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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
1076-0143
ICR Reference No:
201206-1076-004
Status:
Historical Active
Previous ICR Reference No:
200901-1076-001
Agency/Subagency:
DOI/BIA
Agency Tracking No:
Title:
Tribal Self-Governance Program, 25 CFR 1000
Type of Information Collection:
Extension without change of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
01/29/2013
Retrieve Notice of Action (NOA)
Date Received in OIRA:
11/28/2012
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
01/31/2016
36 Months From Approved
01/31/2013
Responses
94
0
204
Time Burden (Hours)
4,662
0
11,203
Cost Burden (Dollars)
10,500
0
10,500
Abstract:
This information collection activity and implementing regulations permit the permanent estabishment of tribal self-governance as authorized by the Tribal Self-Governance Act of 1994.
Authorizing Statute(s):
PL:
Pub.L. 103 - 413 402, 403, 405
Name of Law: Title IV - Tribal Self-Governance
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
77 FR 43353
07/24/2012
30-day Notice:
Federal Register Citation:
Citation Date:
77 FR 71016
11/28/2012
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
15
IC Title
Form No.
Form Name
1000.169, 1000.170 - Letter of interest and supporting documents for FA
1000.17 - Admission to applicant pool
1000.173 - Request to negotiate a FA
1000.18 - Withdrawal from consortium to become member of applicant pool
1000.181 - Request to negotiate successor FA
1000.19, 20, 21 - Planning report
1000.222 - Request for waiver
1000.243 - Progress reports and financial status reports
1000.248 - Notice of proposed changes
1000.32 - Withdrawal from consortium FA
1000.333 - Notice to retrocede
1000.382 - Annual self-governance report
N/A
Self-Governance Minimum Data Collection
1000.47 - Request for a negotiation grant
1000.50 - Tribal resolution, audits, and proposal for planning phase
1000.66 - Application for planning and negotiation grant
ICR Summary of Burden
Total Approved
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
94
204
0
0
-110
0
Annual Time Burden (Hours)
4,662
11,203
0
0
-6,541
0
Annual Cost Burden (Dollars)
10,500
10,500
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
Adjustments were made to the number of responses, hour and cost burden to reflect more accurate estimates. In addition, the program uses a form to collect information, which was not included in the last renewal.
Annual Cost to Federal Government:
$42,575
Does this IC contain surveys, censuses, or employ statistical methods?
No
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Amanda Begay 443 966-1599 Amanda.Begay@bia.gov
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
11/28/2012
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