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Trust Funds for Tribes and Individual Indians, 25 CFR Part 115 [Individual Indians - Form]
Trust Funds for Tribes and Individual Indians, 25 CFR 115
OMB: 1035-0004
IC ID: 11436
OMB.report
DOI/BTFA
OMB 1035-0004
ICR 201303-1035-001
IC 11436
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1035-0004 can be found here:
2023-11-20 - Extension without change of a currently approved collection
2021-01-28 - No material or nonsubstantive change to a currently approved collection
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) Instructions for Disburse
OST IIM Form 1035-0004.docx
www.doi.gov/ost/individual_beneficiaries/forms.cfm
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 115.409
25 CFR 115.101
25 CFR 115.705
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) Instructions for Disbursement of Funds and Change of Address
OST IIM Form 1035-0004.docx
http://www.doi.gov/ost/individual_beneficiaries/forms.cfm
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
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:
323,034
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
323,034
0
0
-220,154
0
543,188
Annual IC Time Burden (Hours)
80,759
0
0
-55,038
0
135,797
Annual IC Cost Burden (Dollars)
0
0
0
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.