Requesting Customer Information (I)

Water Request

Documents and Forms

Document Name Document Type
Form BIA-DWP-Irr-102 Requesting Customer Information (I) Form and Instruction
BIA-DWP-Irr-102 Request for Customer Information BIA-DWP-Irr-102 Request for Customer Information 2019.docx www.bia.gov/policy-forms/online-forms Form and Instruction
BIA-DWP-Irr-102 Request for Customer Information BIA-DWP-Irr-102 Request for Customer Information 2019.docx www.bia.gov/policy-forms/online-forms Form and Instruction

Information Collection (IC) Details

IC Title:	Requesting Customer Information (I)	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 171.530 25 CFR 171.545

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-102	Request for Customer Information	BIA-DWP-Irr-102 Request for Customer Information 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: 927	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Previously Approved
Annual Number of Responses for this IC	927	927
Annual IC Time Burden (Hours)	185	185
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.