Trust Funds for Tribes and Individual Indians, 25 CFR 115

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form BTFA-01-004 Individual Indian Money (IIM) Instructions for Disbursement of Funds and Change of Address	Form and Instruction	New	Available
Form OST-01-004 Individual Indian Monies (IIM) Instructions for Disbursement of Funds and Change of Address	Form and Instruction	Removed	Available
Justification for Non-Substantive Change - 01282021.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2021-01-28	Repair queued
1035-0004 Published 30 Day Notice - 85 FR 2146.pdf	Supplementary Document	Uploaded 2020-01-14	Available
SORN - OS-02 - Individual Indian Money (IIM) Trust Fund.pdf	Supplementary Document	Uploaded 2019-12-04	Available
1035-0004- Final Supporting Statement 01152021.docx	Supporting Statement A	Uploaded 2021-01-15	Available
1035-0004 60 Day Notice - 84 FR 8337.pdf	Supplementary Document	Uploaded 2019-12-04	Available
USCODE-2014-title25-chap42.pdf	Supplementary Document	Uploaded 2016-07-19	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
245470	Trust Funds for Tribes and Individual Indians - 25 CFR Part 115 (Individual Indians Form)	Form and Instruction	New	Individual Indian Money (IIM) Instructions for Disbursement of Funds and Change of Address
11436	Trust Funds for Tribes and Individual Indians, 25 CFR Part 115 [Individual Indians - Form]	Form and Instruction	Removed	Individual Indian Monies (IIM) Instructions for Disbursement of Funds and Change of Address

ICR Details

OMB Control No: 1035-0004	ICR Reference No: 202101-1035-001
Status: Historical Active	Previous ICR Reference No: 201912-1035-001
Agency/Subagency: DOI/BTFA	Agency Tracking No:
Title: Trust Funds for Tribes and Individual Indians, 25 CFR 115
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 01/29/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/28/2021
Terms of Clearance: In accordance with 5 CFR 1320, the non-substantive change request is approved.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2024	01/31/2024	01/31/2024
Responses	42,109	0	42,109
Time Burden (Hours)	10,527	0	10,527
Cost Burden (Dollars)	0	0	0

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Abstract: The American Indian Trust Reform Act of 1994 directs the Secretary of the Interior to establish guidelines to carry out the fiduciary duties owed to tribes and individual Indians to administer trust funds held exclusively for their benefit. This information collection facilitates the management of those funds on behalf of individual Indians.

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Authorizing Statute(s): US Code: 25 USC 4001 et seq. Name of Law: American Indian Trust Fund Management Reform Act of 1994
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 8337	03/12/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 2146	01/14/2020
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Trust Funds for Tribes and Individual Indians - 25 CFR Part 115 (Individual Indians Form)	BTFA-01-004	Individual Indian Money (IIM) Instructions for Disbursement of Funds and Change of Address
Trust Funds for Tribes and Individual Indians, 25 CFR Part 115 [Individual Indians - Form]	OST-01-004	Individual Indian Monies (IIM) Instructions for Disbursement of Funds and Change of Address

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	42,109	42,109	0	0	0	0
Annual Time Burden (Hours)	10,527	10,527	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Changing Forms

Short Statement: This non-substantive change is to change the website on the form.

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Annual Cost to Federal Government: $343,819

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 01/28/2021

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