District Summary of Certification and Declaration Forms

Certification Summary Form and Reporting Summary Form for Acreage Limitation; 43 CFR Part 426 and 43 CFR Part 428

7-21SUMM-C Inst 2016

District Summary of Certification and Declaration Forms

OMB: 1006-0006

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1006-0006 can be found here:

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FORM 7-21SUMM-C
2016 Instructions

INSTRUCTIONS FOR DISTRICT SUMMARY OF
CERTIFICATION AND DECLARATION FORMS

(7-15)

Bureau of Reclamation
Do not use this form after December 31, 2016

OMB Control No.: 1006-0006

Paperwork Reduction Act
This information is being collected to establish landholder compliance with Federal reclamation law. Response to this request is mandatory
in accordance with Public Law 97-293 and 43 CFR 426.18. Public reporting burden for this form is estimated to average 40 hours per
response, including time for reviewing instructions, gathering and maintaining data, and completing and reviewing the form. An agency
may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid
Office of Management and Budget (OMB) control number. Direct comments regarding the burden estimated or any other aspect of these
forms to Manager, Reclamation Law Administration Division, Code 84-55000, Bureau of Reclamation, PO Box 25007, Denver CO 80225.

GENERAL INFORMATION
The “District Summary of Certification and Declaration Forms”
(Form 7-21SUMM-C) are used to tabulate and summarize the
Reclamation Reform Act of 1982 (RRA) certification forms
submitted to this district by individuals, entities, religious or
charitable organizations subject to the discretionary provisions
of the RRA; and declaration forms submitted by trusts, estates,
public entities, and farm operators located in discretionary
provisions districts. The landholder (direct or indirect owner or
lessee) information and that of certain farm operators is
tabulated on the appropriate tabulation sheets as follows:
•

Tabulation A – provide information pertaining to
individuals and entities who hold (own or lease) land
directly

•

Tabulation B – provide information pertaining to trusts and
estates that hold land directly

•

Tabulation C – provide information pertaining to public
entities that hold land directly

•

Tabulation D – provide information pertaining to religious
or charitable organizations that hold land directly

•

Tabulation E – identify errors, omissions, or discrepancies
related to landholders and farm operators

•

Tabulation F – this optional form is used to provide
information pertaining to landholders who only hold land
indirectly

•

Tabulation G – provide information pertaining to farm
operators and part owners of farm operators required to file
Form 7-21FARMOP

RRA forms submittal threshold. Districts that do not anticipate
delivering any Reclamation irrigation water during this
water year must complete items 1-5 and 13 and 14 of
Form 7-21SUMM-C. Additionally, if Reclamation irrigation
water deliveries commence after the summary form is submitted,
a new summary form with the appropriate tabulation sheets must
be submitted within 30 days of the date Reclamation irrigation
water deliveries commenced.
Any changes in the excess or full-cost acreage appearing on
Form 7-21SUMM-C must be certified to us within 30 calendar
days after the landholder reports the change to this district.
Type or print all answers in ink. You must initial and date any
crossouts and corrections. District name abbreviation(s) used on
this form must be spelled out on the form where the abbreviation
is used for the first time, or on a separate sheet attached to this
form. Reclamation retains your district’s summary forms as a
permanent record of RRA administration.
You must complete various tabulations before you complete the
main summary form. Use as many of the tabulations as
necessary to tabulate all of the information. You do not need to
submit a particular tabulation if your district does not have any
landholders to list on that tabulation. For instance, you do not
need to submit a Tabulation C for this water year if no public
entities certify their landholdings to your district this year.
However, you must properly complete tabulation sheets for all
landholder forms received even if the landholder in question
does not receive Reclamation irrigation water in your district.

The summary form also summarizes information regarding
landholders in your district who are below the RRA forms
submittal threshold or who are above the RRA forms submittal
threshold and have not filed a form for the current water year.

Placement of a landholder on a tabulation sheet is based on
the landholder or farm operator’s westwide landholdings
(directly or indirectly owned or leased). However, in completing
the appropriate tabulation sheets, only the acres in this district
are to be included. Note: If a landholder’s westwide
landholdings are more than 240 acres, but the land held directly
in this district is less than 240 acres, that landholder must still
be included on the appropriate tabulation sheet.

You must annually submit an original Form 7-21SUMM-C.
Districts delivering any Reclamation irrigation water must also
submit tabulation sheets reflecting all landholders over the

The land that the landholders should be certifying is “irrigable
land” and “irrigation land.” See the “General Information About
RRA Forms” (Form 7-21INFO) for the definitions of “irrigable

Enter this district’s name in the block provided at the top of the
page.

land,” “irrigation land,” and “irrigation water.” Other terms and
corresponding definitions that are specific to the RRA forms are:
•

“Land” or “acres” means irrigable or irrigation land.

•

“You” means the authorized district official completing this
form for the district.

•

“We,” “us,” “our,” or “Reclamation” means the Bureau of
Reclamation.

Check the box that indicates the type and size of westwide
landholdings appearing on this Tabulation A. You can only
use the box corresponding to the “240 through 960”
westwide landholding size for qualified recipients if this
district has RRA forms submittal category 1 status for this
water year. You must use the box corresponding to the
“80 through 960” westwide landholding size for qualified
recipients if this district has RRA forms submittal category
2 status for this water year.

Enter the following information for each direct landholder
whose westwide landholding size fits in the category
designated in item 1:

Visit www.usbr.gov/rra for more information.
TABULATION A (INDIVIDUAL AND ENTITY
CERTIFICATION FORMS)
Use Tabulation A to tabulate information for directly held
(owned or leased) land from the following types of forms
submitted to this district if this district or the landholder is
subject to the discretionary provisions:

(a) The name of the direct landholder.

•

“Certification of Individual’s Landholdings”
(Form 7-2180),

(b) Check this box if the landholder holds land in more
than one district.

•

“EZ Certification of Individual’s Landholdings”
(Form 7-2180EZ), and

•

“Certification of Entity’s Landholdings” (Form 7-2181).

(c) The total number of acres in this district that the
landholder directly owns. Obtain this information
from item 20 of Form 7-2180, item 8 of
Form 7-2180EZ, or item 22 of Form 7-2181.

If the landholder submitted a “Verification of Landholdings”
(Form 7-21VERIFY), use the last standard form that was
submitted by the landholder to obtain the information. You do
not need to identify on Tabulation A which form was used to
obtain this information. You may need to complete up to five
different types of Tabulation A’s for various sizes of westwide
landholdings:
•

(d) The total number of acres in this district that the
landholder directly leases. Obtain this information
from item 23 of Form 7-2180, item 11 of
Form 7-2180EZ, or item 25 of Form 7-2181.
(e) Enter the total number of acres in this district that the
landholder directly owns that are designated as excess
as identified on their “Designation of Excess Land”
(Form 7-21XS). Obtain this information from item
11(e) of Form 7-21XS.

One for qualified recipients’ landholdings that total more
than 240 acres through 960 acres, or more than 80 acres
through 960 acres, depending on the RRA forms submittal
threshold for this district;

•

One for qualified recipients’ landholdings that total more
than 960 acres;

•

One for limited recipients’ landholdings that total more than
40 acres through 320 acres;

•

One for limited recipients’ landholdings that total more than
320 acres through 640 acres; and

•

One for limited recipients’ landholdings that total more than
640 acres.

(f) Enter the total number of acres in this district that the
landholder directly holds and for which the full-cost
rate will be paid. Obtain this information from
item 14(c) of Form 7-21FC.
Note: To avoid double counting full-cost acres, only
include full-cost acres for which the full-cost rate will
be paid with the name of the landholder paying the
full cost.

You do not have to prepare a Tabulation A for a particular
westwide landholding range if you do not have any landholders
with that range to summarize (e.g., limited recipients over
640 acres).
RRA forms submitted by landholders whose westwide
landholdings are below your district’s RRA forms submittal
thresholds should not be tabulated here. Include information
from such RRA forms in item 12 of Form 7-21SUMM-C.
2

Enter the total number of acres for each column on this page
as indicated.

Enter the total number of entries corresponding with each
column as indicated. For example, enter the total number of
landholders listed on this page in item 4(a); enter the total
number of times the multidistrict box was checked on this
page in item 4(b); enter the total number of landholders
listed on this page that directly own land in item 4(c); etc.

FORM 7-21SUMM-C (2016)

TABULATION B (TRUST OR ESTATE DECLARATION
FORMS)

(e) Enter the total number of acres in this district that the
trust or estate directly owns that are designated as
excess as identified on their Form 7-21XS. Obtain this
information from item 11(e) of Form 7-21XS.

Use Tabulation B to tabulate information for directly held
(owned or leased) land from the “Declaration of Trust’s or
Estate’s Landholdings” (Form 7-21TRUST) submitted to this
district if this district is subject to the discretionary provisions.
Use the last standard form that was submitted by the trust or
estate to obtain the information if the trust or estate submitted a
Form 7-21VERIFY. You may need to complete two different
types of Tabulation B’s for the following sizes of westwide
landholdings:
•

(f) Enter the total number of acres in this district that the
trust or estate directly holds and for which the full-cost
rate will be paid. Obtain this information from
item 14(c) of Form 7-21FC.
Note: To avoid double counting full-cost acres, only
include full-cost acres for which the full-cost rate will
be paid with the name of the landholder paying the
full cost.

One for trusts and estates whose landholdings total
more than their RRA forms submittal threshold
(see table below) through 960 acres, and

•

Enter the total number of acres for each column on this page
as indicated.

Enter the total number of entries corresponding with each
column as indicated. For example, enter the total number of
trusts and estates listed on this page in item 4(a); enter the
total number of times the multidistrict box was checked on
this page in item 4(b); enter the total number of trusts and
estates listed on this page that directly own land in
item 4(c); etc.

One for trusts and estates whose landholdings total
more than 960 acres.
Attributed To

25 or fewer natural persons
25 or fewer natural persons
More than 25 natural persons

District
Category
Status
1
2
1 or 2

Threshold
For Filing
RRA Forms
240 acres
80 acres
40 acres

You do not have to prepare a Tabulation B for a particular
westwide landholding range if you do not have any trusts or
estates for that range (e.g., over 960 acres).

TABULATION C (PUBLIC ENTITY DECLARATION
FORMS)
Use Tabulation C to tabulate information for directly held
(owned or leased) land from the “Declaration of Public Entity’s
Landholdings” (Form 7-21PE) submitted to this district if this
district or the landholder is subject to the discretionary
provisions. Use the last standard form that was submitted by the
public entity to obtain the information if the public entity
submitted a Form 7-21VERIFY.

RRA forms submitted by landholders whose westwide
landholdings are below your district’s RRA forms submittal
thresholds should not be tabulated here. Include information
from such RRA forms in item 12 of Form 7-21SUMM-C.
Enter this district’s name in the block provided at the top of
the page.
1.

Check the box that indicates the size of westwide
landholdings appearing on this Tabulation B. If a trust or
estate has not submitted an RRA form, you should include
its landholdings on Tabulation E or in item 12 of the main
summary form.

Enter the following information for each trust or estate that
directly holds land and whose westwide landholding size
fits in the category designated in item 1:

(a) The name of the trust or estate.
(b) Check this box if the trust or estate holds land in more
than one district.

Enter the following information for each public entity that
directly holds land:
(a) The name of the public entity.

(c) The total number of acres in this district that the trust or
estate directly owns. Obtain this information from
item 20 of Form 7-21TRUST.
(d) The total number of acres in this district that the trust or
estate directly leases. Obtain this information from
item 23 of Form 7-21TRUST.
3

(b) Check this box if the public entity holds land in more
than one district.
(c) The total number of acres in this district that the public
entity directly owns that are not leased to or not
operated by other parties. Obtain this information from
item 37 of Form 7-21PE.
FORM 7-21SUMM-C (2016)

(d) Enter the total number of acres in this district that the
public entity directly owns that are leased to or
operated by other parties. Obtain this information from
item 38 of Form 7-21PE.
(e) The total number of acres in this district that the public
entity directly owns and that is subject to application
of the acreage limitation provisions. This is the directly
owned acres that are used for other than specified
purposes (as explained in item 16 and listed in item 17
of Form 7-21PE) and for all or a portion of which the
public entity receives revenue. Obtain this information
from item 39 of Form 7-21PE.

Enter the following information for each religious or
charitable organization that directly holds land:
(a) The name of the religious or charitable organization.
(b) Check this box if the religious or charitable
organization holds land in more than one district.
(c) The total number of acres in this district that the
religious or charitable organization directly owns.
Obtain this information from item 21 of Form 7-2184.

(f) The total number of acres in this district that the public
entity directly leases and that is subject to the
application of the acreage limitation provisions. This is
the directly leased acres that are used for other than
specified purposes (as explained in item 16 and listed
in item 17 of Form 7-21PE) and for all or a portion of
which the public entity receives revenue. Obtain this
information from item 40 of Form 7-21PE.

(d) The total number of acres in this district that the
religious or charitable organization directly leases.
Obtain this information from item 24 of Form 7-2184.
(e) Enter the total number of acres in this district that the
religious or charitable organization directly owns that
are designated as excess as identified on their
Form 7-21XS. Obtain this information from item 11(e)
of Form 7-21XS.

(g) Enter the total number of acres in this district that the
public entity directly owns that are designated as
excess as identified in item 41 of Form 7-21PE.
(h) Enter the total number of acres in this district that the
public entity directly holds and for which the full-cost
rate will be paid. Obtain this information from item 42
of Form 7-21PE.

(f) Enter the total number of acres in this district that the
religious or charitable organization directly holds and
for which the full-cost rate will be paid. Obtain this
information from item 14(c) of Form 7-21FC.

Note: To avoid double counting full-cost acres, only
include full-cost acres for which the full-cost rate will
be paid with the name of the landholder paying the
full cost.

Enter the total number of acres for each column on this page
as indicated.

Enter the total number of entries corresponding with each
column as indicated. For example, enter the total number of
public entities listed on this page in item 3(a); enter the total
number of times the multidistrict box was checked on this
page in item 3(b); enter the total number of public entities
listed on this page that own acreage in this district and do
not lease that acreage to another party in item 3(c); etc.

Enter the total number of acres for each column on this page
as indicated.

Enter the total number of entries corresponding with each
column as indicated. For example, enter the total number of
religious or charitable organizations listed on this page in
item 3(a); enter the total number of times the multidistrict
box was checked on this page in item 3(b); enter the total
number of religious or charitable organizations listed on this
page that directly own land in item 3(c); etc.

TABULATION D (RELIGIOUS OR CHARITABLE
ORGANIZATION CERTIFICATION FORMS)

TABULATION E (ERRORS, OMISSIONS, AND
DISCREPANCIES)

Use Tabulation D to tabulate information for directly held
(owned or leased) land from the “Certification of Religious or
Charitable Organization’s Landholdings” (Form 7-2184)
submitted to this district if this district or the landholder is
subject to the discretionary provisions. Use the last standard
form that was submitted by the religious or charitable
organization to obtain the information if the religious or
charitable organization submitted a Form 7-21VERIFY.

You must certify the information on the summary form exactly
as the landholders have certified it. However, this district has
the responsibility to certify known errors, omissions, and
discrepancies found on the landholder forms to us on
Tabulation E.
Enter this district’s name in the block provided at the top of
the page.
4

FORM 7-21SUMM-C (2016)

Enter the following information for each direct landholder
who holds land over the RRA forms submittal threshold
requiring certification, that did not receive Reclamation
irrigation water, and that did not submit a form.

(c) Check this box if the part owner holds land in more
than one district.
(d) Indicate if the part owner directly owns or leases land
in the part owner’s name in this district. If the answer
is “yes,” the part owner does not belong on
Tabulation F. Instead, the part owner should be listed
on the applicable Tabulation A-E. For example,
John Smith leases 100 acres and owns 150 acres
through Smith Farms. As such, he would be listed on
Tabulation A with 100 acres leased. Mr. Smith’s
indirect landholdings would not be shown.

(a) The name of the landholder.
(b) Enter the acres held by each landholder in this district.
Obtain this information from the last submitted
standard form or other available information.
2.

Enter the following information for each direct landholder
who holds land over the RRA forms submittal threshold,
that did receive Reclamation irrigation water, and that did
not submit an RRA form.

(e) The total number of acres in this district that the part
owner indirectly owns. Obtain this information from
item 21 of Form 7-2180, item 23 of Form 7-2181, item
22 of Form 7-2184, or item 21 of Form 7-21TRUST.

(a) The name of the landholder.
(b) Enter the acres held by each landholder in this district.

(f) The total number of acres in this district that the
part owner indirectly leases. Obtain this
information from item 24 of Form 7-2180, item 26 of
Form 7-2181, item 25 of Form 7-2184, or item 24 of
Form 7-21TRUST.

(c) Provide a reason or explanation as to why the water
was delivered to the land in question without an
RRA form on file.
3.

Enter the following information for each direct landholder
who has submitted a form that has an error, omission, or
discrepancy. (Note: These landholders should also be
listed on the applicable Tabulation A-D.) Do not include
the names of landholders who have corrected their errors,
omissions, or discrepancies.

(g) Enter the total number of acres in this district that the
part owner indirectly owns that are designated as
excess as identified on their Form 7-21XS. Obtain this
information from item 13(e) of Form 7-21XS.
(h) Enter the total number of acres in this district that
the part owner indirectly holds and for which the
full-cost rate will be paid. Obtain this information from
item 16(e) of Form 7-21FC.

(a) The name of the landholder.
(b) Indicate if the landholder received Reclamation
irrigation water.
(c) Briefly explain the error, omission, or discrepancy.
TABULATION F (PART OWNERS)
This tabulation sheet has been included for this district’s
convenience. This district is not required to fill out this
tabulation, and no adverse consequences will result from not
submitting this tabulation. However, completion of this
tabulation sheet is recommended to aid both us and this district.
Tabulation F is to assist you in identifying part owners who hold
land only indirectly in this district. If a part owner directly
owns or directly leases any land, that part owner does not
belong on this tabulation sheet and should be placed on
Tabulation A – E, as applicable.

Enter the total number of acres for each column on this page
as indicated.

Enter the total number of entries corresponding with each
column as indicated. For example, enter the total number of
landholders listed on this page in item 3(a); enter the total
number of times the multidistrict box was checked on this
page in item 3(b); enter the total number of landholders
listed on this page that indirectly own land in item 3(c); etc.

TABULATION G (FARM OPERATOR DECLARATION
FORMS)
Use Tabulation G to tabulate information from the “Declaration
of Farm Operator Information” (Form 7-21FARMOP), if your
district is subject to the discretionary provisions.

Enter this district’s name in the block provided at the top of
the page.
1.

Enter this district’s name in the block provided at the top of the
page.

Enter the following information for each landholder who
indirectly holds land in this district and does not directly
hold any land in this district (these landholders will be
referred to as part owners):

Enter the following information for each farm operator
(operator):
(a) Name of the operator OR the name of a part owner of a
farm operator. Obtain this information from item 1 of
Form 7-21FARMOP. All Forms 7-21FARMOP must
be accounted for on this tabulation sheet.

(a) The name of the part owner.
(b) Name of the entity, trust, or estate that directly holds
the land.
5

FORM 7-21SUMM-C (2016)

You must use the line corresponding to the “80 through
960” westwide landholding size for qualified recipients if
this district has RRA forms submittal category 2 status for
this water year. Do not include landholders who hold land
below the RRA forms submittal threshold and who still
submitted a certification form; instead, include these
landholders in item 12.

(b) Check the box that indicates if the person or entity is an
operator OR a part owner of a farm operator.
(c) Check this box if the operator provides services to land
in more than one district.
(d) The total number of acres in your district to which the
operator provides services. Obtain this information
from item 16 of Form 7-21FARMOP.
2.

Enter the total number of acres in this column on this page.

Enter the total number of entries corresponding with each
column as indicated.

(a) Total number of landholders. Obtain this information
from item 4(a) of the Tabulation A’s.
(b) Total number of individuals and entities that directly
own land in this district. Obtain this information from
item 4(c) of the Tabulation A’s.

INSTRUCTIONS FOR COMPLETING THE SUMMARY
OF TABULATION SHEETS

(c) Total number of acres that are directly owned in this
district. Obtain this information from item 3(a) of the
Tabulation A’s.

After you have completed all the tabulations, summarize them
on Form 7-21SUMM-C.
1.

Enter this district’s name.

Enter the total number of pages submitted including this
page.

Enter the Reclamation project, unit, and/or division name.

Enter the Reclamation region in which this district is
located. You may abbreviate as follows:
Name of Region
Great Plains Region
Lower Colorado Region
Mid-Pacific Region
Pacific Northwest Region
Upper Colorado Region

(d) Total number of landholders who directly lease land in
this district. Obtain this information from item 4(d) of
the Tabulation A’s.
(e) Total number of acres that are directly leased in this
district. Obtain this information from item 3(b) of the
Tabulation A’s.
(f) Total number of landholders who directly own excess
acres in this district. Obtain this information from
item 4(e) of the Tabulation A’s.

Abbreviation
GP
LC
MP
PN
UC

(g) Total number of excess acres that are directly owned
acres in this district. Obtain this information from
item 3(c) of the Tabulation A’s.
(h) Total number of landholders who directly hold full-cost
acreage in this district. Obtain this information from
item 4(f) of the Tabulation A’s.

Check the box that indicates:
(a) Your district’s RRA forms submittal category for this
water year. Please note that a district’s RRA forms
submittal category is subject to change annually.

(i) Total number of full-cost acres that are directly held in
this district. Obtain this information from item 3(d) of
the Tabulation A’s.

(b) Your district’s anticipation to deliver Reclamation
irrigation water during the current water year. If the
answer to this question is “no,” then submit the
summary form with items 1-5 and 13 and 14 completed
(no tabulation sheets are required). However, if
Reclamation irrigation water deliveries commence after
the summary form is submitted within the current water
year, a new summary form with all appropriate
tabulation sheets must be submitted within 30 days of
the date Reclamation irrigation water deliveries
commenced.
6.

Summarize all of the Tabulation B’s that you have
completed by entering the following information for each
size of westwide landholding:
(a) Total number of trusts and estates. Obtain this
information from item 4(a) of the Tabulation B’s.
(b) Total number of trusts and estates that directly own
land in this district. Obtain this information from item
4(c) of the Tabulation B’s.
(c) Total number of acres that are directly owned in this
district. Obtain this information from item 3(a) of the
Tabulation B’s.

Summarize all of the Tabulation A’s that you have
completed by entering the following information for each
type and size of westwide landholding. You can only use
the line corresponding to the “240 through 960” westwide
landholding size for qualified recipients if this district has
RRA forms submittal category 1 status for this water year.

(d) Total number of trusts and estates that directly lease
land in this district. Obtain this information from
item 4(d) of the Tabulation B’s.

FORM 7-21SUMM-C (2016)

(e) Total number of acres that are directly leased in this
district. Obtain this information from item 3(b) of the
Tabulation B’s.

(a) Total number of religious or charitable organizations.
Obtain this information from item 3(a) of the
Tabulation D’s.

(f) Total number of trusts and estates that directly own
excess acres in this district. Obtain this information
from item 4(e) of the Tabulation B’s.

(b) Total number of religious or charitable organizations
that directly own land in this district. Obtain this
information from item 3(c) of the Tabulation D’s.

(g) Total number of excess acres that are directly owned in
this district. Obtain this information from item 3(c) of
the Tabulation B’s.

(c) Total number of acres that are directly owned in this
district. Obtain this information from item 2(a) of the
Tabulation D’s.

(h) Total number of trusts and estates that directly hold
full-cost acreage in this district. Obtain this
information from item 4(f) of the Tabulation B’s.

(d) Total number of religious or charitable organizations
that directly lease land in this district. Obtain this
information from item 3(d) of the Tabulation D’s.

(i) Total number of full-cost acres that are directly held in
this district. Obtain this information from item 3(d) of
the Tabulation B’s.
8.

Summarize all of the Tabulation D’s that you have
completed by entering the following information:

(e) Total number of acres that are directly leased in this
district. Obtain this information from item 2(b) of the
Tabulation D’s.

Summarize all of the Tabulation C’s that you have
completed by entering the following information:
(a) Total number of public entities. Obtain this
information from item 3(a) of the Tabulation C’s.

(f) Total number of religious or charitable organizations
that directly own excess acres in this district. Obtain
this information from item 3(e) of the Tabulation D’s.

(b) Total number of public entities that directly own land
in this district and that do not lease it to other parties.
Obtain this information from item 3(c) of the
Tabulation C’s.

(g) Total number of excess acres that are directly owned in
this district. Obtain this information from item 2(c) of
the Tabulation D’s.

(c) Total number of acres that are directly owned by public
entities in this district and are not operated by or leased
to other parties. Obtain this information from item 2(a)
of the Tabulation C’s.

(h) Total number of religious or charitable organizations
that directly hold full-cost acreage in this district.
Obtain this information from item 3(f) of the
Tabulation D’s.

(d) Total number of public entities that directly lease
FROM other parties in this district that are subject to
the acreage limitation provisions. Obtain this
information from 3(f) of the Tabulation C's.

(i) Total number of full-cost acres that are directly held in
this district. Obtain this information from item 2(d) of
the Tabulation D’s.
10. This item requests information about landholders who hold
land above the RRA forms submittal threshold but, for
whatever reason, have not submitted RRA forms. Obtain
this information from Tabulation E, the last submitted
standard forms, or other available sources. Districts that did
not collect any RRA forms from the district’s landholders
during this water year must complete this item if the district
anticipates water delivery this year by answering “yes” to
item 5(b).

(e) Total number of acres the public entity directly leases
FROM other parties in this district that are subject to
the acreage limitation provisions. Obtain this
information from 2(d) of the Tabulation C's.
(f) Total number of public entities that directly own excess
acres in this district. Obtain this information from
item 3(g) of the Tabulation C’s.
(g) Total number of excess acres that are directly owned in
this district. Obtain this information from item 2(e) of
the Tabulation C’s.

(a) Total number of noncertifying landholders who directly
hold land in this district. Obtain this information from
items 1(a) and 2(a) of the Tabulation E’s.

(h) Total number of public entities that directly hold
full-cost acreage in this district. Obtain this
information from item 3(h) of the Tabulation C’s.

(b) Total number of noncertifying landholders who directly
own land in this district. Obtain this information from
items 1(a) and 2(a) of the Tabulation E’s.

(i) Total number of full-cost acres that are directly held in
this district. Obtain this information from item 2(f) of
the Tabulation C’s.

(c) Total number of acres the noncertifying landholders
directly own in this district. Obtain this information
from items 1(b) and 2(b) of the Tabulation E’s.
7

FORM 7-21SUMM-C (2016)

(f) Enter the total number of landholders you are aware of
who own excess land but are below the RRA forms
submittal threshold (e.g., landholders who involuntarily
acquire land designated as excess). Do not estimate
this number.

(d) Total number of noncertifying landholders who directly
lease land in this district. Obtain this information from
items 1(a) and 2(a) of the Tabulation E’s.
(e) Total number of acres the noncertifying landholders
directly lease in this district. Obtain this information
from items 1(b) and 2(b) of the Tabulation E’s.

(g) Total number of excess acres owned by landholders
who are below the RRA forms submittal threshold.
Do not estimate this number.

(f) Total number of noncertifying landholders who own
excess land in this district.

(h) Enter the total number of landholders you are aware of
who hold land for which full-cost will be paid but are
below the RRA forms submittal threshold (e.g., limited
recipients whose nonfull-cost entitlement is zero acres).
Do not estimate this number.

(g) Total number of excess acres the noncertifying
landholders own in this district.
(h) Total number of noncertifying landholders who hold
full-cost land in this district.

(i) Total number of full-cost acres held for which full cost
will be paid by landholders who are below the
RRA forms submittal threshold. Do not estimate this
number.

(i) Total number of full-cost acres the noncertifying
landholders hold in this district.
11. Total the above columns as indicated. This total is the total
landholdings OVER the RRA forms submittal threshold.
Districts that did not collect any RRA forms from the
district’s landholders during this water year must complete
this item if the district anticipates water delivery this year by
answering “yes” to item 5(b).
12. This item requests information about landholders who
hold land below the RRA forms submittal threshold.
Also, landholders who hold land below the RRA forms
submittal threshold and who still submitted a certification
form are to be included here. Districts that did not collect
any RRA forms from the district’s landholders during this
water year must complete this item if the district anticipates
water delivery this year by answering “yes” to item 5(b).

13. Total items 11 and 12. This total is the total landholdings of
all landholders within the district. However, if you
answered “no” to item 5(b), you may estimate this
information.
Signatures
14. The summary form must be signed and dated by an
authorized district official. Read the attestation carefully,
sign, provide your title and date in ink.
WHAT TO SUBMIT TO RECLAMATION
You must submit annually to us:

(a) Total number of landholders who directly hold land but
are below the RRA forms submittal threshold. You
may estimate this number if this information is not
available to you.
(b) Total number of landholders who directly own land but
are below the RRA forms submittal threshold. You
may estimate this number if this information is not
available to you.

•

A completed, original Form 7-21SUMM-C with an original
signature, and

•

All completed Tabulation A’s, Tabulation B’s,
Tabulation C’s, Tabulation D’s, Tabulation E’s, and
Tabulation G’s. If you completed Tabulation F, we request
that you submit it, although it is not required.

WHAT IF THERE ARE CHANGES AFTER THIS
DISTRICT SUBMITS THIS FORM

(c) Total number of acres directly owned by landholders
who hold an amount of land that does not require them
to submit RRA forms. You may estimate this number
if this information is not available to you.

Any changes in the excess or full-cost acreage appearing on
Form 7-21SUMM-C must be certified to us within 30 calendar
days after the landholder reports the change to this district.
As a reminder, if your district does not anticipate delivering
Reclamation irrigation water during the current water year and
Reclamation irrigation water deliveries commence after the
summary form is submitted, a new summary form with the
appropriate tabulation sheets must be submitted within 30 days
of the date Reclamation irrigation water deliveries commenced.

(d) Total number of landholders who directly lease land
but are below the RRA forms submittal threshold. You
may estimate this number if this information is not
available to you.
(e) Total number of acres directly leased by landholders
who are below the RRA forms submittal threshold.
You may estimate this number if this information is not
available to you.

FORM 7-21SUMM-C (2016)

File Type	application/pdf
File Title	FORM 7-21SUMM-C
Author	Delores A. Hayes
File Modified	2015-07-15
File Created	2015-07-15