OMB Control No 1035 0003 - 01 - 25 - 2013
OMB Control No 1035 0003 - 01 - 25 - 2013
OMB Control No 1035 0003 - 01 - 25 - 2013
1035-0003
Expires: 01/31/2016
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The Paperwork Reduction Act of 1995 (44 U.S.C. 3501 et seq.) requires us to inform you that this information is
being collected to enable Tribes to withdraw Tribal trust funds. Response to this request is voluntary. The public
reporting burden for this collection of information is estimated to average 750 hours per response, including the time
required for gathering the data needed and completing and reviewing the collection of information form. Send
comments on the burden estimate or on any other aspect of this collection of information, including suggestions for
reducing this burden, to Office of the Special Trustee for American Indians, Department of the Interior, MS 2615
MIB, 1849 C St. NW, Washington, D.C., 20240. Under the Paperwork Reduction Act, an agency may not conduct
or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid
OMB control number.