Form 3260-5 - Monthly Report Of Geothermal Operations Page 3
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3NOTICES
and 43 CFR 2.48(d) require that we provide you with the following information:
The Privacy Act (5 U.S.C. 552a)
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 adjudicati
tion for public information in support of notations made on land status, records for
on of the form. (2) Documenta
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 INFORMATION: Disclosure of the information is required for compliance with pertinent statutes and regulations.
If all the information is not provided, the BLM may direct you to take corrective action within a specific time period.
The Paperwork Reduction Act (44 U.S.C. 3501-3521) requires that we provide you with the following information:
The BLM uses this information to evaluate the technical, safety, and environmental factors involved with geothermal resources on Federal geothermal
leases.
Response to this request is required to obtain or retain a benefit.
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: The public reporting burden for this form is estimated to average 10 hours per response, including the time for
reviewing instructions, gathering and maintaining data, and completing and reviewing the form. You may send direct comments regarding the burden
estimate or any other aspect of this form to the 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 3260-5, page 3)
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