Information Collection

Occupant/Child Protection Seat Grant Application

IC 231885 under ICR 202405-1076-012 · OMB 1076-0190.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Occupant/Child Protection Seat Grant Application	Form and Instruction
Child Passenger Safety Seat Program CPS Grant Application with Instructions.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: 23 CFR 1300

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	Child Passenger Safety Seat Program	CPS Grant Application with Instructions.pdf	https://www.bia.gov/policy-forms/online-forms/paperwork-reduction-act	Yes	Yes	Fillable Printable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 80

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	80	80
Annual IC Time Burden (Hours)	320	320
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.