Financial Assistance & Social Services Program 25 CFR 20

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Documents and Forms

Document Name Document Type
Form BIA 5-6601 Financial Assistance & Social Services Program 25 CFR 20 Form and Instruction
BIA 5-6601 Social Services Application Form 2008, Social Service Application Form.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Financial Assistance & Social Services Program 25 CFR 20	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 25 CFR 20

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	BIA 5-6601	Social Services Application Form	2008, Social Service Application Form.doc		No		Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 40 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	200,000	0	200,000
Annual IC Time Burden (Hours)	100,000	50,000	50,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.