Information Collection

Trust Funds for Tribes and Individual Indians - 25 CFR Part 115 (Individual Indians Form)

IC 245470 under ICR 202101-1035-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form BTFA-01-004 Trust Funds for Tribes and Individual Indians - 25 CFR Part 115 (Individual Indians Form)	Form and Instruction
BTFA-01-004 Individual Indian Money (IIM) Instructions for Disbursem OMB Form 1035-0004 - Final with Web Address Update - 01282021.docx	Form and Instruction

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: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 25 CFR Part 115 (To search for a specific CFR, visit the Code of Federal Regulations.)

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	BTFA-01-004	Individual Indian Money (IIM) Instructions for Disbursement of Funds and Change of Address	OMB Form 1035-0004 - Final with Web Address Update - 01282021.docx		Yes	No	Fillable Fileable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 42,109

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	42,109	42,109
Annual IC Time Burden (Hours)	10,527	10,527
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.