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 2026-06-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
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)
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
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)
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

202512-1076-001	Extension without change of a currently approved collection	2026-03-26
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.