Special Use Reindeer Report

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UNITED STATES

DEPARTMENT OF THE INTERIOR

BUREAU OF INDIAN AFFAIRS

ALASKA REGION

P.O. Box 25520

Juneau, Alaska 99802-5520

MB Control #:1076-0047

Expires: 03/30/20XX

Special Use Reindeer Report

Date:___________________________ Permit Number: __________

Permittee: ______________________________________________

Mailing address: _________________________________________

Number of reindeer in possession: ___________________________

Number of reindeer died this year: ___________________________

Cause(s) of death: ________________________________________

Notes: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

___________________________

Signature

SPECIAL USE OF ALASKA REINDEER REPORT

Paperwork Reduction Act Statement: This information is collected to manage the reindeer program in Alaska and to monitor their use by non-Natives. The information is supplied by a respondent to obtain or retain reindeer in Alaska. Public reporting burden for this collection is estimated to average 10 minutes to complete the form, including the time for reviewing instructions, gathering information, and completing and submitting the form. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB Control Number. Comments concerning clarity, utility or information or burden reduction may be sent to Attn: Information Collection Clearance Officer – Indian Affairs, 1849 C Street, NW, MS-4141, Washington, DC 20240. Please note: comments, names, and addresses of commentators are available for public review during regular business hours. If you wish to withhold this information you must state this prominently at the beginning of your comment. We will honor your request to the extent allowable by law.