Information Collection

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

IC 11552 under ICR 202405-1076-005 · OMB 1076-0160.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 4432 Verification of Indian Preference for Employment in BIA and IHS, 25 CFR 5	Form and Instruction
Form 4432 Verification of Indian Preference for Employment in BIA and IHS Verification of Indian Preference for Employment in BIA and IHS, 25 CFR 5	Form and Instruction
Form n/a (Attachment to Family History Chart Verification of Indian Preference for Employment in BIA and IHS, 25 CFR 5	Form
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
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
n/a (Attachment to Family History Chart Family History Form 2011.docx www.bia.gov/policy-forms/online-forms/paperwork-reduction-act	Form

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 5

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	4432			https://www.bia.gov/policy-forms/online-forms/paperwork-reduction-act	Yes	Yes	Fillable Printable
Form	n/a (Attachment to 4432)			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 %

table that charts list of burden
	Approved	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

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.

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