Request for Irrigation Service (individual)

Water Request, 25 CFR 171

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Request for Irrigation Service (individual) Form and Instruction
Water Request Water Request Form.doc Form and Instruction

Information Collection (IC) Details

IC Title:	Request for Irrigation Service (individual)	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:

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: 6,300	Number of Respondents for Small Entity: 1,200

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	25,200	-956	26,156
Annual IC Time Burden (Hours)	12,600	-478	13,078
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.