San Juan Islands National Monument Resource Advisory Committee Application - Bureau Of Land Management Page 4
Download a blank fillable San Juan Islands National Monument Resource Advisory Committee Application - Bureau Of Land Management in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete San Juan Islands National Monument Resource Advisory Committee Application - Bureau Of Land Management with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3
4NOTE: Although applications are submitted to the BLM office within the RAC's area of jurisdiction,
appointments are ultimately conferred by the Secretary of the Interior. Applications will be reviewed
and nomination packages will be completed at the local level. Governors of affected States will be
consulted during this process. Recommendations will be endorsed by the appropriate BLM State
Director and forwarded to the BLM Washington Office. Following the BLM Director's endorsement,
recommendations will be forwarded to the Department of the Interior for background checks, ethics,
and other reviews before presentation to the Secretary. The time between submission of application
and receipt of member appointment letter may take 4-5 months.
___________________________________________________
The Privacy Act and the regulation at 43 CFR 2.48 (d) require that you be furnished the following
information in connection with information required by this form.
AUTHORITY: The authority to request this information is contained in 5 U.S.C. App. 2, the
Federal Advisory Committee Act; 5 U.S.C. 1739, the Federal Land Policy and Management Act; and
43 CFR Subpart 1784, Bureau of Land Management advisory committee regulations.
PURPOSE: The information will be used by the appointment officer to determine the qualifications
such as education, training, and experience of candidates related to qualifications to serve on a
Resource Advisory Council of the Bureau of Land Management.
ROUTINE USES: This information will be maintained in the Interior Volunteer Service File System
(Interior/DOI-05) and is subject to routine uses of that system of records. These routine uses can be
found at 66 FR 28536.
DISCLOSURES: Failure to submit this information will inhibit full consideration of a prospective
advisory council member's qualifications, and could result in non-selection. If you are appointed as
an advisor, the information will be retained by the appointing official as long as you serve.
Otherwise, it will be destroyed 2 years after termination of your membership or returned (if
requested) following announcement of the Council appointments.
THE PAPERWORK REDUCTION ACT requires us to inform you that: This collection is in
accordance with the clearance requirements of 5 U.S.C. 3507. Completion of this form is required to
obtain or retain a benefit. You do not have to respond to this or any other Federal agency-sponsored
information collection and no Federal agency may conduct or sponsor such a collection, unless it
displays a valid OMB control number. The information is used to determine qualifications,
suitability, and availability for service on resource advisory councils. Failure to submit this
information will inhibit full consideration of a prospective advisory council member's qualifications,
and could result in non-selection.
BURDEN HOURS STATEMENT: The estimated public reporting burden for this form is 4 hours
per response, including the time for reviewing instructions, gathering and maintaining data, and
completing and reviewing the form. You may submit comments regarding the burden estimate or any
other aspect of this form to: U.S. Department of the Interior, Bureau of Land Management (1004-
XXXX), Bureau Information Collection Clearance Officer (WO-630), 1849 C Street, N.W., Room
2134LM, Washington, D.C. 20240.
ADVERTISEMENT
0 votes
Related Articles
Related forms
Instructions For Applying Or Nominating An Individual To Serve As A Member Of The Science Technical Advisory Panel - North Slope Science Initiative C/o Bureau Of Land Management
Legal
Form 3830-3 - Notice Of Intent To Locate A Lode Or Placer Mining Claim(s) And/or A Tunnel Site - United States Department Of The Interior - Bureau Of Land Management - 2016
Legal
Related Categories
Parent category: Legal