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Application for admission to SIPI
Application for Admission to Haskell Indian Nations University and to Southwestern Indian Polytechnic Institute
OMB: 1076-0114
IC ID: 187215
OMB.report
DOI/BIA
OMB 1076-0114
ICR 202103-1076-004
IC 187215
( )
Documents and Forms
Document Name
Document Type
Application for admission to SIPI
Form
Admissions Instructions for SIPI Application (002).docx
www.sipi.edu/apps/pages/apply
Instruction
Application for Admission Southwestern Indian Polytechni
SIPI Application.pdf
www.sipi.edu/apps/pages/apply
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Application for admission to SIPI
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 Southwestern Indian Polytechnic Institute (SIPI)
SIPI Application.pdf
https://www.sipi.edu/apps/pages/apply
Yes
No
Fillable Printable
Instruction
Admissions Instructions for SIPI Application (002).docx
https://www.sipi.edu/apps/pages/apply
Yes
No
Printable Only
Federal Enterprise Architecture Business Reference Module
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:
1,100
Number of Respondents for Small Entity:
0
Affected Public:
Federal Government
Percentage of Respondents Reporting Electronically:
0 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,100
0
0
-1,900
0
3,000
Annual IC Time Burden (Hours)
550
0
0
-950
0
1,500
Annual IC Cost Burden (Dollars)
605
0
0
605
0
0
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.