OMB control number

Water Request

OMB 1076-0141 · DOI/BIA.

OMB 1076-0141

The BIA owns, operates, and maintains irrigation projects that provide a service to the end user. To properly bill for the services provided, the BIA must collect customer information to identify the individual responsible for repaying the government the costs of delivering the service; determine eligibility for waiver of fees; and determine designation of irrigable lands as assessable or non-assessable. Additional information necessary for providing the service is the location of the service delivery and the number of serviced acres. The Debt Collection Improvement Act of 1996 (DCIA) requires that certain information be collected from individuals and businesses doing business with the government. This information includes the taxpayer identification number for possible future use to recover delinquent debt. To implement the DCIA requirement

The latest form for Water Request expires 2029-07-31 and is listed under ICR 202512-1076-001.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Form BIA-DWP-Irr-101 Request for Irrigation Services	Form and Instruction
Form BIA-DWP-Irr-102 Request for Customer Information	Form and Instruction
Form BIA-DWP-Irr-105 Land Classification and Designation Application	Form and Instruction
Form BIA-DWP-Irr-102 Request for Customer Information	Form and Instruction
Form BIA-DWP-Irr-105 Land Classification and Designation Application	Form and Instruction
Form BIA-DWP-Irr-103 Assessment Waiver	Form and Instruction
Form BIA-DWP-Irr-104 Incentive Agreement	Form and Instruction
Form BIA-DWP-Irr-106 Agreement for the Carriage of Water	Form and Instruction
Form BIA-DWP-Irr-101 Request for Irrigation Services Form	Form and Instruction
Form BIA-DWP-Irr-103 Annual Assessment Waiver Application	Form and Instruction
Form BIA-DWP-Irr-104 Incentive Agreement	Form and Instruction
Form BIA-DWP-Irr-106 Agreement for the Carriage of Water	Form and Instruction
91 FR 14705.pdf	Supplementary Document
91 FR 2796.pdf	Supplementary Document
IAFR001568_SSA_1076-0141.docx	Supporting Statement A
September 7, 2021 (86 FR 50156).pdf	Supplementary Document
February 4, 2013 (78 FR 7804).pdf	Supplementary Document
Privacy Act SORN_BIA-34.pdf	Supplementary Document
25 USC 381.pdf	Supplementary Document
Debt Collection Improvement Act.pdf	Supplementary Document
Request for Irrigation Service (I)	Form and Instruction
Request for Irrigation Service (I)	Form and Instruction
Requesting Customer Information (B)	Form and Instruction
Requesting Customer Information (B)	Form and Instruction
Land Classification / Designation (B)	Form and Instruction
Land Classification / Designation (B)	Form and Instruction
Requesting Customer Information (I)	Form and Instruction
Requesting Customer Information (I)	Form and Instruction
Land Classification / Designation (I)	Form and Instruction
Land Classification / Designation (I)	Form and Instruction
Requesting an annual assessment waiver (B)	Form and Instruction
Requesting an annual assessment waiver (B)	Form and Instruction
Negotiating an irrigation incentive lease with the BIA (B)	Form and Instruction
Negotiating an irrigation incentive lease with the BIA (B)	Form and Instruction
Establishing a carriage agreement (B)	Form and Instruction
Establishing a carriage agreement (B)	Form and Instruction
Requesting payment plans on bills (B)	Information collection
Installing fence on BIA property or rights-of-ways (B)	Information collection
Building non-government structures in BIA right-of-way (B)	Information collection
Request water for domestic or stock purposes (B)	Information collection
Requesting leaching service (B)	Information collection
Subdividing a farm unit (B)	Information collection
Request for Irrigation Service (B)	Form and Instruction
Request for Irrigation Service (B)	Form and Instruction
Requesting an annual assessment waiver (I)	Form and Instruction
Requesting an annual assessment waiver (I)	Form and Instruction
Negotiating an irrigation incentive lease with the BIA (I)	Form and Instruction
Negotiating an irrigation incentive lease with the BIA (I)	Form and Instruction
Establishing a carriage agreement (I)	Form and Instruction
Establishing a carriage agreement (I)	Form and Instruction
Requesting payment plans on bills (I)	Information collection
Installing fence on BIA property or rights-of-ways (I)	Information collection
Building non-government structures in BIA right-of-way (I)	Information collection
Request water for domestic or stock purposes (I)	Information collection
Requesting leaching service (I)	Information collection
Subdividing a farm unit (I)	Information collection

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Action
202512-1076-001	Extension without change of a currently approved collection	2026-03-26
202208-1076-003	Revision of a currently approved collection	2022-09-29	Approved without change
201906-1076-003	Revision of a currently approved collection	2019-06-26	Approved without change
201603-1076-002	Extension without change of a currently approved collection	2016-03-31	Approved without change
201210-1076-002	Extension without change of a currently approved collection	2012-12-28	Approved without change
200904-1076-003	Extension without change of a currently approved collection	2009-08-31	Approved without change
200607-1076-003	Reinstatement with change of a previously approved collection	2006-07-11	Approved without change
200302-1076-002	Extension without change of a currently approved collection	2003-02-11	Approved without change
199909-1076-001	Extension without change of a currently approved collection	1999-09-30	Approved without change
199706-1076-004	Extension without change of a currently approved collection	1997-06-30	Approved without change
199706-1076-003	Reinstatement without change of a previously approved collection	1997-06-30	Approved without change
199609-1076-001	Existing collection in use without an OMB Control Number	1996-09-11	Approved without change

OMB Details

Request for Irrigation Service (I)

Federal Enterprise Architecture: Natural Resources - Water Resource Management

Information collection instruments
Form	Name	Electronic access	Type
Form BIA-DWP-Irr-101	Request for Irrigation Services	www.bia.gov/policy-forms/online-forms	Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.