District Summary of Certification and Declaration Forms

FORM 7-21SUMM-C
2010 Instructions

INSTRUCTIONS FOR DISTRICT SUMMARY OF
CERTIFICATION AND DECLARATION FORMS

(7-09)

Bureau of Reclamation
Do not use this form after December 31, 2010

OMB Control No.: 1006-0006

Paperwork Reduction Act
This information is being collected to establish landholder compliance with Federal reclamation law. Response to this request is
mandatory in accordance with Public Law 97-293 and 43 CFR 426.18. Public reporting burden for this form is estimated to average
40 hours per response, including time for reviewing instructions, gathering and maintaining data, and completing and reviewing the form.
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 Office of Management and Budget (OMB) control number. Direct comments regarding the burden estimated or any other
aspect of these forms to Manager, Land Resources Office, Code 84-53000, Bureau of Reclamation, PO Box 25007, Denver CO 80225.

the RRA forms submittal threshold. Districts that do not
anticipate delivering any Reclamation irrigation water
during this water year must complete items 1-5 and 13 and
14 of Form 7-21SUMM-C. Additionally, if Reclamation
irrigation water deliveries commence after the summary
form is submitted, a new summary form with the
appropriate tabulation sheets must be submitted within 30
days of the date Reclamation irrigation water deliveries
commenced.

GENERAL INFORMATION
The “District Summary of Certification and Declaration
Forms” (Form 7-21SUMM-C) are used to tabulate and
summarize the Reclamation Reform Act of 1982 (RRA)
certification forms submitted to this district by individuals,
entities, religious or charitable organizations subject to the
discretionary provisions of the RRA; and declaration forms
submitted by trusts, estates, public entities, and farm
operators located in discretionary provisions districts. The
landholder (direct or indirect owner or lessee) information
and that of certain farm operators is tabulated on the
appropriate tabulation sheets as follows:

Any changes in the excess or full-cost acreage appearing on
Form 7-21SUMM-C must be certified to us within 30
calendar days after the landholder reports the change to this
district.

• Tabulation A – provide information pertaining to
individuals and entities who hold (own or lease) land
directly
• Tabulation B – provide information pertaining to trusts
and estates that hold land directly
• Tabulation C – provide information pertaining to public
entities that hold land directly
• Tabulation D – provide information pertaining to
religious or charitable organizations that hold land
directly
• Tabulation E – identify errors, omissions, or
discrepancies related to landholders and farm operators
• Tabulation F – this optional form is used to provide
information pertaining to landholders who only hold
land indirectly
• Tabulation G – provide information pertaining to farm
operators and part owners of farm operators required to
file Form 7-21FARMOP

Type or print all answers in ink. You must initial and date
any crossouts and corrections. District name
abbreviation(s) used on this form must be spelled out on the
form where the abbreviation is used for the first time, or on
a separate sheet attached to this form. Reclamation retains
your district’s summary forms as a permanent record of
RRA administration.
You must complete various tabulations before you complete
the main summary form. Use as many of the tabulations as
necessary to tabulate all of the information. You do not
need to submit a particular tabulation if your district does
not have any landholders to list on that tabulation. For
instance, you do not need to submit a Tabulation C for this
water year if no public entities certify their landholdings to
your district this year. However, you must properly
complete tabulation sheets for all landholder forms received
even if the landholder in question does not receive
Reclamation irrigation water in your district.

The summary form also summarizes information regarding
landholders in your district who are below the RRA forms
submittal threshold or who are above the RRA forms
submittal threshold and have not filed a form for the current
water year.

Placement of a landholder on a tabulation sheet is based on
the landholder or farm operator’s westwide landholdings
(directly or indirectly owned or leased). However, in
completing the appropriate tabulation sheets, only the acres
in this district are to be included.

You must annually submit an original Form 7-21SUMM-C.
Districts delivering any Reclamation irrigation water must
also submit tabulation sheets reflecting all landholders over
1

FORM 7-21SUMM-C (2010)

The land that the landholders should be certifying is
“irrigable land” and “irrigation land.” See the “General
Information About RRA Forms” (Form 7-21INFO) for the
definitions of “irrigable land,” “irrigation land,” and
“irrigation water.” Other terms and corresponding
definitions that are specific to the RRA forms are:

You do not have to prepare a Tabulation A for a particular
westwide landholding range if you do not have any
landholders with that range to summarize (e.g., limited
recipients over 640 acres).
RRA forms submitted by landholders whose westwide
landholdings are below your district’s RRA forms submittal
thresholds should not be tabulated here. Include
information from such RRA forms in item 12 of
Form 7-21SUMM-C.

• “Land” or “acres” means irrigable or irrigation land.
• “You” means the authorized district official completing
this form for the district.

Enter this district’s name in the block provided at the top of
the page.

• “We,” “us,” “our,” or “Reclamation” means the
Bureau of Reclamation.

1.

Check the box that indicates the type and size of
westwide landholdings appearing on this
Tabulation A. You can only use the box
corresponding to the “240 through 960” westwide
landholding size for qualified recipients if this district
has RRA forms submittal category 1 status for this
water year. You must use the box corresponding to
the “80 through 960” westwide landholding size for
qualified recipients if this district has RRA forms
submittal category 2 status for this water year.

2.

Enter the following information for each direct
landholder whose westwide landholding size fits in
the category designated in item 1:

Visit www.usbr.gov/rra for more information.

TABULATION A (INDIVIDUAL AND ENTITY
CERTIFICATION FORMS)
Use Tabulation A to tabulate information for directly held
(owned or leased) land from the following types of forms
submitted to this district if this district or the landholder is
subject to the discretionary provisions:
• “Certification of Individual’s Landholdings”
(Form 7-2180),
• “EZ Certification of Individual’s Landholdings”
(Form 7-2180EZ), and

(a)

The name of the direct landholder.

(b)

Check this box if the landholder holds land in
more than one district.

(c)

The total number of acres in this district that
the landholder directly owns. Obtain this
information from item 20 of Form 7-2180,
item 8 of Form 7-2180EZ, or item 22 of
Form 7-2181.

(d)

The total number of acres in this district that
the landholder directly leases. Obtain this
information from item 23 of Form 7-2180,
item 11 of Form 7-2180EZ, or item 25 of
Form 7-2181.

(e)

Enter the total number of acres in this district
that the landholder directly owns that are
designated as excess as identified on their
“Designation of Excess Land” (Form 7-21XS).
Obtain this information from item 11(e) of
Form 7-21XS.

• “Certification of Entity’s Landholdings” (Form 7-2181).
If the landholder submitted a “Verification of Landholdings”
(Form 7-21VERIFY), use the last standard form that was
submitted by the landholder to obtain the information. You
do not need to identify on Tabulation A which form was
used to obtain this information. You may need to complete
up to five different types of Tabulation A’s for various sizes
of westwide landholdings:
• One for qualified recipients’ landholdings that total
more than 240 acres through 960 acres, or more than 80
acres through 960 acres, depending on the RRA forms
submittal threshold for this district;
• One for qualified recipients’ landholdings that total
more than 960 acres;
• One for limited recipients’ landholdings that total more
than 40 acres through 320 acres;
• One for limited recipients’ landholdings that total more
than 320 acres through 640 acres; and
• One for limited recipients’ landholdings that total more
than 640 acres.
2

FORM 7-21SUMM-C (2010)

(f)

3.

4.

Enter the total number of acres in this district
that the landholder directly holds and for
which the full-cost rate will be paid. Obtain
this information from item 14(c) of
Form 7-21FC.

information from such RRA forms in item 12 of
Form 7-21SUMM-C.

Note: To avoid double counting full-cost acres,
only include full-cost acres for which the fullcost rate will be paid with the name of the
landholder paying the full cost.

1.

Check the box that indicates the size of westwide
landholdings appearing on this Tabulation B. If a
trust or estate has not submitted an RRA form, you
should include its landholdings on Tabulation E or in
item 12 of the main summary form.

2.

Enter the following information for each trust or
estate that directly holds land and whose westwide
landholding size fits in the category designated in
item 1:

Enter this district’s name in the block provided at the top of
the page.

Enter the total number of acres for each column on
this page as indicated.
Enter the total number of entries corresponding with
each column as indicated. For example, enter the
total number of landholders listed on this page in
item 4(a); enter the total number of times the
multidistrict box was checked on this page in
item 4(b); enter the total number of landholders listed
on this page that directly own land in item 4(c); etc.

TABULATION B (TRUST OR ESTATE
DECLARATION FORMS)
Use Tabulation B to tabulate information for directly held
(owned or leased) land from the “Declaration of Trust’s or
Estate’s Landholdings” (Form 7-21TRUST) submitted to
this district if this district is subject to the discretionary
provisions. Use the last standard form that was submitted
by the trust or estate to obtain the information if the trust or
estate submitted a Form 7-21VERIFY. You may need to
complete two different types of Tabulation B’s for the
following sizes of westwide landholdings:
• One for trusts and estates whose landholdings total
more than their RRA forms submittal threshold
(see table below) through 960 acres, and
• One for trusts and estates whose landholdings total
more than 960 acres.
Attributed To

25 or fewer natural persons
25 or fewer natural persons
More than 25 natural
persons

District
Category
Status
1
2
1 or 2

(a)

The name of the trust or estate.

(b)

Check this box if the trust or estate holds land
in more than one district.

(c)

The total number of acres in this district that
the trust or estate directly owns. Obtain this
information from item 20 of Form 7-21TRUST.

(d)

The total number of acres in this district that
the trust or estate directly leases. Obtain this
information from item 23 of Form 7-21TRUST.

(e)

Enter the total number of acres in this district
that the trust or estate directly owns that are
designated as excess as identified on their
Form 7-21XS. Obtain this information from
item 11(e) of Form 7-21XS.

(f)

Enter the total number of acres in this district
that the trust or estate directly holds and for
which the full-cost rate will be paid. Obtain
this information from item 14(c) of
Form 7-21FC.
Note: To avoid double counting full-cost acres,
only include full-cost acres for which the fullcost rate will be paid with the name of the
landholder paying the full cost.

Threshold For
Filing RRA
Forms
240 acres
80 acres
40 acres

You do not have to prepare a Tabulation B for a particular
westwide landholding range if you do not have any trusts or
estates for that range (e.g., over 960 acres).
RRA forms submitted by landholders whose westwide
landholdings are below your district’s RRA forms submittal
thresholds should not be tabulated here. Include

3

3.

Enter the total number of acres for each column on
this page as indicated.

4.

Enter the total number of entries corresponding with
each column as indicated. For example, enter the
total number of trusts and estates listed on this page
in item 4(a); enter the total number of times the
multidistrict box was checked on this page in
item 4(b); enter the total number of trusts and estates
listed on this page that directly own land in item 4(c);
etc.

FORM 7-21SUMM-C (2010)

TABULATION C (PUBLIC ENTITY
DECLARATION FORMS)

(g)

Use Tabulation C to tabulate information for directly held
(owned or leased) land from the “Declaration of Public
Entity’s Landholdings” (Form 7-21PE) submitted to this
district if this district or the landholder is subject to the
discretionary provisions. Use the last standard form that
was submitted by the public entity to obtain the information
if the public entity submitted a Form 7-21VERIFY.

Enter the total number of acres in this district
that the public entity directly owns that are
designated as excess as identified in item 41 of
Form 7-21PE.

(h)

Enter the total number of acres in this district
that the public entity directly holds and for
which the full-cost rate will be paid. Obtain
this information from item 42 of Form 7-21PE.
Note: To avoid double counting full-cost acres,
only include full-cost acres for which the fullcost rate will be paid with the name of the
landholder paying the full cost.

RRA forms submitted by landholders whose westwide
landholdings are below your district’s RRA forms submittal
thresholds should not be tabulated here. Include
information from such RRA forms in item 12 of
Form 7-21SUMM-C.
2.

Enter the total number of acres for each column on
this page as indicated.

3.

Enter the total number of entries corresponding with
each column as indicated. For example, enter the
total number of public entities listed on this page in
item 3(a); enter the total number of times the
multidistrict box was checked on this page in
item 3(b); enter the total number of public entities
listed on this page that own acreage in this district
and do not lease that acreage to another party in item
3(c); etc.

Enter this district’s name in the block provided at the top of
the page.
1.

Enter the following information for each public entity
that directly holds land:
(a)

The name of the public entity.

(b)

Check this box if the public entity holds land in
more than one district.

(c)

The total number of acres in this district that
the public entity directly owns that are not
leased to or not operated by other parties.
Obtain this information from item 37 of Form
7-21PE.

(d)

Enter the total number of acres in this district
that the public entity directly owns that are
leased to or operated by other parties. Obtain
this information from item 38 of Form 7-21PE.

(e)

The total number of acres in this district that
the public entity directly owns and that is
subject to application of the acreage limitation
provisions. This is the directly owned acres
that are used for other than specified purposes
(as explained in item 16 and listed in item 17 of
Form 7-21PE) and for all or a portion of which
the public entity receives revenue. Obtain this
information from item 39 of Form 7-21PE.

(f)

TABULATION D (RELIGIOUS OR
CHARITABLE ORGANIZATION
CERTIFICATION FORMS)
Use Tabulation D to tabulate information for directly held
(owned or leased) land from the “Certification of Religious
or Charitable Organization’s Landholdings” (Form 7-2184)
submitted to this district if this district or the landholder is
subject to the discretionary provisions. Use the last
standard form that was submitted by the religious or
charitable organization to obtain the information if the
religious or charitable organization submitted a
Form 7-21VERIFY.
RRA forms submitted by landholders whose westwide
landholdings are below your district’s RRA forms submittal
thresholds should not be tabulated here. Include
information from such RRA forms in item 12 of
Form 7-21SUMM-C.

The total number of acres in this district that
the public entity directly leases and that is
subject to the application of the acreage
limitation provisions. This is the directly
leased acres that are used for other than
specified purposes (as explained in item 16 and
listed in item 17 of Form 7-21PE) and for all or
a portion of which the public entity receives
revenue. Obtain this information from item 40
of Form 7-21PE.

Enter this district’s name in the block provided at the top of
the page.
1.

Enter the following information for each religious or
charitable organization that directly holds land:
(a)

4

The name of the religious or charitable
organization.

FORM 7-21SUMM-C (2010)

(b)

Check this box if the religious or charitable
organization holds land in more than one
district.

(c)

The total number of acres in this district that
the religious or charitable organization directly
owns. Obtain this information from item 21 of
Form 7-2184.

(d)

(e)

(f)

not receive Reclamation irrigation water, and that did
not submit a form.

The total number of acres in this district that
the religious or charitable organization directly
leases. Obtain this information from item 24 of
Form 7-2184.

2.

Enter the total number of acres in this district
that the religious or charitable organization
directly owns that are designated as excess as
identified on their Form 7-21XS. Obtain this
information from item 11(e) of Form 7-21XS.
Enter the total number of acres in this district
that the religious or charitable organization
directly holds and for which the full-cost rate
will be paid. Obtain this information from
item 14(c) of Form 7-21FC.
3.
Note: To avoid double counting full-cost acres,
only include full-cost acres for which the fullcost rate will be paid with the name of the
landholder paying the full cost.

2.

Enter the total number of acres for each column on
this page as indicated.

3.

Enter the total number of entries corresponding with
each column as indicated. For example, enter the
total number of religious or charitable organizations
listed on this page in item 3(a); enter the total number
of times the multidistrict box was checked on this
page in item 3(b); enter the total number of religious
or charitable organizations listed on this page that
directly own land in item 3(c); etc.

The name of the landholder.

(b)

Enter the acres held by each landholder in this
district. Obtain this information from the last
submitted standard form or other available
information.

Enter the following information for each direct
landholder who holds land over the RRA forms
submittal threshold, that did receive Reclamation
irrigation water, and that did not submit an RRA
form.
(a)

The name of the landholder.

(b)

Enter the acres held by each landholder in this
district.

(c)

Provide a reason or explanation as to why the
water was delivered to the land in question
without an RRA form on file.

Enter the following information for each direct
landholder who has submitted a form that has an
error, omission, or discrepancy. (Note: These
landholders should also be listed on the applicable
Tabulation A-D.) Do not include the names of
landholders who have corrected their errors,
omissions, or discrepancies.
(a)

The name of the landholder.

(b)

Indicate if the landholder received Reclamation
irrigation water.

(c)

Briefly explain the error, omission, or
discrepancy.

TABULATION F (PART OWNERS)
This tabulation sheet has been included for this district’s
convenience. This district is not required to fill out this
tabulation, and no adverse consequences will result from
not submitting this tabulation. However, completion of this
tabulation sheet is recommended to aid both us and this
district. Tabulation F is to assist you in identifying part
owners who hold land only indirectly in this district. If a
part owner directly owns or directly leases any land, that
part owner does not belong on this tabulation sheet and
should be placed on Tabulation A – E, as applicable.

TABULATION E (ERRORS, OMISSIONS, AND
DISCREPANCIES)
You must certify the information on the summary form
exactly as the landholders have certified it. However, this
district has the responsibility to certify known errors,
omissions, and discrepancies found on the landholder forms
to us on Tabulation E.
Enter this district’s name in the block provided at the top of
the page.
1.

(a)

Enter this district’s name in the block provided at the top of
the page.

Enter the following information for each direct
landholder who holds land over the RRA forms
submittal threshold requiring certification, that did

1.

5

Enter the following information for each landholder
who indirectly holds land in this district and does not
FORM 7-21SUMM-C (2010)

directly hold any land in this district (these
landholders will be referred to as part owners):

TABULATION G (FARM OPERATOR
DECLARATION FORMS)

(a)

The name of the part owner.

(b)

Name of the entity, trust, or estate that directly
holds the land.

Use Tabulation G to tabulate information from the
“Declaration of Farm Operator Information”
(Form 7-21FARMOP), if your district is subject to the
discretionary provisions.

(c)

Check this box if the part owner holds land in
more than one district.

Enter this district’s name in the block provided at the top of
the page.

(d)

Indicate if the part owner directly owns or
leases land in the part owner’s name in this
district. If the answer is “yes,” the part owner
does not belong on Tabulation F. Instead, the
part owner should be listed on the applicable
Tabulation A-E. For example, John Smith
leases 100 acres and owns 150 acres through
Smith Farms. As such, he would be listed on
Tabulation A with 100 acres leased. Mr.
Smith’s indirect landholdings would not be
shown.

1.

(e)

(f)

(g)

(h)

The total number of acres in this district that
the part owner indirectly owns. Obtain this
information from item 21 of Form 7-2180,
item 23 of Form 7-2181, item 22 of
Form 7-2184, or item 21 of Form 7-21TRUST.
The total number of acres in this district that
the part owner indirectly leases. Obtain this
information from item 24 of Form 7-2180,
item 26 of Form 7-2181, item 25 of
Form 7-2184, or item 24 of Form 7-21TRUST.

Enter the following information for each farm
operator (operator):
(a)

Name of the operator OR the name of a part
owner of a farm operator. Obtain this
information from item 1 of Form
7-21FARMOP. All Forms 7-21FARMOP
must be accounted for on this tabulation sheet.

(b)

Check the box that indicates if the person or
entity is an operator OR a part owner of a farm
operator.

(c)

Check this box if the operator provides services
to land in more than one district.

(d)

The total number of acres in your district to
which the operator provides services. Obtain
this information from item 16 of
Form 7-21FARMOP.

2.

Enter the total number of acres in this column on this
page.

Enter the total number of acres in this district
that the part owner indirectly owns that are
designated as excess as identified on their
Form 7-21XS. Obtain this information from
item 13(e) of Form 7-21XS.

3.

Enter the total number of entries corresponding with
each column as indicated.

Enter the total number of acres in this district
that the part owner indirectly holds and for
which the full-cost rate will be paid. Obtain
this information from item 16(e) of Form
7-21FC.

After you have completed all the tabulations, summarize
them on Form 7-21SUMM-C.

2.

Enter the total number of acres for each column on
this page as indicated.

3.

Enter the total number of entries corresponding with
each column as indicated. For example, enter the
total number of landholders listed on this page in
item 3(a); enter the total number of times the
multidistrict box was checked on this page in item
3(b); enter the total number of landholders listed on
this page that indirectly own land in item 3(c); etc.

INSTRUCTIONS FOR COMPLETING THE
SUMMARY OF TABULATION SHEETS

6

1.

Enter this district’s name.

2.

Enter the total number of pages submitted including
this page.

3.

Enter the Reclamation project, unit, and/or division
name.

FORM 7-21SUMM-C (2010)

4.

Enter the Reclamation region in which this district is
located. You may abbreviate as follows:
Name of Region
Great Plains Region
Lower Colorado Region
Mid-Pacific Region
Pacific Northwest Region
Upper Colorado Region

5.

Total number of landholders who directly lease
land in this district. Obtain this information
from item 4(d) of the Tabulation A’s.

(e)

Total number of acres that are directly leased in
this district. Obtain this information from item
3(b) of the Tabulation A’s.

(f)

Total number of landholders who directly own
excess acres in this district. Obtain this
information from item 4(e) of the
Tabulation A’s.

(g)

Total number of excess acres that are directly
owned acres in this district. Obtain this
information from item 3(c) of the
Tabulation A’s.

(h)

Total number of landholders who directly hold
full-cost acreage in this district. Obtain this
information from item 4(f) of the
Tabulation A’s.

(i)

Total number of full-cost acres that are directly
held in this district. Obtain this information
from item 3(d) of the Tabulation A’s.

Check the box that indicates:
(a)

(b)

6.

Abbreviation
GP
LC
MP
PN
UC

(d)

Your district’s RRA forms submittal category
for this water year. Please note that a
district’s RRA forms submittal category is
subject to change annually.
Your district’s anticipation to deliver
Reclamation irrigation water during the
current water year. If the answer to this
question is “no,” then submit the summary
form with items 1-5 and 13 and 14 completed
(no tabulation sheets are required). However,
if Reclamation irrigation water deliveries
commence after the summary form is
submitted within the current water year, a new
summary form with all appropriate tabulation
sheets must be submitted within 30 days of the
date Reclamation irrigation water deliveries
commenced.

7.

Summarize all of the Tabulation A’s that you have
completed by entering the following information for
each type and size of westwide landholding. You can
only use the line corresponding to the “240 through
960” westwide landholding size for qualified
recipients if this district has RRA forms submittal
category 1 status for this water year. You must use
the line corresponding to the “80 through 960”
westwide landholding size for qualified recipients if
this district has RRA forms submittal category 2
status for this water year. Do not include landholders
who hold land below the RRA forms submittal
threshold and who still submitted a certification form;
instead, include these landholders in item 12.
(a)

(b)

(c)

Total number of landholders. Obtain this
information from item 4(a) of the
Tabulation A’s.
Total number of individuals and entities that
directly own land in this district. Obtain this
information from item 4(c) of the
Tabulation A’s.
Total number of acres that are directly owned
in this district. Obtain this information from
item 3(a) of the Tabulation A’s.

7

Summarize all of the Tabulation B’s that you have
completed by entering the following information for
each size of westwide landholding:
(a)

Total number of trusts and estates. Obtain this
information from item 4(a) of the
Tabulation B’s.

(b)

Total number of trusts and estates that directly
own land in this district. Obtain this
information from item 4(c) of the
Tabulation B’s.

(c)

Total number of acres that are directly owned
in this district. Obtain this information from
item 3(a) of the Tabulation B’s.

(d)

Total number of trusts and estates that directly
lease land in this district. Obtain this
information from item 4(d) of the
Tabulation B’s.

(e)

Total number of acres that are directly leased in
this district. Obtain this information from item
3(b) of the Tabulation B’s.

(f)

Total number of trusts and estates that directly
own excess acres in this district. Obtain this
information from item 4(e) of the
Tabulation B’s.

FORM 7-21SUMM-C (2010)

(g)

Total number of excess acres that are directly
owned in this district. Obtain this information
from item 3(c) of the Tabulation B’s.

(h)

Total number of trusts and estates that directly
hold full-cost acreage in this district. Obtain
this information from item 4(f) of the
Tabulation B’s.

(i)

8.

(i)

9.

Total number of full-cost acres that are directly
held in this district. Obtain this information
from item 3(d) of the Tabulation B’s.

Total number of full-cost acres that are directly
held in this district. Obtain this information
from item 2(f) of the Tabulation C’s.

Summarize all of the Tabulation D’s that you have
completed by entering the following information:
(a)

Total number of religious or charitable
organizations. Obtain this information from
item 3(a) of the Tabulation D’s.

(b)

Total number of religious or charitable
organizations that directly own land in this
district. Obtain this information from item 3(c)
of the Tabulation D’s.

Summarize all of the Tabulation C’s that you have
completed by entering the following information:
(a)

Total number of public entities. Obtain this
information from item 3(a) of the
Tabulation C’s.

(c)

Total number of acres that are directly owned
in this district. Obtain this information from
item 2(a) of the Tabulation D’s.

(b)

Total number of public entities that directly
own land in this district and that do not lease it
to other parties. Obtain this information from
item 3(c) of the Tabulation C’s.

(d)

Total number of religious or charitable
organizations that directly lease land in this
district. Obtain this information from item 3(d)
of the Tabulation D’s.

(c)

Total number of acres that are directly owned
by public entities in this district and are not
operated by or leased to other parties. Obtain
this information from item 2(a) of the
Tabulation C’s.

(e)

Total number of acres that are directly leased in
this district. Obtain this information from
item 2(b) of the Tabulation D’s.

(f)

Total number of religious or charitable
organizations that directly own excess acres in
this district. Obtain this information from
item 3(e) of the Tabulation D’s.

(g)

Total number of excess acres that are directly
owned in this district. Obtain this information
from item 2(c) of the Tabulation D’s.

(h)

Total number of religious or charitable
organizations that directly hold full-cost
acreage in this district. Obtain this information
from item 3(f) of the Tabulation D’s.

(i)

Total number of full-cost acres that are directly
held in this district. Obtain this information
from item 2(d) of the Tabulation D’s.

(d)

(e)

Total number of public entities that directly
lease FROM other parties in this district that
are subject to the acreage limitation provisions.
Obtain this information from 3(f) of the
Tabulation C's.
Total number of acres the public entity directly
leases FROM other parties in this district that
are subject to the acreage limitation provisions.
Obtain this information from 2(d) of the
Tabulation C's.

(f)

Total number of public entities that directly
own excess acres in this district. Obtain this
information from item 3(g) of the
Tabulation C’s.

(g)

Total number of excess acres that are directly
owned in this district. Obtain this information
from item 2(e) of the Tabulation C’s.

(h)

Total number of public entities that directly
hold full-cost acreage in this district. Obtain
this information from item 3(h) of the
Tabulation C’s.

10.

8

This item requests information about landholders who
hold land above the RRA forms submittal threshold
but, for whatever reason, have not submitted RRA
forms. Obtain this information from Tabulation E,
the last submitted standard forms, or other available
sources. Districts that did not collect any RRA forms
from the district’s landholders during this water year
must complete this item if the district anticipates
water delivery this year by answering “yes” to item
5(b).

FORM 7-21SUMM-C (2010)

(a)

Total number of noncertifying landholders who
directly hold land in this district. Obtain this
information from items 1(a) and 2(a) of the
Tabulation E’s.

(b)

Total number of landholders who directly own
land but are below the RRA forms submittal
threshold. You may estimate this number if
this information is not available to you.

(b)

Total number of noncertifying landholders who
directly own land in this district. Obtain this
information from items 1(a) and 2(a) of the
Tabulation E’s.

(c)

Total number of acres directly owned by
landholders who hold an amount of land that
does not require them to submit RRA forms.
You may estimate this number if this
information is not available to you.

(c)

Total number of acres the noncertifying
landholders directly own in this district.
Obtain this information from items 1(b) and
2(b) of the Tabulation E’s.

(d)

Total number of landholders who directly lease
land but are below the RRA forms submittal
threshold. You may estimate this number if
this information is not available to you.

(e)

Total number of acres directly leased by
landholders who are below the RRA forms
submittal threshold. You may estimate this
number if this information is not available to
you.

(f)

Enter the total number of landholders you are
aware of who own excess land but are below
the RRA forms submittal threshold (e.g.,
landholders who involuntarily acquire land
designated as excess). Do not estimate this
number.

(g)

Total number of excess acres owned by
landholders who are below the RRA forms
submittal threshold. Do not estimate this
number.

(h)

Enter the total number of landholders you are
aware of who hold land for which full-cost will
be paid but are below the RRA forms submittal
threshold (e.g., limited recipients whose
nonfull-cost entitlement is zero acres). Do not
estimate this number.

(i)

Total number of full-cost acres held for which
full cost will be paid by landholders who are
below the RRA forms submittal threshold. Do
not estimate this number.

(d)

(e)

11.

12.

Total number of noncertifying landholders who
directly lease land in this district. Obtain this
information from items 1(a) and 2(a) of the
Tabulation E’s.
Total number of acres the noncertifying
landholders directly lease in this district.
Obtain this information from items 1(b) and
2(b) of the Tabulation E’s.

(f)

Total number of noncertifying landholders who
own excess land in this district.

(g)

Total number of excess acres the noncertifying
landholders own in this district.

(h)

Total number of noncertifying landholders who
hold full-cost land in this district.

(i)

Total number of full-cost acres the
noncertifying landholders hold in this district.

Total the above columns as indicated. This total is
the total landholdings OVER the RRA forms
submittal threshold. Districts that did not collect any
RRA forms from the district’s landholders during this
water year must complete this item if the district
anticipates water delivery this year by answering
“yes” to item 5(b).
This item requests information about landholders who
hold land below the RRA forms submittal threshold.
Also, landholders who hold land below the RRA
forms submittal threshold and who still submitted a
certification form are to be included here. Districts
that did not collect any RRA forms from the district’s
landholders during this water year must complete this
item if the district anticipates water delivery this year
by answering “yes” to item 5(b).

13.

Signatures
14.

(a)

Total items 11 and 12. This total is the total
landholdings of all landholders within the district.
However, if you answered “no” to item 5(b), you may
estimate this information.

Total number of landholders who directly hold
land but are below the RRA forms submittal
threshold. You may estimate this number if
this information is not available to you.
9

The summary form must be signed and dated by an
authorized district official. Read the attestation
carefully, sign, provide your title and date in ink.

FORM 7-21SUMM-C (2010)

WHAT TO SUBMIT TO RECLAMATION
You must submit annually to us:
• A completed, original Form 7-21SUMM-C with an
original signature, and
• All completed Tabulation A’s, Tabulation B’s,
Tabulation C’s, Tabulation D’s, Tabulation E’s, and
Tabulation G’s. If you completed Tabulation F, we
request that you submit it, although it is not required.

WHAT IF THERE ARE CHANGES AFTER THIS
DISTRICT SUBMITS THIS FORM
Any changes in the excess or full-cost acreage appearing on
Form 7-21SUMM-C must be certified to us within
30 calendar days after the landholder reports the change to
this district.
As a reminder, if your district does not anticipate delivering
Reclamation irrigation water during the current water year
and Reclamation irrigation water deliveries commence after
the summary form is submitted, a new summary form with
the appropriate tabulation sheets must be submitted within
30 days of the date Reclamation irrigation water deliveries
commenced.

10

FORM 7-21SUMM-C (2010)