Information Collection

Request for Certificate of Degree of Indian or Alaska Native Blood (CDIB)

IC 43773 under ICR 202405-1076-010 · OMB 1076-0153.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Request for Certificate of Degree of Indian or Alaska Native Blood (CDIB)	Form and Instruction
Request for Certificate of Degree of Indian or Alaska Na 1076-0153_CDIB Form_508.pdf www.bia.gov/policy-forms/online-forms/paperwork-reduction-act	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:

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	None	Request for Certificate of Degree of Indian or Alaska Native Blood	1076-0153_CDIB Form_508.pdf	https://www.bia.gov/policy-forms/online-forms/paperwork-reduction-act	No		Printable Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title: Tribal Rolls, Interior, BIA-7

FR Citation: 46 FR 19038

Number of Respondents: 100,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	100,000	0	100,000
Annual IC Time Burden (Hours)	150,000	0	150,000
Annual IC Cost Burden (Dollars)	2,500,000	-1,500,000	4,000,000

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.