Leasehold Mortgage Lender Checklist

Trust Land Mortgage Lender Checklists

Documents and Forms

Document Name Document Type
Leasehold Mortgage Lender Checklist Form and Instruction
Leasehold Mortgage Lender Checklist Leasehold Mortgage Lender Checklist (3).docx www.bia.gov/policy-forms/online-forms Form and Instruction

Information Collection (IC) Details

IC Title:	Leasehold Mortgage Lender Checklist	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 152.34

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	Leasehold Mortgage Lender Checklist	Leasehold Mortgage Lender Checklist (3).docx	https://www.bia.gov/policy-forms/online-forms	Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records
Title: BIA-12: Indian Trust Land Mortgages	FR Citation: 48 FR 41105

Number of Respondents: 31	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 50 %

	Requested	Previously Approved
Annual Number of Responses for this IC	61	61
Annual IC Time Burden (Hours)	2,440	2,440
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.