Certification Summary Form and Reporting Summary Form for Acreage Limitation; 43 CFR Part 426 and 43 CFR Part 428

Forms and Documents

Document	Type	Status	Availability
Supporting Statement A 1006-0006.doc	Supporting Statement A	Uploaded 2017-08-04	Available
eMail- Justification for Early Submittal.pdf	Supplementary Document	Uploaded 2017-08-03	Available
30-day Notice.pdf	Supplementary Document	Uploaded 2017-10-02	Available
Question Justification - 1006-0006.pdf	Supplementary Document	Uploaded 2017-06-29	Available
60-day 1006-0006.pdf	Supplementary Document	Uploaded 2017-06-29	Repair queued
43CFR428_OMB.pdf	Supplementary Document	Uploaded 2007-06-26	Available
43CFR426_OMB.pdf	Supplementary Document	Uploaded 2007-06-26	Repair queued

IC Document Collections

IC ID	Collection	Type	Status	Form
180632	District Summary of Certification and Declaration Forms	Instruction	Modified
10635	District Summary of Reporting and Declaration Forms	Instruction	Modified

ICR Details

OMB Control No: 1006-0006	ICR Reference No: 201706-1006-001
Status: Active	Previous ICR Reference No: 201507-1006-002
Agency/Subagency: DOI/RB	Agency Tracking No:
Title: Certification Summary Form and Reporting Summary Form for Acreage Limitation; 43 CFR Part 426 and 43 CFR Part 428
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/27/2017
	Date Received in OIRA: 10/03/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2020	36 Months From Approved	10/31/2018
Responses	221	0	221
Time Burden (Hours)	8,840	0	8,840
Cost Burden (Dollars)	0	0	154,759

---

Abstract: These forms are to be used by water district offices to summarize individual landholder and farm operator certification and reporting forms as required by the Reclamation Reform Act of 1982 (Title II of Public Law 97-293), and regulations 43 CFR Part 426 and 43 CFR Part 428.

---

Authorizing Statute(s): US Code: 43 USC 371 Name of Law: Reclamation Act of 1902
   US Code: 43 USC 390aa Name of Law: Reclamation Reform Act of 1982
   PL: Pub.L. 100 - 203 (from 75 Diff USC Citations) Name of Law: Omnibus Reconciliation Act of 1987
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 93711	12/21/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 45886	10/02/2017
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
District Summary of Certification and Declaration Forms	7-21SUMM-C 2016	District Summary of Certification and Declaration Forms
District Summary of Reporting and Declaration Forms	7-21SUMM-R 2018	District Summary of Reporting and Declaration Forms

---

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	221	221	0	0	0	0
Annual Time Burden (Hours)	8,840	8,840	0	0	0	0
Annual Cost Burden (Dollars)	0	154,759	0	-154,759	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $32,940

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 10/03/2017

---