Tribal Climate Resilience Program

DOI Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0011 can be found here:

Documents and Forms

Document Name Document Type
BIA FT-57 Provide Feedback to BIA Tribal Climate Change Program.pdf Other-Feedback Form
BIA FT-57 Tribal Climate Resilience Resource Guide (TCR RG) Feedback Form.pdf Other-Feedback Form II
BIA FT-57 DI-4011 Tribal Climate Resilience Prog.pdf Request for Approval IC Document

Information Collection (IC) Details

IC Title:	Tribal Climate Resilience Program	Agency IC Tracking Number:	2018-BIA-FT14

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Feedback Form			BIA FT-57 Provide Feedback to BIA Tribal Climate Change Program.pdf		Yes	Yes	Fillable Fileable
Other-Feedback Form II			BIA FT-57 Tribal Climate Resilience Resource Guide (TCR RG) Feedback Form.pdf		Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	3	3
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Request for Approval	BIA FT-57 DI-4011 Tribal Climate Resilience Prog.pdf	10/22/2018

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