Financial Assistance & Social Services Program 25 CFR 20

Forms and Documents

Document Name	Status
Form BIA 5-6601 Financial Assistance & Social Services Program 25 CFR 20 Form and Instruction	Modified
Financial Assistance ICR 30 Day FR Notice.pdf Supplementary Document	2008-08-04
1076-0017 30-day notice.pdf Supplementary Document	2008-08-04
25cfr20.500.pdf Supplementary Document	2008-07-24
25cfr20.400.pdf Supplementary Document	2008-07-24
25cfr20.331.pdf Supplementary Document	2008-07-24
25cfr20.330.pdf Supplementary Document	2008-07-24
25cfr20.329.pdf Supplementary Document	2008-07-24
25cfr20.328.pdf Supplementary Document	2008-07-24
25cfr20.325.pdf Supplementary Document	2008-07-24
25cfr20.320.pdf Supplementary Document	2008-07-24
25cfr20.301.pdf Supplementary Document	2008-07-24
25cfr20.101.pdf Supplementary Document	2008-07-24
SSAS PIA.pdf Supplementary Document	2008-07-24
Financial Assistance ICR60day FR Notice.pdf Supplementary Document	2008-05-14
2008-Financial Assistance Justication 07_24_2008[2].rtf Supporting Statement A	2009-01-30

IC Document Collections

IC ID	Document Title	Status
11443	Financial Assistance & Social Services Program 25 CFR 20 Form and Instruction	Modified

ICR Details

OMB Control No: 1076-0017	ICR Reference No: 200805-1076-001
Status: Historical Active	Previous ICR Reference No: 200507-1076-001
Agency/Subagency: DOI/BIA	Agency Tracking No:
Title: Financial Assistance & Social Services Program 25 CFR 20
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: 03/06/2009
	Date Received in OIRA: 08/04/2008
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2012	36 Months From Approved	03/31/2009
Responses	200,000	0	200,000
Time Burden (Hours)	100,000	0	50,000
Cost Burden (Dollars)	0	0	0

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Abstract: The information is required by 25 CFR 20, The Financial Assistance and Social Services Program. 25 U.S.C. The Snyder Act authorizes providing welfare assistance and family community services to needy clients either through direct services, financial assistance grants or it may also be provided through Pub. L. 93-638.

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Authorizing Statute(s): US Code: 25 USC 13 Name of Law: Expenditures of appropriations by the Bureau
   PL: Pub.L. 93 - 638 5 ff Name of Law: Indian Self-Determination and Education Assistance
   PL: Pub.L. 102 - 477 3 ff Name of Law: Indian Employment, Training and Related Services Demonstration Act of 1992
   PL: Pub.L. 104 - 193 108ff Name of Law: Personal Responsibility and Work Opportunity Act
   Statute at Large: 111 Stat. 12 Name of Statute: Appropriations for BIA
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 6524	02/04/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 45241	08/04/2008
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Financial Assistance & Social Services Program 25 CFR 20	BIA 5-6601	Social Services Application Form

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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	200,000	200,000	0	0	0	0
Annual Time Burden (Hours)	100,000	50,000	0	0	50,000	0
Annual Cost Burden (Dollars)	0	0	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: This renewal is requesting an adjustment increase of 50,000 hours for a total of 100,000 hours due to the time involved to fill out the form and verify information submitted. There is no non-hour cost burden to report.

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Annual Cost to Federal Government: $17,085,600

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? Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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: 08/04/2008

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