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OMB Control Number 1076-0160

Online Form

Documents File

BIA 4432 - Verification of Indian Preference for Employment (PDF) (99.59 KB)
Verification of Indian Preference for Employment in the BIA or IHS (4.82 MB)
Family History Form (311.2 KB)

Type of Form

IA Paperwork Reduction Act (PRA) Forms

IA Internal Use Only

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.

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