OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Financial Assistance & Social Services Program, 25 CFR 20

OMB 1076-0017 · DOI/BIA.

OMB 1076-0017

The information collection allows BIA to determine whether an individual is eligible for assistance and services under 25 CFR part 20 when comparable financial assistance or social services either are not available or not provided by State, Tribal, county, local, or other Federal agencies. No third-party notification or public disclosure burden is associated with this collection.

The latest form for Financial Assistance & Social Services Program, 25 CFR 20 expires 2027-11-30 and is listed under ICR 202212-1076-010.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 5-6602 Information for ISPForm and Instruction
Form 5-6601 Financial Assistance & Social Services ApplicationForm and Instruction
89 FR 14898.pdf Supplementary Document
(88 FR 879)(Publication Date 01-05-2023).pdf Supplementary Document
SORN BIA-8.pdf Supplementary Document
IAFR001311_1076-0017_SSA.docxSupporting Statement A
25 CFR 20.rtf Supplementary Document
SSAS PIA.pdf Supplementary Document
Information for ISP Form and Instruction
Financial Assistance & Social Services Application Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202212-1076-010 Extension without change of a currently approved collection 2024-02-29
202006-1076-002 Revision of a currently approved collection 2020-07-02
201705-1076-003 Extension without change of a currently approved collection 2017-06-29 Approved without change
201403-1076-003 Extension without change of a currently approved collection 2014-05-19 Approved without change
200911-1076-001 Revision of a currently approved collection 2011-03-22 Approved without change
200805-1076-001 Extension without change of a currently approved collection 2008-08-04 Approved without change
200507-1076-001 Extension without change of a currently approved collection 2005-07-13 Approved with change
200205-1076-001 Extension without change of a currently approved collection 2002-05-22 Approved without change
199903-1076-002 Reinstatement with change of a previously approved collection 1999-03-31 Approved without change
199209-1076-001 Reinstatement with change of a previously approved collection 1992-09-02 Approved without change
199005-1076-002 Reinstatement with change of a previously approved collection 1990-05-30 Approved without change
198809-1076-002 Reinstatement with change of a previously approved collection 1988-09-22 Approved without change
198507-1076-002 Reinstatement with change of a previously approved collection 1985-07-19 Approved without change
198201-1076-002 New collection (Request for a new OMB Control Number) 1982-01-06 Approved without change

OMB Details

Financial Assistance & Social Services Application

Federal Enterprise Architecture: Community and Social Services - Social Services

Information collection instruments
FormNameElectronic accessType
Form 5-6601Application for Financial Assistance and Social Serviceswww.bia.gov/policy-forms/online-forms/paperwork-reduction-actForm and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.