Water Request

OMB 1076-0141

Water users must provide information to BIA when they apply for water delivery and for a number of other services from BIA-operated irrigation facilities.

The latest form for Water Request expires 2023-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form BIA-DWP-Irr-101 Request for Irrigation Service (I) Form and Instruction
Form BIA-DWP-Irr-102 Requesting Customer Information (B) Form and Instruction
Form BIA-DWP-Irr-105 Land Classification / Designation (B) Form and Instruction
Form BIA-DWP-Irr-102 Requesting Customer Information (I) Form and Instruction
Form BIA-DWP-Irr-105 Land Classification / Designation (I) Form and Instruction
Form BIA-DWP-Irr-103 Requesting an annual assessment waiver (B) Form and Instruction
Form BIA-DWP-Irr-104 Negotiating an irrigation incentive lease with the BIA (B) Form and Instruction
Form BIA-DWP-Irr-106 Establishing a carriage agreement (B) Form and Instruction
Form BIA-DWP-Irr-101 Request for Irrigation Service (B) Form and Instruction
Form BIA-DWP-Irr-103 Requesting an annual assessment waiver (I) Form and Instruction
Form BIA-DWP-Irr-104 Negotiating an irrigation incentive lease with the BIA (I) Form and Instruction
Form BIA-DWP-Irr-106 Establishing a carriage agreement (I) Form and Instruction
86 FR 50737.pdf Supplementary Document
87 FR 58818.pdf Supplementary Document
IAFR001124_Supporting Statement 1076-0141 (09-06-22).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
Requesting Customer Information (B) Form and Instruction
Land Classification / Designation (B) Form and Instruction
Requesting Customer Information (I) Form and Instruction
Land Classification / Designation (I) Form and Instruction
Requesting an annual assessment waiver (B) Form and Instruction
Negotiating an irrigation incentive lease with the BIA (B) Form and Instruction
Establishing a carriage agreement (B) Form and Instruction
Requesting payment plans on bills (B)
Installing fence on BIA property or rights-of-ways (B)
Building non-government structures in BIA right-of-way (B)
Request water for domestic or stock purposes (B)
Requesting leaching service (B)
Subdividing a farm unit (B)
Request for Irrigation Service (B) Form and Instruction
Requesting an annual assessment waiver (I) Form and Instruction
Negotiating an irrigation incentive lease with the BIA (I) Form and Instruction
Establishing a carriage agreement (I) Form and Instruction
Requesting payment plans on bills (I)
Installing fence on BIA property or rights-of-ways (I)
Building non-government structures in BIA right-of-way (I)
Request water for domestic or stock purposes (I)
Requesting leaching service (I)
Subdividing a farm unit (I)

All Historical Document Collections

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

OMB Details

Request for Irrigation Service (I)

Federal Enterprise Architecture: Natural Resources - Water Resource Management

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.