Information Collection

Application for Admission to Haskell Indian Nations University

IC 11490 under ICR 202405-1076-016 · OMB 1076-0114.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Haskell Application Application for Admission to Haskell Indian Nations University	Form
Haskell Application Application for Admission to Haskell Indian Nations University	Form
Haskell Application OMB-Control-No-1076-0114_Haskell_Application_508.pdf www.bia.gov/policy-forms/online-forms/paperwork-reduction-act	Form
Haskell Application OMB-Control-No-1076-0114_Haskell_Application_508.pdf 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: Voluntary

CFR Citation: 25 CFR 32

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	N/A			https://www.bia.gov/policy-forms/online-forms/paperwork-reduction-act	Yes	Yes	Fillable Fileable Signable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title: BIA-22 "Indian Student Records"

FR Citation: 73 FR 40605

Number of Respondents: 1,200

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,200	0	200	1,000
Annual IC Time Burden (Hours)	300	50	0	250
Annual IC Cost Burden (Dollars)	0	-10,550	0	10,550

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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