Information Collection

Requesting an annual assessment waiver (B)

IC 220757 under ICR 202208-1076-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form BIA-DWP-Irr-103 Requesting an annual assessment waiver (B)	Form and Instruction
Form BIA-DWP-Irr-103 Assessment Waiver Requesting an annual assessment waiver (B)	Form and Instruction
BIA-DWP-Irr-103 Assessment Waiver BIA-DWP-Irr-103 Assessment Waiver 2019.docx www.bia.gov/policy-forms/online-forms	Form and Instruction
BIA-DWP-Irr-103 Assessment Waiver BIA-DWP-Irr-103 Assessment Waiver 2019.docx www.bia.gov/policy-forms/online-forms	Form and Instruction

IC Title:

Requesting an annual assessment waiver (B)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 25 CFR 171.715 25 CFR 171.710

Information Collection Instruments:

table that charts list of 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	Assessment Waiver	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: 22

Number of Respondents for Small Entity: 22

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Farms

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	22	22
Annual IC Time Burden (Hours)	22	22
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.