Alaska Native Vietnam-Era Veterans Allotments (43 CFR 2569)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form BLM No. AK-2569-10 Alaska Native Vietnam-Era Veteran Land Allotment Application	Form	Modified	Available
1004-0216 30-day FRN PUBLISHED.pdf	Supplementary Document	Uploaded 2026-07-16	Available
1004-0216 60-day FRN PUBLISHED.pdf	Supplementary Document	Uploaded 2026-06-15	Available
43 CFR Part 2560 Subpart 2569.pdf	Supplementary Document	Uploaded 2023-05-08	Available
1004-0216 Supporting Statement (2026 Renewal) OMBvs2.docx	Supporting Statement A	Uploaded 2026-06-16	Available
BLM No AK-2469 AK Native Vet Application Form 04142020 .pdf	Supplementary Document	Uploaded 2020-06-19	Available
43 USC §1629g as of 06182020.pdf	Supplementary Document	Uploaded 2020-06-19	Available
Pub L No 116-9 as of 03122019.pdf	Supplementary Document	Uploaded 2020-06-19	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
242346	Appeals of BLM Decisions (43 CFR 2569.502, 2569.503, and 2569.801) - Individuals		Unchanged
242345	Substitute Selections and Requests for Partial Adjudication (2569.502 and 43 CFR 2569.503) - Individuals		Unchanged
242344	Substitute Selections – Multiple Applications on Same Lands (43 CFR 2569.502) - Individuals		Unchanged
242343	Correcting Errors in Survey-related Documents (43 CFR 2569.501) - Individuals		Unchanged
242342	Correcting Technical Errors on Applications (43 CFR 2569.410) - Individuals		Unchanged
242341	State/Native Corporation Relinquishments (43 CFR 2569.405) - Individuals		Unchanged
242340	Allotment Application – Form BLM No. AK-2569 (43 CFR 2569.402 and 2569.404) - Individuals	Form	Modified	Alaska Native Vietnam-Era Veteran Land Allotment Application
242339	Request for 2-year Extension of Application Deadline (43 CFR 2569.401 and 2569.507) - Individuals		Unchanged
242338	Appointment of Personal Representative/Guardian/Attorney-in-fact (43 CFR 2569.303 and 2569.404) - Individuals		Unchanged
242337	Provide Proof of Eligibility (43 CFR 2569.302) - Individuals		Unchanged

ICR Details

OMB Control No: 1004-0216	ICR Reference No: 202606-1004-002
Status: Received in OIRA	Previous ICR Reference No: 202305-1004-001
Agency/Subagency: DOI/BLM	Agency Tracking No: 2026 Renewal
Title: Alaska Native Vietnam-Era Veterans Allotments (43 CFR 2569)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 07/16/2026

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	07/31/2026
Responses	1,265	1,265
Time Burden (Hours)	3,828	3,828
Cost Burden (Dollars)	55,000	55,000

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Abstract: TUnder this OMB Control Number the BLM collects information related to Native veteran land allotment applications. The authority for this Program is section 1119 of the John D. Dingell, Jr. Conservation, Management, and Recreation Act of March 12, 2019, Public Law 116-9, codified at 43 U.S.C. 1629g-1. This OMB Control Number is currently scheduled to expire on July 31, 2026. The BLM request that OMB renew this OMB Control Number for an additional three (3) years.

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Authorizing Statute(s): PL: Pub.L. 116 - 9 119 Name of Law: John D. Dingell, Jr. Conservation, Management, and Recreation Act
   US Code: 43 USC 1629g-1(b)(2) Name of Law: Open season for certain Alaska Native veterans for allotments
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 14866	03/27/2026
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 43662	07/16/2026
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 10

table that charts list of burden

IC Title	Form No.	Form Name
Allotment Application – Form BLM No. AK-2569 (43 CFR 2569.402 and 2569.404) - Individuals	BLM No. AK-2569-10	Alaska Native Vietnam-Era Veteran Land Allotment Application
Appeals of BLM Decisions (43 CFR 2569.502, 2569.503, and 2569.801) - Individuals
Appointment of Personal Representative/Guardian/Attorney-in-fact (43 CFR 2569.303 and 2569.404) - Individuals
Correcting Errors in Survey-related Documents (43 CFR 2569.501) - Individuals
Correcting Technical Errors on Applications (43 CFR 2569.410) - Individuals
Provide Proof of Eligibility (43 CFR 2569.302) - Individuals
Request for 2-year Extension of Application Deadline (43 CFR 2569.401 and 2569.507) - Individuals
State/Native Corporation Relinquishments (43 CFR 2569.405) - Individuals
Substitute Selections and Requests for Partial Adjudication (2569.502 and 43 CFR 2569.503) - Individuals
Substitute Selections – Multiple Applications on Same Lands (43 CFR 2569.502) - Individuals

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ICR Summary of Burden

table that charts list of burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	1,265	1,265	0	0	0	0
Annual Time Burden (Hours)	3,828	3,828	0	0	0	0
Annual Cost Burden (Dollars)	55,000	55,000	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $636,494

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 07/16/2026

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