Request for Irrigation Service (I)

Water Request

⚠️ Notice: This information collection may be referencing outdated material.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-101 Request for Irrigation Service (I) Form and Instruction
BIA-DWP-Irr-101 Request for Irrigation Services BIA-DWP-Irr-101 Request for Irrigation Services Form 2019.docx www.bia.gov/policy-forms/online-forms Form and Instruction

Information Collection (IC) Details

IC Title:	Request for Irrigation Service (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 171.200 25 CFR 171.600

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-101	Request for Irrigation Services	BIA-DWP-Irr-101 Request for Irrigation Services Form 2019.docx	https://www.bia.gov/policy-forms/online-forms	Yes	Yes	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: 6,953	Number of Respondents for Small Entity: 1,200

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	27,812	2,612	25,200
Annual IC Time Burden (Hours)	13,906	1,306	12,600
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.