Trust Funds for Tribes and Individual Indians - 25 CFR Part 115 (Individual Indians Form)

Trust Funds for Tribes and Individual Indians, 25 CFR 115

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1035-0004 can be found here:

Documents and Forms

Document Name Document Type
Form BTFA-01-004 Trust Funds for Tribes and Individual Indians - 25 CFR Part 115 (Individual Indians Form) Form and Instruction
BTFA-01-004 Individual Indian Money (IIM) Instructions for Disbursem OMB Form 1035-0004 - Final with Web Address Update - 01282021.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Trust Funds for Tribes and Individual Indians - 25 CFR Part 115 (Individual Indians Form)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 25 CFR Part 115 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	BTFA-01-004	Individual Indian Money (IIM) Instructions for Disbursement of Funds and Change of Address	OMB Form 1035-0004 - Final with Web Address Update - 01282021.docx		Yes	No	Fillable Fileable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 42,109	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	42,109	42,109
Annual IC Time Burden (Hours)	10,527	10,527
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.