District Summary of Certification and Declaration Forms

FORM 7-21SUMM-C
2014 Instructions

INSTRUCTIONS FOR DISTRICT SUMMARY OF
CERTIFICATION AND DECLARATION FORMS

(7-13)

Bureau of Reclamation
Do not use this form after December 31, 2014

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 Division, Code 84-53000, Bureau of Reclamation, PO Box 25007, Denver, CO, 80225.

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:
•

•

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

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.
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 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.
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.
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.
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. Note: If a landholder’s westwide
landholdings are more than 240 acres, but the land held
directly in this district is less than 240 acres, that landholder
must still be included on the appropriate tabulation sheet.
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:
•

“Land” or “acres” means irrigable or irrigation land.

•

“You” means the authorized district official completing
this form for the 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.

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.

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

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

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

TABULATION A (INDIVIDUAL AND ENTITY
CERTIFICATION FORMS)

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:

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

•

“Certification of Entity’s Landholdings” (Form 7-2181).
(a) The name of the direct landholder.

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:
•

(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.

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;

(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.

2

FORM 7-21SUMM-C (2014)

(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.

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

(f) 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.

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

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

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:
(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.

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

(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 fullcost 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 full-cost 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

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
FORM 7-21SUMM-C (2014)

which the public entity receives revenue. Obtain this
information from item 40 of Form 7-21PE.

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.

(g) 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.

TABULATION C (PUBLIC ENTITY DECLARATION
FORMS)
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.

(h) Enter the total number of acres in this district that the
public entity directly holds and for which the fullcost 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 full-cost 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.
Enter this district’s name in the block provided at the top of
the page.
1.

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 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.

TABULATION D (RELIGIOUS OR CHARITABLE
ORGANIZATION CERTIFICATION FORMS)

(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.

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.

(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.

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

(f) 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

Enter the following information for each religious or
charitable organization that directly holds land:
(a) The name of the religious or charitable organization.
(b) Check this box if the religious or charitable
organization holds land in more than one district.

4

FORM 7-21SUMM-C (2014)

(a) The name of the landholder.
(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) 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.

(b) Enter the acres held by each landholder in this
district. Obtain this information from the last
submitted standard form or other available
information.
2.

(e) 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.

(a) The name of the landholder.
(b) Enter the acres held by each landholder in this
district.

(f) 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.

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

Note: To avoid double counting full-cost acres, only
include full-cost acres for which the full-cost 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.

3.

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.

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.

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

1.

5

Enter the following information for each landholder who
indirectly holds land in this district and does not directly
hold any land in this district (these landholders will be
referred to as part owners):
FORM 7-21SUMM-C (2014)

(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.

(a) The name of the part owner.

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.

(e) 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.

(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.

(f) 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 72181, item 25 of Form 7-2184, or item 24 of Form
7-21TRUST.
(g) 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.

2.

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

3.

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

INSTRUCTIONS FOR COMPLETING THE SUMMARY
OF TABULATION SHEETS
After you have completed all the tabulations, summarize them
on Form 7-21SUMM-C.

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

1.

Enter this district’s name.

2.

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

2.

Enter the total number of pages submitted including this
page.

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.

3.

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

4.

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

TABULATION G (FARM OPERATOR DECLARATION
FORMS)

6

FORM 7-21SUMM-C (2014)

5.

(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.

Check the box that indicates:
(a) 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.

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

(b) 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.
6.

(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.
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.

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.

(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.

(a) Total number of landholders. Obtain this information
from item 4(a) 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 B’s.

(b) 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.

(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.

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

(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.

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

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

8.

7

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

FORM 7-21SUMM-C (2014)

(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.

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

(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.

(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.

(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.

(d) 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.

(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.

(e) 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.

(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.

(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.

(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.

(i) 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.
9.

10. 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).

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

(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.

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

(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.

(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.

(d) 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.

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

8

FORM 7-21SUMM-C (2014)

(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.

(e) 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 owned by landholders
who are below the RRA forms submittal threshold.
Do not estimate this number.

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

(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.

(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.

(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.

11. 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).

13. 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.

12. 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).
(a) 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.

Signatures
14. 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.
WHAT TO SUBMIT TO RECLAMATION
You must submit annually to us:

(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.
(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.

•

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.

(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.
9

FORM 7-21SUMM-C (2014)