Verification of Indian Preference for Employment in BIA and IHS, 25 CFR 5

Verification of Indian Preference for Employment in BIA and IHS

Documents and Forms

Document Name Document Type
Form 4432 Verification of Indian Preference for Employment in BIA and IHS, 25 CFR 5 Form and Instruction
4432 Verification of Indian Preference for Employment in BIA IAFR001315_1076-0160 INDIAN PREF form app and instructions.docx www.bia.gov/policy-forms/online-forms/paperwork-reduction-act Form and Instruction
n/a (Attachment to Family History Chart Family History Form 2011.docx www.bia.gov/policy-forms/online-forms/paperwork-reduction-act Form

Information Collection (IC) Details

IC Title:	Verification of Indian Preference for Employment in BIA and IHS, 25 CFR 5	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 5

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	4432	Verification of Indian Preference for Employment in BIA and IHS	IAFR001315_1076-0160 INDIAN PREF form app and instructions.docx	https://www.bia.gov/policy-forms/online-forms/paperwork-reduction-act	Yes	Yes	Fillable Printable
Form	n/a (Attachment to 4432)	Family History Chart	Family History Form 2011.docx	https://www.bia.gov/policy-forms/online-forms/paperwork-reduction-act	Yes	No	Fillable Printable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title: OPM/GOVT-1, General Personnel Records	FR Citation: 77 FR 73694

Number of Respondents: 5,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	5,000	0	5,000
Annual IC Time Burden (Hours)	2,500	0	2,500
Annual IC Cost Burden (Dollars)	7,640	240	7,400

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.