Information Collection

Requesting an annual assessment waiver (B)

IC 220757 under ICR 202512-1076-001 · OMB 1076-0141.

Documents and Forms

Document Name Document Type
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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	Requested	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

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.

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