View Information Collection Request (ICR) Package
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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:
1076-0114
ICR Reference No:
202103-1076-004
Status:
Active
Previous ICR Reference No:
201711-1076-001
Agency/Subagency:
DOI/BIA
Agency Tracking No:
Title:
Application for Admission to Haskell Indian Nations University and to Southwestern Indian Polytechnic Institute
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
03/09/2022
Retrieve Notice of Action (NOA)
Date Received in OIRA:
03/26/2021
Terms of Clearance:
OMB approves this information collection for 3 years, but with the request that DOI/BIA continue to work to make the entire application process available online. The public has requested the application be accepted through online submission and DOI/BIA should work to make both online and by mail to application available in order to meet the needs of their prospective students. At the next approval stage, progress toward online applications should clearly be explained in the supporting statement. In addition, OMB requests that DOI/BIA reevaluate the type of medical information/evaluation requested in the “Clinical Record – Report of Medical Examination of School Children” and develop a medical evaluation form and collection medical information that is appropriate for young adults entering college level education.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
03/31/2025
36 Months From Approved
03/31/2022
Responses
2,100
0
4,000
Time Burden (Hours)
800
0
1,750
Cost Burden (Dollars)
11,155
0
10,000
Abstract:
These forms are used to collect information to determine eligibility of respondent for admission to post secondary education administered by the Bureau of Indian Education.
Authorizing Statute(s):
PL:
Pub.L. 95 - 561 1102
Name of Law: Education Amendments of 1978
Statute at Large:
25 Stat. 13
Name of Statute: the Snyder Act
Statute at Large:
99 Stat. 1747
Name of Statute: Blood Quantum Act
Statute at Large:
48 Stat. 180
Name of Statute: Indian Appropriations of the 48th Congress
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:
85 FR 76100
11/27/2020
30-day Notice:
Federal Register Citation:
Citation Date:
86 FR 16235
03/26/2021
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
2
IC Title
Form No.
Form Name
Application for Admission to Haskell Indian Nations University
N/A
Application for Admission to Haskell Indian Nations University
Application for admission to SIPI
n/a
Application for Admission Southwestern Indian Polytechnic Institute (SIPI)
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
2,100
4,000
0
0
-1,900
0
Annual Time Burden (Hours)
800
1,750
0
0
-950
0
Annual Cost Burden (Dollars)
11,155
10,000
0
0
1,155
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:
Annual Cost to Federal Government:
$88,142
Does this IC contain surveys, censuses, or employ statistical methods?
No
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
Yes
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
Yes
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?
No
Agency Contact:
Steven Mullen 202 924-2650 steven.mullen@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:
03/26/2021
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