Form 7-21SUMM-R District Summary of Reporting and Declaration Forms

Clear Form

Help

Required Information

Instructions Link
OMB CONTROL NO.: 1006-0006

DISTRICT SUMMARY OF REPORTING AND
DECLARATION FORMS

FORM 7-21SUMM-R
2008

1. District Name:

2. IDCON Number:

3. Project, unit, and/or division name:

4. Region:

(7-07)
BUREAU OF RECLAMATION

Do not use this form after December 31, 2008. Type or print in ink. Date and initial crossouts and corrections. Visit www.usbr.gov/rra for more information.

□1
□ YES

5(a). District’s forms submittal category for the 2008 water year (check one):
5(b). Will the District deliver Reclamation irrigation water this year? (check one):
(a)
Number of
Landholders

6.

(b)
Number of
Multidistrict
Landholders

Acreage Directly
Owned
(c) Number

(d) Acres

□2
□ NO

Acreage Leased
FROM Other Parties
(e) Number

(f) Acres

Excess Acreage

(g) Number

(h) Acres

Full-Cost
Acreage
(i) Number

(j) Acres

Acreage Leased
TO Other Parties
(k) Number

(l) Acres

Individuals and entities
40 through 160
Over 160 through 320
Over 320

Subtotal for individuals and entities
7.

Trusts and estates
40 through 160
Over 160

Subtotal for trusts and estates

Note

8.

Public entities

9.

Religious and charitable organizations

10. Landholdings below
reporting threshold

11. Nonreporting landholdings
above reporting threshold

12.
13.

TOTAL
I ATTEST THAT THIS INFORMATION IS BASED ON LANDHOLDERS’ REPORTING FORMS AND ACCURATELY REPRESENTS THE INFORMATION SUBMITTED BY THE LANDHOLDERS. I FURTHER
ATTEST THAT ALL KNOWN ERRORS, OMISSIONS, AND DISCREPANCIES IN THE LANDHOLDERS’ FORMS ARE LISTED ON FORM 7-21SUMM-R, TABULATION E. THIS FORM MUST BE SIGNED
AND DATED BY AN AUTHORIZED DISTRICT OFFICIAL.

Signature

Title

Date

Please read
Print Form

Clear Form

Help

Required Information

Instructions Link

FORM 7-21SUMM-R

DISTRICT SUMMARY OF REPORTING AND
DECLARATION FORMS

Tabulation A
2008

TABULATION A of Individual and Entity Reporting Forms
(Forms 7-2190, 7-2190EZ, and 7-2191)

OMB CONTROL NO.: 1006-0006
BUREAU OF RECLAMATION

1. District Name:

2. Region:

Help
3. Page _____ of ______

(7-07)

Do not use this form after December 31, 2008. Type or print in ink. Date and initial crossouts and corrections. Visit www.usbr.gov/rra for more information.
LANDHOLDINGS OF (choose only one):

5.

□ 40 through 160

□ Over 160 through 320

□ Over 320

(b)

(c)
Acreage* Directly
Owned in
This District

Multidistrict

4.

(a)
Landholder Name

(d)
Acreage* Directly
Leased FROM Other
Parties
in This District

(e)
Directly Owned
Excess Acreage*
in This District

(f)
Directly Held
Full-Cost Acreage*
in This District

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
(14)
(15)
(16)
(17)
(18)
(19)
(20)

6.
7.

Calculate Landholders

TOTAL NUMBER OF LANDHOLDERS

Please read

(a)

(b)

(c)

(d)

(c)

(d)

(e)

(f)

TOTAL NUMBER OF ACRES
(a)

(b)

[on this page]

*Irrigable and/or irrigation acres.

Print Form

Clear Form

Help

Required Information

FORM 7-21SUMM-R

Instructions Link

DISTRICT SUMMARY OF REPORTING AND
DECLARATION FORMS

Tabulation B
2008

TABULATION B of “Declaration of Trust’s or Estate’s
Landholdings” Forms
(Form 7-21TRUST)

OMB CONTROL NO.: 1006-0006
BUREAU OF RECLAMATION

1. District Name:

2. Region:

Help

(7-07)
3. Page _____ of ______
Do not use this form after December 31, 2008. Type or print in ink. Date and initial crossouts and corrections. Visit www.usbr.gov/rra for more information.

4.

LANDHOLDINGS OF (choose only one):

□ 40 through 160

□ Over 160

5.

(b)
Multidistrict

(c)
Acreage* Directly
Owned
in This District

(a)
Trust or Estate Name

(d)
Acreage* Directly
Leased FROM
Other Parties
in This District

(f)
Directly Held
Full-Cost
Acreage* in
This District

(e)
Directly Owned
Excess
Acreage* in
This District

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
(14)
(15)
(16)
(17)
(18)
(19)
(20)

6.
7.

Calculate Landholders

TOTAL NUMBER OF LANDHOLDERS

Please read

(a)

(b)

(c)

(d)

(c)

(d)

(e)

(f)

TOTAL NUMBER OF ACRES
(a)

(b)

[on this page]
*Irrigable and/or irrigation acres.

Print Form

Help

Clear Form

Instructions Link

Required Information

DISTRICT SUMMARY OF REPORTING AND
DECLARATION FORMS
TABULATION C of “Declaration of Public Entity’s
Landholdings” Forms
(Form 7-21PE)

FORM 7-21SUMM-R
Tabulation C
2008
(7-07)

OMB CONTROL NO.: 1006-0006
BUREAU OF RECLAMATION

1. District Name:

2. Region:

Help
3. Page _____ of ______

Multidistrict

Do not use this form after December 31, 2008. Type or print in ink. Date and initial crossouts and corrections. Visit www.usbr.gov/rra for more information.
4.
(b)

(a)
Public Entity Name

(f)
(e)
(c)
(d)
Acreage* Directly
Acreage* Directly
(g)
(h)
Acreage* Owned
Acreage* Owned
Owned and Subject Leased and Subject
Directly Owned
Directly Held
and NOT Leased to and Leased to or
to Acreage
to Acreage
Excess Acreage* in Full-Cost Acreage* in
or NOT Operated by Operated by Other
Limitation
Limitation
This District
This District
Other Parties in This
parties in This
Application in This Application in This
District
District
District
District

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
(14)
(15)
(16)
(17)
(18)
(19)
(20)

5.
6.

(a)

(b)

(c)

(d)

(e)

(f)

(c)

(d)

(e)

(f)

(g)

(h)

TOTAL NUMBER OF ACRES

Calculate Landholders

(a)

TOTAL NUMBER OF LANDHOLDERS

[on this page]

(b)

*Irrigable and/or irrigation acres.

Please read
Print Form

Clear Form

Help

Instructions Link

Required Information

OMB CONTROL NO.: 1006-0006
BUREAU OF RECLAMATION

FORM 7-21SUMM-R

DISTRICT SUMMARY OF REPORTING AND
DECLARATION FORMS

Tabulation D
2008

TABULATION D of “Report of Religious or Charitable
Organization’s Landholdings” Forms
(Form 7-2194)

1. District Name:

2. Region

Help (3)

(7-07)

3. Page ____ of _____
Do not use this form after December 31, 2008. Type or print in ink. Date and initial crossouts and corrections. Visit www.usbr.gov/rra for more information.
4.
(b)
Multidistrict

(c)
Acreage* Directly
Owned in
This District

(a)
Landholder Name

(d)
Acreage* Directly
Leased FROM
Other Parties
in This District

(e)
Directly Owned
Excess Acreage*
in This District

(f)
Directly Held
Full-Cost Acreage*
in This District

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
(14)
(15)
(16)
(17)
(18)
(19)
(20)

5.
6.

(a)

(b)

(c)

(d)

(c)

(d)

(e)

(f)

TOTAL NUMBER OF ACRES

Calculate Landholders

(a)

TOTAL NUMBER OF LANDHOLDERS

(b)

[on this page]

*Irrigable and/or irrigation acres.

Please read

Print Form

Help

Clear Form

Instructions Link

Required Information

OMB CONTROL NO.: 1006-0006
BUREAU OF RECLAMATION

FORM 7-21SUMM-R

DISTRICT SUMMARY OF REPORTING AND
DECLARATION FORMS

Tabulation E
2008

TABULATION E of Reporting Form Errors,
Omissions, and Discrepancies

1. District Name:

2. Region:

Help (3)

3. Page ___ of _____

(7-07)

Do not use this form after December 31, 2008. Type or print in ink. Date and initial crossouts and corrections.
For additional space, use as many copies of this sheet as necessary. Visit www.usbr.gov/rra for more information.
4.

Landholders that hold land over the threshold requiring reporting, that did not receive Reclamation irrigation water, and that did not submit a form:
Landholder Name
Number of Acres
Landholder Name
in This District
(1)

(8)

(2)

(9)

(3)

(10)

(4)

(11)

(5)

(12)

(6)

(13)

(7)

(14)

5.

Number of Acres
in This District

Landholders that hold land over the forms submittal threshold that received Reclamation irrigation water, and that did not submit a form:
(a) Landholder Name
(b) Reason or Explanation for Water Delivery
(1)
(2)
(3)
(4)
(5)

6.

Landholders that hold land over the threshold requiring reporting, that submitted a form, but had an error, omission, or discrepancy on the form:
(b) Received Water?

(a) Landholder Name

YES

NO

(c) Explanation of the Error, Omission, or Discrepancy

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)

Please read

Print Form

Clear Form

Help

Instructions Link

Required Information

FORM 7-21SUMM-R
Tabulation F
2008

OMB CONTROL NO.: 1006-0006
BUREAU OF RECLAMATION

1. District Name:

DISTRICT SUMMARY OF REPORTING AND
DECLARATION FORMS
TABULATION F of Part Owners Subject to
Prior Law Provisions

2. Region:

Help (3)

3. Page ____ of _____
Do not use this form after December 31, 2008. Type or print in ink. Date and initial crossouts and corrections. List only indirectly held lands. DO NOT transfer information from this sheet to
Form 7-21SUMM-R, “District Summary of Reporting and Declaration Forms.” This tabulation sheet is provided for district convenience only and is not required pursuant to the Reclamation Reform Act of 1982
forms requirements. Visit www.usbr.gov/rra for more information.

(7-07)

4.

(c)

(a)
Part Owner Name

Multidistrict

(b)
Name of Entity

(d)
Does This Part
(e)
Owner Have
Acreage*
Owned or Leased
Indirectly
Lands in Their Owned Through
Name in This
Entities in
District?
This District
YES

(f)
Acreage*
Indirectly
Leased
Through
Entities in
This District

(g)
Indirect
Excess
Acreage* in
This District

(h)
Indirect
Full-Cost
Acreage* in
This District

NO

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
(14)
(15)
(16)
(17)
(18)
(19)
(20)
5.
6.

TOTAL NUMBER OF ACRES

Calculate Landholders

(a)
TOTAL NUMBER OF LANDHOLDERS [on this page]

Please read

(b)

(a)

(b)

(c)

(d)

(c)

(d)

(e)

(f)

*Irrigable and/or irrigation acres.

Print Form

Clear Form

Help

Required Information

Instructions Link

OMB CONTROL NO.: 1006-0006
BUREAU OF RECLAMATION

1. District Name:
DISTRICT SUMMARY OF REPORTING AND
DECLARATION FORMS
TABULATION G of “Declaration of Farm Operator Information” Forms
2. Region:
(Form 7-21FARMOP)

FORM 7-21SUMM-R
Tabulation G
2008

Help
3. Page _____ of ______

(7-07)

Do not use this form after December 31, 2008. Type or print in ink. Date and initial crossouts and corrections. Visit www.usbr.gov/rra for more information.
4.

(a)
Farm Operator Name

(b)
Part Owner Names

(c)
Number of
Acres* in
This District

(d)
How did
the farm
operator
respond to
item 18?
Yes

5.
6.

TOTAL NUMBER OF ACRES

Calculate Landholders
Please read

No

(e)
How did the farm
operator respond to
item 19?
Yes

No

N/A

[on this page]

TOTAL NUMBER OF FARM OPERATORS [on this page]
*Irrigable and/or irrigation acres.

Print Form