Information Collection

Submit application for right-of-way, amendment, assignment or mortgage, and supporting documents

IC 211352 under ICR 201404-1076-002 · OMB 1076-0181.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1076-0181 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form BIA-ROW Submit application for right-of-way, amendment, assignment or mortgage, and supporting documents	Form and Instruction
BIA-ROW Rights-of-Way ROW Application Form 04-28-14.docx	Form and Instruction

IC Title:

Submit application for right-of-way, amendment, assignment or mortgage, and supporting documents

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 25 CFR 169.102 25 CFR 169.204 25 CFR 169.207 25 CFR 169.210

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	BIA-ROW	Rights-of-Way	ROW Application Form 04-28-14.docx		Yes	No	Printable Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 550

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 20 %

table that charts list of burden
	Requested	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	2,200	2,200
Annual IC Time Burden (Hours)	2,200	2,200
Annual IC Cost Burden (Dollars)	2,200,000	2,200,000

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.