Form 3260-2 - Geothermal Drilling Permit Page 3
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3NOTICES
The Privacy Act of 1974 and the regulations in 43 CFR 2.48(d) provide that you be furnished with the following information required
by this application.
AUTHORITY: 30 U.S.C. 1001-1028; 43 CFR Part 3200.
PRINCIPAL PURPOSE: The BLM uses this information to evaluate the technical, safety, and environmental factors involved with
geothermal resources on Federal geothermal leases.
ROUTINE USES: (1) The adjudication of the form. (2) Documentation for public information in support of notations made on land
status, records for the management, disposal; and use of public lands and resources. (3) Transfer to appropriate Federal agencies when
concurrence is required prior to granting a right in public lands or resources. (4) Information from the record and/or the record will be
transferred to appropriate Federal, State, local or foreign agencies, when relevant to civil, criminal or regulatory investigations or
prosecutions.
EFFECT OF NOT PROVIDING INFORMATON: Disclosure of the information is required to process the application. If all
information is not provided, the application may be rejected.
The Paperwork Reduction Act of 1995 requires us to inform you that:
The BLM collects this information to allow us to evaluate the technical, safety and environmental factors involved with geothermal
resources on Federal geothermal leases.
The BLM will use this information to analyze and approve operations.
Response to this request is required to obtain or retain a benefit.
The BLM would like you to know that you do not have to respond to this or any other Federal agency-sponsored information collection
unless it displays a currently valid OMB control number.
BURDEN HOURS STATEMENT: Public reporting burden for this form is estimated to average 8 hours per response, including the
time for reviewing instructions, gathering and maintaining data, and completing and reviewing the form. Direct comments regarding the
burden estimate or any other aspect of this form to U.S. Department of the Interior, Bureau of Land Management (1004-0132), Bureau
Information Collection Clearance Officer (WO-630), 1849 C Street, N.W., Washington D.C. 20240.
(Form 3260-2, page 3)
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