Information Collection

Claim for loss

IC 178452 under ICR 202405-1076-017 · OMB 1076-0020.

Documents and Forms

Document Name Document Type
Form CFL10 Claim for loss Form and Instruction
CFL10 Claim for Loss CFL10 - Claim for Loss 2022 Fillable.doc.pdf www.bia.gov/policy-forms/online-forms Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Claim for loss	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 103.37

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CFL10	Claim for Loss	CFL10 - Claim for Loss 2022 Fillable.doc.pdf	https://www.bia.gov/policy-forms/online-forms	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title: BIA-13, Loan Management and Accounting System	FR Citation: 73 FR 40595

Number of Respondents: 10	Number of Respondents for Small Entity: 6

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	20	20
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.