Information Collection

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

IC 43767 under ICR 202508-1035-001 · OMB 1035-0003.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Application to Withdraw Tribal Funds from Trust Status 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

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

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			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 %

table that charts list of burden
	Requested	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

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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