OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

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

OMB 1004-0216 · DOI/BLM.

OMB 1004-0216

The John D. Dingell, Jr. Conservation, Management, and Recreation Act, Pub. L. No.116-9 (Section 1119) allows certain Alaska Native Vietnam-era veterans (Eligible Individuals) and their heirs to apply for land allotments under Section 1119 of the Act. This OMB Control Number is scheduled to expire on November 30, 2023. The Bureau of Land Management (BLM) is requesting that OMB Renew this OMB Control Number for additional three years.

The latest form for Alaska Native Vietnam-Era Veterans Allotments (43 CFR 2569) expires 2026-08-31 and is listed under ICR 202305-1004-001.

View the official OMB control history on Reginfo.gov.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form BLM No. AK-2569-10 Alaska Native Vietnam-Era Veteran Land Allotment ApplicationForm
1004-0216 30-day FRN PUBLISHED.pdfSupplementary Document
1004-0216 60-day FRN PUBLISHED.pdfSupplementary Document
43 CFR Part 2560 Subpart 2569.pdfSupplementary Document
1004-0216 Supporting Statement (2026 Renewal) OMBvs2.docxSupporting Statement A
BLM No AK-2469 AK Native Vet Application Form 04142020 .pdfSupplementary Document
43 USC §1629g as of 06182020.pdfSupplementary Document
Pub L No 116-9 as of 03122019.pdfSupplementary Document
Appeals of BLM Decisions (43 CFR 2569.502, 2569.503, and 2569.801) - Individuals Information collection
Substitute Selections and Requests for Partial Adjudication (2569.502 and 43 CFR 2569.503) - Individuals Information collection
Substitute Selections – Multiple Applications on Same Lands (43 CFR 2569.502) - Individuals Information collection
Correcting Errors in Survey-related Documents (43 CFR 2569.501) - Individuals Information collection
Correcting Technical Errors on Applications (43 CFR 2569.410) - Individuals Information collection
State/Native Corporation Relinquishments (43 CFR 2569.405) - Individuals Information collection
Allotment Application – Form BLM No. AK-2569 (43 CFR 2569.402 and 2569.404) - Individuals Form
Request for 2-year Extension of Application Deadline (43 CFR 2569.401 and 2569.507) - Individuals Information collection
Appointment of Personal Representative/Guardian/Attorney-in-fact (43 CFR 2569.303 and 2569.404) - Individuals Information collection
Provide Proof of Eligibility (43 CFR 2569.302) - Individuals Information collection

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202606-1004-002 Extension without change of a currently approved collection 2026-07-16
202305-1004-001 Extension without change of a currently approved collection 2023-05-16 Approved with change
202011-1004-001 Revision of a currently approved collection 2020-11-30 Approved without change
202009-1004-003 New collection (Request for a new OMB Control Number) 2020-10-02 Preapproved
202006-1004-004 New collection (Request for a new OMB Control Number) 2020-07-10 Comment filed on proposed rule

OMB Details

Provide Proof of Eligibility (43 CFR 2569.302) - Individuals

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