Information Collection

Requesting an annual assessment waiver (I)

IC 189566 under ICR 201906-1076-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form BIA-DWP-Irr-103 Annual Assessment Waiver Application Requesting an annual assessment waiver (I) Form and Instruction
BIA-DWP-Irr-103 Annual Assessment Waiver Application BIA-DWP-Irr-103 Assessment Waiver 2019.docx www.bia.gov/policy-forms/online-forms Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Requesting an annual assessment waiver (I)	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 171.715 25 CFR 171.710

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	BIA-DWP-Irr-103	Annual Assessment Waiver Application	BIA-DWP-Irr-103 Assessment Waiver 2019.docx	https://www.bia.gov/policy-forms/online-forms	Yes	No	Fillable Printable

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: 123	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	123	123
Annual IC Time Burden (Hours)	123	123
Annual IC Cost Burden (Dollars)	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.