Information Collection

Appointment of Personal Representative/Guardian/Attorney-in-fact (43 CFR 2569.303 and 2569.404) - Individuals

IC 242338 under ICR 202305-1004-001 · OMB 1004-0216.

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Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

Appointment of Personal Representative/Guardian/Attorney-in-fact (43 CFR 2569.303 and 2569.404) - Individuals

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 43 CFR 2569.404 43 CFR 2569.303

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

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title: BLM-32 Lands & Minerals Authorization Tracking System

FR Citation: 56 FR 5014

Number of Respondents: 200

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	Previously Approved
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	500	500
Annual IC Cost Burden (Dollars)	50,000	50,000

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.