Application for Admission to Haskell Indian Nations University and to Southwestern Indian Polytechnic Institute

ICR 202103-1076-004

OMB: 1076-0114

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Form
Modified
Supplementary Document
2021-03-26
Supporting Statement A
2021-03-16
Supplementary Document
2021-03-15
Supplementary Document
2012-03-12
Supplementary Document
2008-12-03
Supplementary Document
2008-10-22
Supplementary Document
2008-10-21
IC Document Collections
ICR Details
1076-0114 202103-1076-004
Received in OIRA 201711-1076-001
DOI/BIA
Application for Admission to Haskell Indian Nations University and to Southwestern Indian Polytechnic Institute
Revision of a currently approved collection   No
Regular 03/26/2021
  Requested Previously Approved
36 Months From Approved 03/31/2021
2,100 4,000
800 1,750
11,155 10,000

These forms are used to collect information to determine eligibility of respondent for admission to post secondary education administered by the Bureau of Indian Education.

Statute at Large: 48 Stat. 180 Name of Statute: Indian Appropriations of the 48th Congress
   PL: Pub.L. 95 - 561 1102 Name of Law: Education Amendments of 1978
   Statute at Large: 25 Stat. 13 Name of Statute: the Snyder Act
   Statute at Large: 99 Stat. 1747 Name of Statute: Blood Quantum Act
  
None

Not associated with rulemaking

  85 FR 76100 11/27/2020
86 FR 16235 03/26/2021
No

  Total Request 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 2,100 4,000 0 0 -1,900 0
Annual Time Burden (Hours) 800 1,750 0 0 -950 0
Annual Cost Burden (Dollars) 11,155 10,000 0 0 1,155 0
No
No

$88,142
No
    Yes
    Yes
No
No
No
No
Ashley Fry 202 208-5808 [email protected]

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
03/26/2021


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