Information Collection Request

Data Elements for Bureau-Funded Schools

ICR 202512-1076-003 · OMB 1076-0122 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
BIE BHWP Referral Form Form and Instruction Removed Available
Student Enrollment Application for Students Enrolled in Bureau-Funded Schools Form and Instruction Unchanged Available
91 FR 55353.pdf Supplementary Document Uploaded 2026-08-27 Available
91 FR 10410.pdf Supplementary Document Uploaded 2026-06-15 Available
BIA-2022-0005-0028_(91 FR 10410)_(OMB Control Number 1076-0122).pdf Public Comments Uploaded 2026-06-15 Available
20 U.S.C. 6301, 7118, 7424.pdf Supplementary Document Uploaded 2023-01-19 Available
STATUTE-99-Pg1747.pdf Supplementary Document Uploaded 2021-09-28 Available
USCODE-2019-title20-chap70-subchapI-sec6301.pdf Supplementary Document Uploaded 2021-09-28 Available
USCODE-2019-title25-chap22-sec2001.pdf Supplementary Document Uploaded 2021-09-28 Available
USCODE-2019-title25-chap46-sec5301.pdf Supplementary Document Uploaded 2021-09-28 Available
USCODE-2019-title25-chap1-sec13.pdf Supplementary Document Uploaded 2021-09-28 Available
IAFR001581__Supporting Statement A (1076-0122)_renewal - JP Feedback.docx Supporting Statement A Uploaded 2026-08-20 Available
BIA-22 Privacy Act System of Record - Indian Student Records.pdf Supplementary Document Uploaded 2012-03-12 Available
25 CFR 39 - Indian School Equalization Program.pdf Supplementary Document Uploaded 2012-02-15 Available
25 CFR 32 - Indian Education Policies.pdf Supplementary Document Uploaded 2012-02-15 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
258446 Behavioral Health and Wellness Program (BHWP) Referral Form Form and Instruction RemovedBIE BHWP Referral Form
11496 Student Enrollment Application Form and Instruction UnchangedStudent Enrollment Application for Students Enrolled in Bureau-Funded Schools

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 08/31/2026
48,000 49,000
12,000 12,500
0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Behavioral Health and Wellness Program (BHWP) Referral Form N/A
Student Enrollment Application N/A

table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 48,000 49,000 0 -1,000 0 0
Annual Time Burden (Hours) 12,000 12,500 0 -500 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No