Allotment Application – Form BLM No. AK-2469 (43 CFR 2569.402 and 2569.404) - Individuals

Alaska Native Vietnam-Era Veterans Allotments (43 CFR 2569)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1004-0216 can be found here:

Documents and Forms

Document Name Document Type
Form BLM No. AK-2469 Allotment Application – Form BLM No. AK-2469 (43 CFR 2569.402 and 2569.404) - Individuals Form
BLM No. AK-2469 Alaska Native Vietnam-Era Veteran Land Allotment Applica BLM No AK-2469 AK Native Vet Application Form 09142020.pdf Form

Information Collection (IC) Details

IC Title:	Allotment Application – Form BLM No. AK-2469 (43 CFR 2569.402 and 2569.404) - Individuals	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 43 CFR 2569.402 43 CFR 2569.404

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	BLM No. AK-2469	Alaska Native Vietnam-Era Veteran Land Allotment Application	BLM No AK-2469 AK Native Vet Application Form 09142020.pdf		Yes	No	Printable Only

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title: BLM-32 Lands & Minerals Authorization Tracking System	FR Citation: 56 FR 5014

Number of Respondents: 500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	2,250	2,250
Annual IC Cost Burden (Dollars)	5,000	5,000

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.