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06/06/2025
Division of Human Services (DHS) - Updated Forms

The Division of Human Services (DHS) received awareness two forms were updated by OMB.

 

BIA Application for Financial Assistance and Social Services

Form Number:               BIA form #5-6601

OMB Control No.:        1076-0017 Expires 11/30/2027

Link to form:    https://www.bia.gov/sites/default/files/dup/assets/public/raca/online_forms/pdf/bia_form_5-6601_fass_application_expires_11.30.2027_508.pdf

Description:                   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.

 

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

Form Title:                      Notice of Appointment of Counsel for an Indigent Indian Parent/Custodian: 

OMB Control No.:        1076-0111 Expiration Date: 03/30/2026

Link to form:    https://www.bia.gov/sites/default/files/dup/assets/public/raca/online_forms/pdf/1076-0111_request-form_exp-03-31-26_508.pdf

Description:                   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.

 

We continue to work on the update for the case plan to reflect the same expiration date as the application form. 

BIA Individual Self-Sufficiency (ISP)/ Case Plan

Form Number:               BIA form #5-6602

OMB Control No.:        1076-0017 Expires 11/30/2024

Link to form:    https://www.bia.gov/sites/default/files/dup/assets/public/raca/online_forms/pdf/bia_form_5-6602_isp_case_plan_expires_11.30.2027_508.pdf

Description:                   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.

 

Additionally, here is information regarding the ICWA reporting.  For questions related to the ICWA reporting, please contact Emily June Adams. 

Indian Child Welfare Quarterly and Annual Report (Part A & B form):

OMB Control No.:        1076-0131 Expires 6//30/2025

Link to form:                   https://www.bia.gov/sites/default/files/media_document/1076-0131_icwa_quarterly_and_annual_report_part-a-and-b%29_expires.06-30-2025_508_0.pdf

Description:                   The BIA collects information using the consolidated caseload form, which tribal ICWA program directors complete. BIA uses the information to determine the extent of service needs in local Indian communities, assess ICWA program effectiveness, and provide data for the annual program budget justification.


12/27/2024
Self Governance Database (SGDB) Website Address Update

An additional layer of security has been added to the Self Governance DataBase (SGDB) Website.  The SGDB now has an SSL (Secure Sockets Layer) certificate which is crucial for establishing secure, encrypted connections between users and websites and ensuring data integrity and authenticity.

Please update your bookmarks to the Self Governance Database (SGDB) Website Address:  https://osgdb.org/OSG/

This updated security feature temporarily causes an error when exporting Authority to Obligate (ATO) documents, the OSG Director's signature is not displaying correctly on exported ATOs.  OSG is working to correct this error and will post an update when that’s accomplished. 

UPDATE 12/27/2024 4:00pm PT: Display of the Director's signature on ATOs is corrected.

Please email OSG-Finance@bia.gov if you encounter any issues with the updated SGDB website address or any of its user reports.