Information Collection

Application to Withdraw Tribal Funds from Trust Status, 25 CFR 1200

IC 43767 under ICR 202209-1035-001 · OMB 1035-0003.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1035-0003 can be found here:

Documents and Forms

Document Name Document Type
Application to Withdraw Tribal Funds from Trust Status, 25 CFR 1200 Form and Instruction
Application to Withdraw Tribal Funds from Trust Status 122915T Revision 1-OMB Control No.1035-0003_WORD 2015.docx www.doi.gov/ost/information/tribal/funds.html Form and Instruction
Application to Withdraw Tribal Funds from Trust Status 122915T Revision 1-OMB Control No.1035-0003_WORD 2015.docx www.doi.gov/ost/information/tribal/funds.html Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application to Withdraw Tribal Funds from Trust Status, 25 CFR 1200	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 25 CFR Part 1200 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	Application to Withdraw Tribal Funds from Trust Status	122915T Revision 1-OMB Control No.1035-0003_WORD 2015.docx	http://www.doi.gov/ost/information/tribal/funds.html	Yes	No	Printable Only

Line of Business: General Government

Subfunction: Central Property Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1	1
Annual IC Time Burden (Hours)	750	750
Annual IC Cost Burden (Dollars)	0	0

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.