Information Collection

Registration to vote

IC 212754 under ICR 202405-1076-021 · OMB 1076-0183.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Registration to vote	Form and Instruction
Form and Instruction 1076-0183_voter-register-form.docx 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: 25 CFR 81.26-81.28

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	Form and Instruction	1076-0183_voter-register-form.docx	https://www.bia.gov/policy-forms/online-forms/paperwork-reduction-act	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title: Tribal Rolls, Interior/BIA-7

FR Citation: 79 FR 59733

Number of Respondents: 126,000

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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	126,000	0	126,000
Annual IC Time Burden (Hours)	31,500	0	31,500
Annual IC Cost Burden (Dollars)	91,980	18,900	73,080

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.