Verification of Indian Preference for Employment in BIA and IHS

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form n/a (Attachment to Family History Chart	Form	Modified	Repair queued
Form 4432 Verification of Indian Preference for Employment in BIA and IHS	Form and Instruction	Modified	Available
Form 4432 Verification of Indian Preference for Employment in BIA and IHS, 25 CFR 5	Form and Instruction	Modified	Repair queued
89 FR 82253.pdf	Supplementary Document	Uploaded 2024-10-10	Repair queued
77 FR 73694.pdf	Supplementary Document	Uploaded 2024-09-05	Repair queued
89 FR 52076.pdf	Supplementary Document	Uploaded 2024-07-03	Repair queued
IAFR001315__OMB1076-0160_SSA.docx	Supporting Statement A	Uploaded 2024-10-10	Repair queued
25 USC 44.pdf	Supplementary Document	Uploaded 2011-08-09	Repair queued
25cfr5..pdf	Supplementary Document	Uploaded 2008-04-11	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
11552	Verification of Indian Preference for Employment in BIA and IHS, 25 CFR 5	Form	Modified	Family History Chart
11552	Verification of Indian Preference for Employment in BIA and IHS, 25 CFR 5	Form and Instruction	Modified	Verification of Indian Preference for Employment in BIA and IHS
11552	Verification of Indian Preference for Employment in BIA and IHS, 25 CFR 5	Form and Instruction	Modified

ICR Details

OMB Control No: 1076-0160	ICR Reference No: 202405-1076-005
Status: Active	Previous ICR Reference No: 202103-1076-002
Agency/Subagency: DOI/BIA	Agency Tracking No: IAFR001315
Title: Verification of Indian Preference for Employment in BIA and IHS
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: 12/13/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 10/10/2024
Terms of Clearance: In accordance with 5 CFR 1320, the information collection is approved.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2028	36 Months From Approved	12/31/2025
Responses	5,000	0	5,000
Time Burden (Hours)	2,500	0	2,500
Cost Burden (Dollars)	7,640	0	7,400

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Abstract: The Indian Preference form for employment in the BIA and IHS allows offices that work primarily with Indian Tribes to give preference in hiring to qualified Indian applicants.

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Authorizing Statute(s): US Code: 25 USC 44 Name of Law: Indian Reorganization Act of June 18, 1934
  

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:
	89 FR 52076	06/21/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 82253	10/10/2024
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
Verification of Indian Preference for Employment in BIA and IHS, 25 CFR 5	4432, n/a (Attachment to 4432)	Verification of Indian Preference for Employment in BIA and IHS ,   Family History Chart

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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	5,000	5,000	0	0	0	0
Annual Time Burden (Hours)	2,500	2,500	0	0	0	0
Annual Cost Burden (Dollars)	7,640	7,400	0	0	240	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: $259,413

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.     Yes

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.     Yes

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: 10/10/2024

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