611.pdf	Supplementary Document	Uploaded 2011-12-08	Available
25 U.S.C. 13.txt	Supplementary Document	Uploaded 2008-07-15	Available
25 U.S.C. 9.txt	Supplementary Document	Uploaded 2008-07-15	Available
25 U.S.C. 2.txt	Supplementary Document	Uploaded 2008-07-15	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
11464	Marriage & Dissolution Applications, 25 CFR 600(c) and 606(c)	Form and Instruction	Unchanged

ICR Details

OMB Control No: 1076-0094	ICR Reference No: 201805-1076-001
Status: Active	Previous ICR Reference No: 201504-1076-001
Agency/Subagency: DOI/BIA	Agency Tracking No:
Title: Law and Order on Indian Reservations - Marriage & Dissolution Applications, 25 CFR 11
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 with change	Conclusion Date: 07/27/2018
	Date Received in OIRA: 05/31/2018
Terms of Clearance: In accordance with 5 CFR 1320, the information collection is approved for three years.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2021	36 Months From Approved	07/31/2018
Responses	260	0	260
Time Burden (Hours)	65	0	65
Cost Burden (Dollars)	6,500	0	6,500

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Abstract: Basic Information is required of applicants for the issuance of a marriage license or the dissolution of a marriage by a Court of Indian Offenses under 25 CFR 11.

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Authorizing Statute(s): US Code: 25 USC 2 Name of Law: Duties of Commissioner
   US Code: 25 USC 13 Name of Law: Expenditure of Appropriations by Bureau
   US Code: 25 USC 9 Name of Law: Regulations by President
  

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:
	83 FR 13773	03/30/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 25039	05/31/2018
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
Marriage & Dissolution Applications, 25 CFR 600(c) and 606(c)	N/A, N/A	Marriage License Application ,   Application for Dissolution of Marriage

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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	260	260	0	0	0	0
Annual Time Burden (Hours)	65	65	0	0	0	0
Annual Cost Burden (Dollars)	6,500	6,500	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:

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Annual Cost to Federal Government: $7,605

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

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: 05/31/2018

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