APPLICATION FOR SIOUX BENEFITS

ICR 198610-1076-001

OMB: 1076-0004

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
118616 Migrated
ICR Details
1076-0004 198610-1076-001
Historical Active 198310-1076-001
DOI/BIA
APPLICATION FOR SIOUX BENEFITS
Extension without change of a currently approved collection   No
Regular
Approved without change 11/26/1986
Retrieve Notice of Action (NOA) 10/06/1986
  Inventory as of this Action Requested Previously Approved
11/30/1989 11/30/1989 11/30/1986
260 0 260
130 0 130
0 0 0

PRESCRIBES THE ELIGIBILITY CRITERIA AND APPLICATION PROCEDURES GOVERNING PAYMENT OF "SIOUX BENEFITS" UNDER THE 1889 SIOUX ALLOTMENT ACT, AS AMENDED, THE 1928 SIOUX BENEFITS ACT, AND SECTION 14 OF THE 1934 INDIAN REORGANIZATION ACT (25 U.S.C. 474). THE DATA ON THIS FORM IS USED BY THE BIA TO DETERMINE THE APPLICANT'S ELIGIBILITY FOR SIOUX BENEFITS.

None
None


No

1
IC Title Form No. Form Name
APPLICATION FOR SIOUX BENEFITS X-BIA-4210

  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 260 260 0 0 0 0
Annual Time Burden (Hours) 130 130 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
10/06/1986


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