Form 3200-9 - Notice Of Intent To Conduct Geothermal Resource Exploration Operations Page 3
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3NOTICES
The Privacy Act of 1974 and the regulation in 43 CFR 2.48(d) provide that you be furnished the
following information in connection with information required by this Notice of intent to Conduct
Geothermal Resource Exploration Operations.
AUTHORITY: 30 U.S.C. 1001-1028; 43 CFR Part 3200.
PRINCIPAL PURPOSE: The information is to be used to process your request for authorization to
conduct exploration operations.
ROUTINE USES: (1) The adjudication of the request for authorization to conduct exploration operations.
(2) Documentation for public information. (3) Transfer to appropriate Federal agencies when concurrence
is required prior to granting a right in National Resource 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 to obtain or
retain a benefit. If all the information is not provided, your request for authorization may be denied.
The Paperwork Reduction Act of 1995 requires us to inform you that:
BLM collects this information in accordance with 43 CFR 3250.
This information will be used to identify and communicate with the parties involved.
Response to this request is required to obtain or retain a benefit.
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.
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(Form 3200-9, page 3)
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