Bureau of Indian Education Adult Education Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form BIA Form 62123 Adult Education Annual Report Form	Form	Unchanged	Available
30-Day Notice 1076-0120 2021.pdf	Supplementary Document	Uploaded 2021-05-26	Repair queued
60-Day Notice 1076-0120 2021.pdf	Supplementary Document	Uploaded 2021-05-04	Repair queued
Supporting Statement -Adult Ed 1076-0120_05-20-21.docx	Supporting Statement A	Uploaded 2021-05-20	Repair queued
25cfr46.20.pdf	Supplementary Document	Uploaded 2008-06-11	Repair queued
25cfr46.30.pdf	Supplementary Document	Uploaded 2008-06-11	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
11493	Adult Education 25 CFR 46	Form	Unchanged	Adult Education Annual Report Form
11493	Adult Education 25 CFR 46	Instruction	Unchanged

ICR Details

OMB Control No: 1076-0120	ICR Reference No: 202105-1076-001
Status: Historical Active	Previous ICR Reference No: 201803-1076-004
Agency/Subagency: DOI/BIA	Agency Tracking No:
Title: Bureau of Indian Education Adult Education Program
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: 11/16/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/26/2021
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2024	36 Months From Approved	11/30/2021
Responses	70	0	70
Time Burden (Hours)	280	0	280
Cost Burden (Dollars)	200	0	200

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Abstract: The information collection is used for fiscal accountability, and to direct appropriate service documentation. Information is used for administrative planning, long and short term goals, analyzing and monitoring measurable objectives.

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Authorizing Statute(s): US Code: 43 USC 1457 Name of Law: Duties of the Secretary of the Interior
   US Code: 25 USC 452 Name of Law: Johnson-O'Malley
   US Code: 25 USC 13 Name of Law: Authorizing funds for basic education
  

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:
	86 FR 12709	03/04/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 28375	05/26/2021
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
Adult Education 25 CFR 46	BIA Form 62123	Adult Education Annual Report Form

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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	70	70	0	0	0	0
Annual Time Burden (Hours)	280	280	0	0	0	0
Annual Cost Burden (Dollars)	200	200	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: $9,167

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.     No

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.     No

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? No

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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: 05/26/2021

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