Form 2001-001 - Bidder Registration Form Competitive Land Sale Page 2

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NOTICES
NOTE: This applies to the Department of the Interior/Bureau of Land Management (BLM).
PRIVACY ACT: The Privacy Act of 1974 and 43 CFR 2.48(d) provides that you be furnished with the following information in
connection with the information provided by this form.
AUTHORITY: Collection of this information is authorized by the Federal Land Policy and
Management Act (43 U.S.C. 1701 et seq.), and 43 U.S.C. 1713.
PRINCIPAL PURPOSE: The BLM will use the information provided to register a bidder for the sale of public lands and to provide a
proper refund on the Registration Deposit. The information collected will also assist in identifying and verifying the individual and
will authorize participation in a land auction.
ROUTINE USES: The BLM and the Department of the Interior may disclose the information in accordance with the regulations at 43
CFR 2.56(d)
EFFECT OF NOT PROVIDING INFORMATION: Disclosing the information is necessary to receive a benefit. Not disclosing the
information may result in the BLM rejecting your form and not allowing participation in a land auction.
THE PAPERWORK REDUCTION ACT OF 1995 REQUIRES US TO INFORM YOU THAT:
The BLM will use the information to determine whether or not to issue you authorization to participate in a land auction. Response
to this request is required to obtain the benefit of receiving authorization of participating in a land auction.
BURDEN HOURS STATEMENT: The public reporting burden for this form is estimated to average 3 hours per response. You may
submit direct comments regarding the burden estimate or any other aspect of this form to: U. S. Department of the Interior, Bureau of
Land Management (1004-0119), Bureau Information Collection Clearance Officer (WO-630), 1849 C St., N.W., Mail Stop
401 LS, Washington, D.C. 20240.
(Form 2001-001, page 2)

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