Information for ISP

Financial Assistance & Social Services Program, 25 CFR 20

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1076-0017 can be found here:

Documents and Forms

Document Name Document Type
Form 5-6602 Information for ISP Form and Instruction
5-6602 Individual Self-Sufficiency (ISP) / Case Plan ISP Form Updated 2020.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Information for ISP	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 20.303

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	5-6602	Individual Self-Sufficiency (ISP) / Case Plan	ISP Form Updated 2020.docx		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title: BIA-8, Indian Social Services Case Files	FR Citation: 55 FR 34085

Number of Respondents: 72,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	72,000	-23,000	95,000
Annual IC Time Burden (Hours)	72,000	-23,000	95,000
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.