Indian Arts and Crafts Board Potential Violation Report

Fields marked with an asterisk (*) are required.

If a question below does not apply to your complaint, please leave that field blank.

1. Submission Options

Options

I wish to remain Confidential. You may contact me for additional information, but please keep my name confidential and do not share it outside of the Indian Arts and Crafts Board, and the U.S. Fish and Wildlife Service. Our policy is to honor requests for confidentiality and to not release any data that would identify such individuals unless required to do so by court order or subpoena, or by other applicable law.

I wish to remain Anonymous. If you choose to remain anonymous, it is not necessary to fill out the contact information. It is important to note, however, that we will not be able to contact you if we need additional information about your complaint.

I do not wish Confidentiality and Anonymity. If necessary, you may contact me for additional information.

2. How may we best contact you?

Name:

If you wish to remain anonymous, please leave blank.

Address:

City:

State or Province:

ZIP/Postal Code:

Country:

Work Phone:

Home Phone:

Email:

3. The potential violator is?

Potential Violator Name:

Name of the individual, business, organization or event that appears to be violating the Act.

Address:

City:

State or Province:

Country:

ZIP/Postal Code:

Start Date:

Website:

Email:

4. Date(s) of transaction(s) and/or incident(s)?

End Date:

5. Have you complained to the individual, business, or organization?

Yes

What was the response?

If yes, when?

What action was taken?

6. Provide a description of the art or craft items(s) in question. Explain why or include specifics on why you believe the items are counterfeit.

7. How was the item offered for sale?

8. What representations were made about the item?

9. If you have any documents, such as advertisements, catalogs, business cards, or photos, that you would be able to provide to us, please list or describe them here. We will reach out to you if we need the documents.

Privacy Act Statement

This information is being collected under 25 U.S.C. § 305, 18 U.S.C. § 1159, and 25 CFR Part 309 for the purpose of investigating potential violations of the Indian Arts and Crafts Act of 1990. The Indian Arts and Crafts Board may use this information to refer potential violations to appropriate law enforcement organizations to investigate goods falsely represented and marketed as authentic Indian produced arts and crafts. Information may be disclosed to the Department of Justice for the prosecution of possible Act violations and to other organizations as a routine use published in the DOI-24, Indian Arts and Crafts Board system of records notice (80 FR 27700, May 14, 2015), which may be viewed at https://www.doi.gov/privacy/sorn.

Furnishing this information is voluntary. Under the specific authority provided by 5 U.S.C. 552a(k)(2), the Department of the Interior has adopted a regulation, 43 CFR 2.254(b), which exempts this system from the provisions of 5 U.S.C. 552a(c)(3), (d), (e)(1), (e)(4), (G), (H) and (I), and (f) and the portions of 43 CFR, Part 2, Subpart K that implement these provisions. This means that the information that you provide regarding a potential violation of the Indian Arts and Crafts Act will remain confidential.

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Indian Arts and Crafts Board Potential Violation Report

1. Submission Options

2. How may we best contact you?

3. The potential violator is?

4. Date(s) of transaction(s) and/or incident(s)?

5. Have you complained to the individual, business, or organization?

6. Provide a description of the art or craft items(s) in question. Explain why or include specifics on why you believe the items are counterfeit.

7. How was the item offered for sale?

8. What representations were made about the item?

9. If you have any documents, such as advertisements, catalogs, business cards, or photos, that you would be able to provide to us, please list or describe them here. We will reach out to you if we need the documents.

Privacy Act Statement

In This Section

Indian Arts and Crafts Board Potential Violation Report

1. Submission Options

2. How may we best contact you?

3. The potential violator is?

4. Date(s) of transaction(s) and/or incident(s)?

5. Have you complained to the individual, business, or organization?

6. Provide a description of the art or craft items(s) in question. Explain why or include specifics on why you believe the items are counterfeit.

7. How was the item offered for sale?

8. What representations were made about the item?

9. If you have any documents, such as advertisements, catalogs, business cards, or photos, that you would be able to provide to us, please list or describe them here. We will reach out to you if we need the documents.

Privacy Act Statement