Information Collection

Allotment Application – Form BLM No. AK-2569 (43 CFR 2569.402 and 2569.404) - Individuals

IC 242340 under ICR 202305-1004-001 · OMB 1004-0216.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1004-0216 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form BLM No. AK-2469 Allotment Application – Form BLM No. AK-2469 (43 CFR 2569.402 and 2569.404) - Individuals	Form
BLM No. AK-2469 Alaska Native Vietnam-Era Veteran Land Allotment Applica AK Native Vets 2019 2569-10 Fillable Application.pdf	Form
BLM No. AK-2469 Alaska Native Vietnam-Era Veteran Land Allotment Applica AK Native Vets 2019 2569-10 Fillable Application.pdf	Form

IC Title:

Allotment Application â Form BLM No. AK-2569 (43 CFR 2569.402 and 2569.404) - Individuals

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 43 CFR 2569.402 43 CFR 2569.404

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	BLM No. AK-2469	Alaska Native Vietnam-Era Veteran Land Allotment Application	AK Native Vets 2019 2569-10 Fillable Application.pdf		Yes	No	Printable Only

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: 500

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	500	500
Annual IC Time Burden (Hours)	2,250	2,250
Annual IC Cost Burden (Dollars)	5,000	5,000

Documents for IC

table that charts IC Documents
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.