Information Collection

District Summary of Certification and Declaration Forms

IC 180632 under ICR 201105-1006-003 · OMB 1006-0006.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1006-0006 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 7-21SUMM-C 2012 District Summary of Certification and Declaration Forms	Form
Instructions 7-21SUMM-C_2012.pdf www.usbr.gov/rra	Instruction
7-21SUMM-C 2012 District Summary of Certification and Declaration 7-21SUMM-C Tabs A-G_2012.pdf www.usbr.gov/rra	Form

IC Title:

District Summary of Certification and Declaration Forms

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 43 CFR 426 43 CFR 428

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	7-21SUMM-C 2012	District Summary of Certification and Declaration	7-21SUMM-C Tabs A-G_2012.pdf	www.usbr.gov/rra	Yes	Yes	Fillable Fileable Signable
Instruction			Instructions 7-21SUMM-C_2012.pdf	www.usbr.gov/rra	Yes	No	Printable Only

Line of Business: Natural Resources

Subfunction: Water Resource Management

Privacy Act System of Records

Title: Acreage Limitation

FR Citation: 64 FR 13234

Number of Respondents: 198

Number of Respondents for Small Entity: 198

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 3 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	248	30	218
Annual IC Time Burden (Hours)	9,920	1,200	8,720
Annual IC Cost Burden (Dollars)	173,666	21,008	152,658

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.