Information Collection

Request for Irrigation Service

IC 43769 under ICR 200904-1076-003 · OMB 1076-0141.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1076-0141 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Water Request Request for Irrigation Service	Form and Instruction
Water Request Water Request Form.doc	Form and Instruction

IC Title:

Request for Irrigation Service

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 25 CFR 171.200

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	Water Request	Water Request Form.doc		No		Paper Only

Line of Business: Natural Resources

Subfunction: Water Resource Management

Privacy Act System of Records

Title: BIA-34, National Irrigation Information Management System

FR Citation: 73 FR 40601

Number of Respondents: 6,539

Number of Respondents for Small Entity: 6,539

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Farms

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	26,156	-789	26,945
Annual IC Time Burden (Hours)	13,078	-678	13,756
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.