IA Paperwork Reduction Act (PRA)

OMB Control Number 1076-0017

Any individual or family may apply for BIA Financial Assistance and Social Services by completing the application process with the assistance of the Social Worker. A Word version of the Application for Financial Assistance and Social Services (FASS) and Individual Self-Sufficiency (ISP)/Case Plan is available on the Division of Human Services website: https://www.bia.gov/bia/ois/dhs/financial-assistance.

OMB Control Number 1076-0018

The Tribally Controlled Community College Assistance Act of 1978 (25 U.S.C. 1802-1815) allows for tribally controlled community colleges to apply for grants for the purpose of ensuring continued and expanded education opportunities for American Indian and Alaska Native students. The implementing regulations at 25 CFR 41 establishes the process for tribally controlled colleges to apply for the grants. For more information, please visit www.bie.edu.

OMB Control Number 1076-0020

The Office of Indian Energy and Economic Development (IEED) implements the Loan Guarantee, Insurance, and Interest Subsidy Program, 25 U.S.C. 1451, et seq., the purpose of which is to encourage private lending to individual Indians and Indian organizations by providing lenders with loan guarantees or loan insurance to reduce their potential risk. The forms associated with this collection allows IEED to determine the eligibility and credit-worthiness of respondents and loans and otherwise ensure compliance with program requirements.

The forms are also available on the Division of Capital Investment website here: https://www.bia.gov/service/loans/ilgp

Electrical Service Application

BIA collects information to operate and maintain it's electric power utilities to serve electric power consumers and to fulfill reporting requirements.

OMB Control Number 1076-0047

These forms are collected to monitor and regulation the possession and use of Alaskan reindeer by non-Natives in Alaska. An applicant must fill out an application for a permit to get a reindeer for any purpose, and is required to report on the status of reindeer annually or when change occurs, including changing prior to the date of the annual report.

OMB Control Number 1076-0094

Marriage License Application and Dissolution of Marriage Application

OMB Control Number 1076-0104

Groups seeking Federal acknowledgment under 25 CFR 83 may use the following forms under OMB# 1076-0104 (which includes BIA forms 8304 (Individual History Chart), 8305 (Ancestry Chart) and 8306 (Membership Roll)) to provide a complete list of members of the group seeking recognition. Groups may submit the information on their own forms.

Payment for Appointed Counsel in Involuntary Indian Child Custody Proceedings in State Courts, 25 CFR 23.13

A State court that appoints counsel for an indigent Indian parent or custodian in an involuntary Indian child custody proceeding in a State court may write to the BIA requesting payment for the counsel's services when State law does not authorize State funds to pay such services. The BIA's Regional Director, in the BIA Region where the case is heard, uses the submitted information to decide whether to certify that the client is eligible to have his counsel compensated by the BIA in accordance with the Indian Child Welfare Act, Public Law 95-608.

OMB Control Number 1076-0114

For more information regarding admission to Haskell Indian Nations University, please visit Haskell's website: https://www.haskell.edu/.

For more information regarding admission to Southwestern Indian Polytechnic Institute (SIPI), please visit SIPI's website: https://www.sipi.edu/.

Adult Education Annual Report Form

The Bureau of Indian Education (BIE) annually collects information to prioritize programs and measure the success of programs.  This annual report helps manage the resources available to provide education opportunities for adult Indians and Alaska Natives to complete high school graduation requirements and gain new skills and knowledge for their self-enhancement.  For more information on the Adult Education program, please visit www.bie.edu.

Data Elements for Student Enrollment in Bureau-funded Schools

BIE’s Student Enrollment Application is utilized by schools operated or funded by BIE. The information is collected by school registrars to determine the student’s eligibility for enrollment in a bureau-operated school, and if eligible, is shared with appropriate school officials to identify the student’s base and supplemental educational and/or residential program needs. The information is compiled into a national database by the Bureau of Indian Education to facilitate budget requests and the allocation of congressionally appropriated funds.

BIE’s Behavioral Health and Wellness Program (BHWP) is focused on providing indigenous focused, evidence-based, and trauma-informed behavioral health and wellness services/resources for students and staff at all Bureau-funded programs, departments, and institutions including Bureau operated schools, Tribally controlled schools, post-secondary institutions, and Tribal colleges and universities.

Indian Child Welfare Quarterly and Annual Report

The BIA collects information using the consolidated caseload form that Tribal child welfare programs complete. The BIA uses this information to determine the extent of Indian child welfare needs in local Indian communities. This process evaluates the effectiveness of the Indian Child Welfare Act (ICWA) and other related Indian child welfare programs, supplying critical data to support the annual program budget justification.

OMB Control Number 1076-0134

This form is used by Bureau-funded Schools to determine the rate per mile and allocation of transportation funds.  The Student Transportation regulations in 25 CFR part 39, subpart G, contain the program eligibility and criteria that govern the allocation of transportation funds.  This information is also collected using a web-based system, Web Education Transportation (Web ET).

OMB Control Number 1076-0135

• The PL477 Narrative Report allows Tribes to describe their employment, training and related activities and services to address the unique needs of their communities and the extent to which Tribes have succeeded in doing so. It may be submitted in any format, but the report must be typed and include page numbers.

OMB Control Number 1076-0141

In order for irrigators to receive water deliveries, information is needed by the BIA to operate and maintain its irrigation projects and fulfill reporting requirements. Water users must apply for water delivery and for a number of other associated services, such as, subsidizing a farm unit, requesting leaching service, requesting water for domestic or stock purposes, building structures or fences in BIA rights-of-way, requesting payment plans on bills, establishing a carriage agreement with a third-party, negotiating irrigation incentives leases, and requesting an assessment waiver.

Self-Governance Minimum Data Collection

Tribes and Tribal consortia that have entered into Self-Governance funding agreements are requested to submit certain information as described in 25 CFR part 1000.

Certificate of Degree of Indian or Alaska Native Blood (CDIB) (PDF)

This is the Certificate of Degree of Indian or Alaska Native Blood (CDIB) form. Instructions are included with the form.

OMB Control Number 1076-0157

Grazing Permits

The parties submitting information are Tribes, Tribal organizations authorized by Indian Tribal governments, individual Indians, and non-Indians seeking grazing permits on land held by the U.S. Government in trust for Tribes and individual indians.

The Bureau of Indian Affairs (BIA) uses the information provided through these forms, approved under OMB# 1076-0157, to issue and administer grazing permits on Indian trust lands under the regulations at 25 CFR 166. Individuals seeking grazing permits provide information such as: name, address, phone number, number of livestock owned, type of livestock, class of livestock, season of use, brand information, brand ownership, brand location, grazing fee bid information, range improvement location and value, and information relating to permit violations or livestock trespass.

OMB Control Number 1076-0160

Applicants seeking employment in the Indian Health Service and/or Indian Affairs use this form to establish evidence of Indian preference as part of the application process. The Family History Chart is also used as part of the Indian Preference verification process.

OMB Control Number 1076-0162

This information is used by the Department of the Interior (DOI), Bureau of Indian Affairs (BIA), and the Navajo Nation to determine eligibility for a Navajo Partitioned Land (NPL) grazing permit and to administer permits once issues. Information is submitted by individual Navajo tribal members wanting to obtain or modify a grazing permit and by departments and officials of the Navajo Nation.

Authorization for Medical Care of a Minor

This is a BIE form which gives permission for a physician, surgeon, or dentist to provide necessary care to a child whose parents are not immediately available.

Probate of Indian Estates, except for Members of the Osage Nation and the Five Civilized Tribes

Office of Hearings and Appeals – data for heirship finding and family history.

OMB Control Number 1076-0176

BIE Advisory Board for Exceptional Education Membership Nomination Form

This form is used to submit nominations for individuals to serve on the Federal advisory committee, the Advisory Board for Exceptional Children.

OMB Control Number 1076-0180

The United States holds the subsurface mineral estate in Osage County, Oklahoma (Osage Mineral Estate) in trust for the benefit of the Osage Nation. The regulations set forth in 25 CFR 226, implement that statute by specifying what information a lessee must provide related to drilling, development, and production of oil and gas on Osage reservation land. The BIA collects this information to administer the leasing and development of the Osage Mineral Estate as well as to ensure that all royalties and revenues derived from the Osage Mineral Estate are collected and accounted for and that the oil and gas trust assets, surface estate, natural resources, and human environment are adequately protected.

Right-of-Way Application

This application is a request for the BIA to grant a right-of-way to cross land held in trust or restricted status on behalf of individual Indians and tribes under the terms and provisions of 25 U.S.C. 323-328 and 25 CFR 169. Please use Standard Form (SF)-299 for rights-of-way on Federal land.  

Secretarial Election Voter Registration Form

Under the Indian Reorganization Act, Tribes have the right to organize and adopt constitutions, bylaws, and any amendments thereto, and ratify charters of incorporation, through elections called by the Secretary of the Interior (Secretarial election). This form is used by Tribal members to register in an upcoming Secretarial election.

OMB Control Number 1076-0184

Housing Improvement Program (HIP) forms (note: please open any form noted as being in Excel or Word using Chrome (instead of Internet Explorer) due to issues with IE and Excel/Word docs)

Self-Certification of Appraiser Qualifications

An appraiser may complete this self-certification if they meet the criteria in 43 CFR § 100.200.

OMB Control Number 1076-0190

The Highway Safety Act of 1966, 23 U.S.C. § 402, provides the Bureau of Indian Affairs (BIA), Office of Justice Services (OJS), Indian Highway Safety Program (IHSP) through the U.S. Department of Transportation (DOT), funding to assist federally recognized tribes in implementing traffic safety projects. Tribes receiving grant awards are required to submit a monthly progress report, including a Request for Reimbursement (RFR) with supporting documentation. The spreadsheet tabulates the data from one month to the next as statistics are entered, and eventually carried into the Annual Report. The spreadsheet was designed to assist the tribes in compiling the data reported on a monthly basis to reduce the tribe’s burden in completing the report at the end of the grant year.

OMB Control Number 1076-0195

These forms are used as part of the mortgage process, as described in 52 IAM 4-H. These documents are in Word only.