4B - Notify Tribe, parents, Indian custodian of voluntary custody proceeding

Indian Child Welfare Act (ICWA) Proceedings in State Court

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1076-0186 can be found here:

Documents and Forms

Document Name Document Type

no available documents/forms check other ICs listed under this ICR

Information Collection (IC) Details

IC Title:	4B - Notify Tribe, parents, Indian custodian of voluntary custody proceeding	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 25 CFR 23.11 25 CFR 23.111

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Litigation and Judicial Activities

Subfunction: Judicial Hearing

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,289	Number of Respondents for Small Entity: 1,289

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,578	0	2,578
Annual IC Time Burden (Hours)	15,468	0	15,468
Annual IC Cost Burden (Dollars)	49,240	52	49,188

Documents for IC

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.