Information Collection

Student Enrollment Application

IC 11496 under ICR 202301-1076-001 · OMB 1076-0122.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Student Enrollment Application	Form and Instruction
Student Enrollment Application for Students Enrolled in Student Enrollment Application Form_091721.pdf	Form and Instruction
Student Enrollment Application for Students Enrolled in Student Enrollment Application Form_091721.pdf	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: 25 CFR 32 25 CFR 39

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	N/A	Student Enrollment Application for Students Enrolled in Bureau-Funded Schools	Student Enrollment Application Form_091721.pdf		Yes	Yes	Fillable Printable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title: BIA-22 "Indian Student Records"

FR Citation: 73 FR 40605

Number of Respondents: 48,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	48,000	48,000
Annual IC Time Burden (Hours)	12,000	12,000
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.