OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

IHS Background Investigations of Individuals in Positions Involving Regular Contact with or Control Over Indian Children

OMB 0917-0028 ยท HHS/IHS.

OMB 0917-0028

To collect information needed to determine whether a prospective or current employee that has regular contact with or control over Indian children meets the minimum standards or character and to conduct background investigation.

The latest form for IHS Background Investigations of Individuals in Positions Involving Regular Contact with or Control Over Indian Children expires 2022-02-28 and is listed under ICR 201811-0917-002.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 0917-0028 IHS Background Investigation of Individuals in Positions Involving Regular Contact with or Control Over Indian ChildrenForm and Instruction
Final_AddendumtoDeclarationorFederalEmploymentOGCPHD final copy 9.20.18.doc Supplementary Document
0917-0028_Supporting_Statement_A__2022 FINAL 2.24.22.docxSupporting Statement A
Title_42_chap_132_13041._Requirement_for_background_checks[1].doc Supplementary Document
USCODE-2011-title25-chap34-sec3207.pdf Supplementary Document
OMB Form No. 3206-0182 0306[1].pdf Supplementary Document
IHS Background Investigation of Individuals in Positions Involving Regular Contact with or Control Over Indian Children Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202201-0917-002 Extension without change of a currently approved collection 2022-02-24 Approved without change
201811-0917-002 Extension without change of a currently approved collection 2018-11-28 Approved without change
201509-0917-001 Extension without change of a currently approved collection 2015-09-25 Approved without change
201209-0917-001 Extension without change of a currently approved collection 2012-09-05 Approved without change
200902-0917-001 Revision of a currently approved collection 2009-02-20 Approved with change
200511-0917-001 Revision of a currently approved collection 2005-11-10 Approved without change
200405-0917-002 No material or nonsubstantive change to a currently approved collection 2004-05-06 Approved without change
200209-0917-001 New collection (Request for a new OMB Control Number) 2002-09-11 Approved without change