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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.