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NOTICES <br /> The Privacy Act and 43 CFR 2.48(d)require that you be furnished with the following information in connection with the information <br /> requested by this form. <br /> AUTHORITY: 30 U.S.C. 181 -287 and 30 U.S.C.351 -359 permit collection of the information requested by this form. <br /> PRINCIPAL PURPOSE: The BLM will use the information you provide to process your application and determine if you are eligible <br /> to hold a coal lease on public lands. <br /> ROUTINE USES: The BLM will only disclose this information in accordance with the provisions at 43 CFR 2.56(b)and(c). <br /> EFFECT OF NOT PROVIDING INFORMATION: Submission of the requested information is necessary to obtain or retain a benefit. <br /> Failure to submit all of the requested information or to complete this form may result in delay or preclude the BLM's acceptance of <br /> your application for a coal lease. <br /> The Paperwork Reduction Act requires us to inform you that: <br /> The BLM collects this information to evaluate and authorize proposed exploration and mining operations on public lands. <br /> Submission of the requested information is necessary to obtain or retain a benefit. <br /> You do not have to respond to this or any other Federal agency-sponsored information collection unless it displays a currently valid <br /> OMB control number. <br /> BURDEN HOURS STATEMENT: The public reporting burden for this form is estimated to average 25 hours per response when <br /> the form is used under the authority of 43 subpart 3422(Lease Sales),or 800 hours per response when the form is used under the <br /> authority of 43 subpart 3430(Preference Right Leases). The estimated burdens include the time for reviewing instructions,gathering <br /> and maintaining data,and completing and reviewing the form. You may submit comments regarding the burden estimate or any other <br /> aspect of this form to: U.S.Department of the Interior,Bureau of Land Management(1004-0073),Bureau Information Collection <br /> Clearance Officer(WO-630). 1849 C Street,Mail Mon 01 LS;WashinLaon,DC 20240. <br /> (Form 340042,page 4) <br /> r.'.� ri�... <br /> Y , <br /> P� <br />