OMB control number

Electrical Power Service Application, 25 CFR 175

OMB 1076-0021 · DOI/BIA.

OMB 1076-0021

The BIA owns, operates, and maintains three electric power utilities that provide a service to the end user, pursuant to 25 CFR 175 (Indian Electric Power Utilities). The BIA must collect customer information to identify the individual responsible for repaying the government its costs for delivering the service and bill for those costs. The BIA must also collect information to identify the location of the service delivery (i.e., electrical hook-up). In addition, the Debt Collection Improvement Act of 1996 (DCIA), 31 U.S.C. 3701-3733 requires that certain information be collected from individuals and businesses doing business with the government. This information includes the taxpayer identification number for possible future use to recover delinquent debt.

The latest form for Electrical Power Service Application, 25 CFR 175 expires 2026-04-30 and can be found here.

All Historical Document Collections
Extension without change of a currently approved collection 2026-03-19
Approved without change
Revision of a currently approved collection 2022-09-26
Approved without change
Revision of a currently approved collection 2019-06-26
Approved without change
Extension without change of a currently approved collection 2016-03-31
Approved without change
Extension without change of a currently approved collection 2012-12-28
Approved without change
Extension without change of a currently approved collection 2009-08-31
Approved without change
Reinstatement with change of a previously approved collection 2006-07-11
Approved without change
Extension without change of a currently approved collection 2003-02-11
Approved without change
Extension without change of a currently approved collection 1999-09-30
Approved without change
Reinstatement with change of a previously approved collection 1996-06-03
Approved without change
Reinstatement with change of a previously approved collection 1991-02-28
Approved without change
Reinstatement with change of a previously approved collection 1988-06-30
Approved without change
Reinstatement with change of a previously approved collection 1985-06-13
Approved without change
New collection (Request for a new OMB Control Number) 1982-01-06
OMB Details

Electrical Power Service Application, 25 CFR 175

Federal Enterprise Architecture: Energy - Energy Supply

Form N/AElectric Service Applicationwww.bia.gov/policy-forms/online-formsForm and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.