Information Collection

Application to Withdraw Tribal Funds from Trust Status, 25 CFR 1200

IC 43767 under ICR 200904-1035-001 · OMB 1035-0003.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1035-0003 can be found here:

Documents and Forms

Document Name Document Type
Application to Withdraw Tribal Funds from Trust Status, 25 CFR 1200 Form and Instruction
Application to Withdraw Tribal Funds from Tribal Status Form - Application to Withdraw Tribal Funds OMB Control No. 1035-0003.pdf www.doi.gov/ost/information/tribal/funds.html Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application to Withdraw Tribal Funds from Trust Status, 25 CFR 1200	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 Part 1200 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	Application to Withdraw Tribal Funds from Tribal Status	Form - Application to Withdraw Tribal Funds OMB Control No. 1035-0003.pdf	http://www.doi.gov/ost/information/tribal/funds.html	Yes	No	Printable Only

Line of Business: General Government

Subfunction: Central Property Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2	-2	4
Annual IC Time Burden (Hours)	800	-800	1,600
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.