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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1006-0006 can be found here:

Documents and Forms

Document Name Document Type
7-21SUMM-C Inst 2016.pdf www.usbr.gov/rra Instruction
7-21SUMM-C 2016 District Summary of Certification and Declaration Forms 7-21SUMM-C_2016.pdf www.usbr.gov/rra Form

Information Collection (IC) Details

IC Title:	District Summary of Certification and Declaration Forms	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 43 CFR 426 43 CFR 428

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			7-21SUMM-C Inst 2016.pdf	www.usbr.gov/rra	Yes	No	Printable Only
Form	7-21SUMM-C 2016	District Summary of Certification and Declaration Forms	7-21SUMM-C_2016.pdf	www.usbr.gov/rra	Yes	Yes	Fillable Fileable Signable

Line of Business: Natural Resources

Subfunction: Water Resource Management

Privacy Act System of Records
Title: INTERIOR//WBR-31, Acreage Limitation	FR Citation: 64 FR 13234

Number of Respondents: 169	Number of Respondents for Small Entity: 169

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 3 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	211	-4	215
Annual IC Time Burden (Hours)	8,440	-160	8,600
Annual IC Cost Burden (Dollars)	147,756	-2,801	150,557

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.