Application for Admission to Haskell Indian Nations University

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

Documents and Forms

Document Name Document Type
Application for Admission to Haskell Indian Nations University Form
Admissions Instructions for SIPI Application (002).docx www.haskell.edu/downloads/admission/Admissions%20Application_proof2_7-18-13.pdf Instruction
Application for Admission to Haskell Indian Nations Univ FillableApplication_2021 FINAL OMB Approved EDITED March 2021.docx www.haskell.edu/downloads/admission/Admissions%20Application_proof2_7-18-13.pdf Form

Information Collection (IC) Details

IC Title:	Application for Admission to Haskell Indian Nations University	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 25 CFR 32

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	N/A	Application for Admission to Haskell Indian Nations University	FillableApplication_2021 FINAL OMB Approved EDITED March 2021.docx	https://www.haskell.edu/downloads/admission/Admissions%20Application_proof2_7-18-13.pdf	Yes	No	Fillable Printable
Instruction			Admissions Instructions for SIPI Application (002).docx	https://www.haskell.edu/downloads/admission/Admissions%20Application_proof2_7-18-13.pdf	Yes	No	Printable Only

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title: BIA-22 "Indian Student Records"	FR Citation: 73 FR 40605

Number of Respondents: 1,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,000	0	1,000
Annual IC Time Burden (Hours)	250	0	250
Annual IC Cost Burden (Dollars)	10,550	550	10,000

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.