Information Collection

Trust Funds for Tribes and Individual Indians, 25 CFR Part 115 [Individual Indians - Form]

IC 11436 under ICR 201003-1035-001 · OMB 1035-0004.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1035-0004 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form OST 01-004 Trust Funds for Tribes and Individual Indians, 25 CFR Part 115 [Individual Indians - Form]	Form and Instruction
OST 01-004 Individual Indian Monies (IIM) Form 004_FINAL_9-22-2009.pdf www.doi.gov/ost/information/individual/forms.html	Form and Instruction

IC Title:

Trust Funds for Tribes and Individual Indians, 25 CFR Part 115 [Individual Indians - Form]

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 115.705 25 CFR 115.409 25 CFR 115.101

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	OST 01-004	Individual Indian Monies (IIM)	Form 004_FINAL_9-22-2009.pdf	http://www.doi.gov/ost/information/individual/forms.html	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title: Individual Indian Money (IIM) Trust Funds--Interior, OS--02

FR Citation: 66 FR 13945

Number of Respondents: 135,797

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	543,188	-665,072	1,208,260
Annual IC Time Burden (Hours)	135,797	-166,268	302,065
Annual IC Cost Burden (Dollars)	0	0	0

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.