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Information for ISP
Financial Assistance & Social Services Program, 25 CFR 20
OMB: 1076-0017
IC ID: 192898
OMB.report
DOI/BIA
OMB 1076-0017
ICR 202212-1076-010
IC 192898
( )
Documents and Forms
Document Name
Document Type
Form 5-6602
Information for ISP
Form and Instruction
5-6602 Individual Self-Sufficiency (ISP) / Case Plan
BIA_Form_5-6602.docx
www.bia.gov/policy-forms/online-forms/paperwork-reduction-act
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Information for ISP
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
25 CFR 20.303
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
5-6602
Individual Self-Sufficiency (ISP) / Case Plan
BIA_Form_5-6602.docx
https://www.bia.gov/policy-forms/online-forms/paperwork-reduction-act
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
BIA-8, Indian Social Services Case Files
FR Citation:
55 FR 34085
Number of Respondents:
72,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
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
72,000
0
0
0
0
72,000
Annual IC Time Burden (Hours)
72,000
0
0
0
0
72,000
Annual IC Cost Burden (Dollars)
0
0
0
0
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.