Information Collection

Membership nomination form

IC 198397 under ICR 202212-1076-005 · OMB 1076-0179.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Membership Nominat Membership nomination form	Form and Instruction
Membership Nominat Membership Nomination Form BIE Advisory-Board-Membership-Nomination-Form.pdf www.bia.gov/policy-forms/online-forms/paperwork-reduction-act	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Membership Nomination Form	Membership Nomination Form	BIE Advisory-Board-Membership-Nomination-Form.pdf	https://www.bia.gov/policy-forms/online-forms/paperwork-reduction-act	Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title: Employee Administrative Records

FR Citation: 64 FR 19384

Number of Respondents: 20

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	20	20
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.