Individual Landholder's and Farm Operator's Certification and Reporting Forms for Acreage Limitation, 43 CFR part 426 and 43 CFR part 428

Forms and Documents

Document Name	Status
Form 7-21XS Designation of Excess Land Form	Modified
Form 7-21FC Selection of Full-Cost Land Form	Modified
Form 7-21FARMOP Declaration of Farm Operator Information Form	Modified
Form 7-21VERIFY Verification of Landholdings Form	Modified
Form 7-21TRUST Declaration of Trust's or Estate's Landholdings Form	Modified
Form 7-21PE-IND Attachment Sheet for Form 7-21PE Form	Modified
Form 7-21PE Declaration of Public Entity's Landholdings Form	Modified
Form 7-2194 Report of Religious or Charitable Organization's Landholdings Form	Modified
Form 7-2191 Report of Entity's Landholdings Form	Modified
Form 7-2190 Report of Individual's Landholdings Form	Modified
Form 7-2190EZ EZ Report of Individual's Landholdings Form	Modified
Form 7-2184 Certification of Religious or Charitable Organization's Landholdings Form	Modified
Form 7-2181 Certification of Entity's Landholdings Form	Modified
Form 7-2180 Certification of Individual's Landholdings Form	Modified
Form 7-2180EZ EZ Certification of Individual's Landholdings Form	Modified
Supporting Statement 1006-0005 .doc Supporting Statement A	2013-04-05
30-day 1006-0005.pdf Supplementary Document	2013-05-02
7-21Info.pdf Supplementary Document	2013-02-14
Question Justification 1006-0005.pdf Supplementary Document	2013-02-14
60-day Notice.pdf Supplementary Document	2013-02-14
43CFR428_OMB.pdf Supplementary Document	2007-06-26
43CFR426_OMB.pdf Supplementary Document	2007-06-26

IC Document Collections

IC ID	Document Title	Status
180601	Designation of Excess Land Form	Modified
180600	Selection of Full-Cost Land Form	Modified
180599	Declaration of Farm Operator Information Form	Modified
180598	Verification of Landholdings Form	Modified
180590	Declaration of Trust's or Estate's Landholdings Form	Modified
180588	Attachment Sheet for Form 7-21PE Form	Modified
180586	Declaration of Public Entity's Landholdings Form	Modified
180585	Report of Religious or Charitable Organization's Landholdings Form	Modified
180584	Report of Entity's Landholdings Form	Modified
180583	Report of Individual's Landholdings Form	Modified
180582	EZ Report of Individual's Landholdings Form	Modified
180581	Certification of Religious or Charitable Organization's Landholdings Form	Modified
180580	Certification of Entity's Landholdings Form	Modified
180579	Certification of Individual's Landholdings Form	Modified
10629	EZ Certification of Individual's Landholdings Form	Modified

ICR Details

OMB Control No: 1006-0005	ICR Reference No: 201212-1006-001
Status: Historical Active	Previous ICR Reference No: 201105-1006-001
Agency/Subagency: DOI/RB	Agency Tracking No:
Title: Individual Landholder's and Farm Operator's Certification and Reporting Forms for Acreage Limitation, 43 CFR part 426 and 43 CFR part 428
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/06/2013
	Date Received in OIRA: 05/02/2013
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2016	12/31/2015	12/31/2013
Responses	14,282	0	15,585
Time Burden (Hours)	10,472	0	11,522
Cost Burden (Dollars)	0	0	0

---

Abstract: This information collection (1006-0005) contains the RRA forms specific to certain types of landholders who must complete and submit the corresponding RRA form as a condition for the receipt of Reclamation irrigation water. Landholders’ submittal of RRA forms is required by section 206 of the RRA and 43 CFR 426.18 of the associated Acreage Limitation Rules and Regulations.

---

Authorizing Statute(s): PL: Pub.L. 57 - 161 1 Name of Law: Reclamation Act of 1902
   PL: Pub.L. 97 - 293 201-230 Name of Law: Reclamation Reform Act of 1982
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 57588	09/18/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 25763	05/02/2013
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 15

IC Title	Form No.	Form Name
Certification of Religious or Charitable Organization's Landholdings	7-2184	Certification of Religious or Charitable Organization's Landholdings
Declaration of Public Entity's Landholdings	7-21PE	Declaration of Public Entity's Landholdings
Verification of Landholdings	7-21VERIFY	Verification of Landholdings
Certification of Entity's Landholdings	7-2181	Certification of Entity's Landholdings
Report of Individual's Landholdings	7-2190	Report of Individual's Landholdings
Report of Religious or Charitable Organization's Landholdings	7-2194	Report of Religious or Charitable Organization's Landholdings
Report of Entity's Landholdings	7-2191	Report of Entity's Landholdings
Declaration of Farm Operator Information	7-21FARMOP	Declaration of Farm Operator Information
Selection of Full-Cost Land	7-21FC	Selection of Full-Cost Land
EZ Certification of Individual's Landholdings	7-2180EZ	EZ Certification of Individual's Landholdings
Attachment Sheet for Form 7-21PE	7-21PE-IND	Attachment Sheet for Form 7-21PE
Certification of Individual's Landholdings	7-2180	Certification of Individual's Landholdings
EZ Report of Individual's Landholdings	7-2190EZ	EZ Report of Individual's Landholdings
Declaration of Trust's or Estate's Landholdings	7-21TRUST	Declaration of Trust's or Estate's Landholdings
Designation of Excess Land	7-21XS, 7-21EXINAQ	Designation of Excess Land ,   Attachment Sheet for Form 7-21XS

---

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	14,282	15,585	0	0	-1,303	0
Annual Time Burden (Hours)	10,472	11,522	0	0	-1,050	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: We are reporting an change due to agency adjustment, which is a net decrease in the hour burden of the ICR budget of 1,050 hours from the most recently approved ICR. This is due to the anticipated general decrease from year to year, due to the exemption (from the acreage limitation provisions of Federal reclamation law) of the landholders in several districts through exemption actions taken by individual landholders and/or districts, and legislative activities. In general, the acreage limitation provisions of Federal reclamation law do not apply once construction repayment obligations are completed. At that time, the RRA forms requirements are no longer applicable. There is no change to cost burden.

---

Annual Cost to Federal Government: $96,580

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 05/02/2013

---