Information Collection

Application to Share in the Western Shoshone Funds as a Lineal Descendant of the Western Shoshone Identifiable Group, 25 CFR Part 61

IC 11558 under ICR 200803-1076-002 · OMB 1076-0165.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Application to Share in Western Shoshone Funds as a Lineal Descendant of the Identifiable Western Shoshone Group Application to Share in the Western Shoshone Funds as a Lineal Descendant of the Western Shoshone Identifiable Group, 25 CFR Part 61	Form and Instruction
Application to Share in Western Shoshone Funds as a Line WS-EnrollApp.doc	Form and Instruction

IC Title:

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 61

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	n/a				No		Paper Only

Line of Business: Litigation and Judicial Activities

Subfunction: Resolution Facilitation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,000	-3,000	5,000
Annual IC Time Burden (Hours)	22,000	-34,000	56,000
Annual IC Cost Burden (Dollars)	47,500	-67,500	115,000

Documents for IC

table that charts IC Documents
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.

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