Information Collection

Land Mortgage Lender Loan Checklist

IC 239944 under ICR 202505-1076-005 · OMB 1076-0195.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Land Mortgage Lender Loan Checklist Land Mortgage Lender Loan Checklist	Form and Instruction
Land Mortgage Lender Loan Checklist Lender Loan Checklist edited.docx www.bia.gov/policy-forms/online-forms	Form and Instruction

IC Title:

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A			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: 25

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	70	70
Annual IC Time Burden (Hours)	1,400	1,400
Annual IC Cost Burden (Dollars)	0	0

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.

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