Tribal Self-Governance Program, 25 CFR 1000

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
1076-0143 Form	Form	Modified	Available
1000.382 - Annual self-governance report	Form	Modified	Repair queued
87 FR 35993.pdf	Supplementary Document	Uploaded 2022-06-14	Repair queued
USCODE-2020-title25-chap46.pdf	Supplementary Document	Uploaded 2022-05-31	Repair queued
Tribal Self-Governance Act of 1994.pdf	Supplementary Document	Uploaded 2022-05-31	Available
86 FR 74419.pdf	Supplementary Document	Uploaded 2022-02-28	Repair queued
IAFR001130__SSA (1076-0143) June-2022.docx	Supporting Statement A	Uploaded 2022-06-08	Repair queued
2016 Final Self-Governance Negotiation Guidance 06.01.15 (1) (2).pdf	Supplementary Document	Uploaded 2016-01-27	Repair queued
25 CFR 1000.pdf	Supplementary Document	Uploaded 2012-11-14	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
43770	1000.17 - Admission to applicant pool		Unchanged
190042	1000.382 - Annual self-governance report	Form	Modified	1076-0143 Form
190042	1000.382 - Annual self-governance report	Form	Modified
190041	1000.333 - Notice to retrocede		Unchanged
190040	1000.248 - Notice of proposed changes		Unchanged
190039	1000.243 - Progress reports and financial status reports		Unchanged
190038	1000.222 - Request for waiver		Unchanged
190037	1000.181 - Request to negotiate successor FA		Unchanged
190036	1000.173 - Request to negotiate a FA		Unchanged
190035	1000.169, 1000.170 - Letter of interest and supporting documents for FA		Unchanged
190034	1000.66 - Application for planning and negotiation grant		Unchanged
190031	1000.50 - Tribal resolution, audits, and proposal for planning phase		Unchanged
190030	1000.47 - Request for a negotiation grant		Unchanged
190029	1000.32 - Withdrawal from consortium FA		Unchanged
190028	1000.19, 20, 21 - Planning report		Unchanged
190024	1000.18 - Withdrawal from consortium to become member of applicant pool		Unchanged

ICR Details

OMB Control No: 1076-0143	ICR Reference No: 202202-1076-010
Status: Historical Active	Previous ICR Reference No: 201903-1076-007
Agency/Subagency: DOI/BIA	Agency Tracking No: IAFR001130
Title: Tribal Self-Governance Program, 25 CFR 1000
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 without change	Conclusion Date: 02/24/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/14/2022
Terms of Clearance: In accordance with 5 CFR 1320, the information collection is approved for three years. In the next renewal, the agency is requested to eliminate redundancy with 1076-0197 and to provide detailed explanations regarding planned changes to this collection in response to the received public feedback, including a timeframe for implementation of IA-wide information technology improvements.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2026	36 Months From Approved	02/28/2023
Responses	84	0	84
Time Burden (Hours)	4,443	0	4,443
Cost Burden (Dollars)	10,500	0	10,500

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Abstract: Tribes interested in entering into Self-Governance must submit certain information required by Tribal Self Governance Act of 1994, 25 U.S.C. 5361-5368, to support their admission into Tribal Self-Governance. In addition, those Tribes and Tribal consortia that have entered into Self-Governance compacts may be requested to submit certain information to justify budget requests on their behalf and to comport with Section 405 of the Act that calls for the Secretary to submit an annual report to the Congress.

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Authorizing Statute(s): US Code: 25 USC 5361-5368 Name of Law: Tribal Self Governance Act of 1994
  

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 74419	12/30/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 35993	06/14/2022
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 15

table that charts list of burden

IC Title	Form No.	Form Name
1000.169, 1000.170 - Letter of interest and supporting documents for FA
1000.17 - Admission to applicant pool
1000.173 - Request to negotiate a FA
1000.18 - Withdrawal from consortium to become member of applicant pool
1000.181 - Request to negotiate successor FA
1000.19, 20, 21 - Planning report
1000.222 - Request for waiver
1000.243 - Progress reports and financial status reports
1000.248 - Notice of proposed changes
1000.32 - Withdrawal from consortium FA
1000.333 - Notice to retrocede
1000.382 - Annual self-governance report	N/A	1076-0143 Form
1000.47 - Request for a negotiation grant
1000.50 - Tribal resolution, audits, and proposal for planning phase
1000.66 - Application for planning and negotiation grant

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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	84	84	0	0	0	0
Annual Time Burden (Hours)	4,443	4,443	0	0	0	0
Annual Cost Burden (Dollars)	10,500	10,500	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: $31,325

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: 06/14/2022

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