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i <br />NOTICE <br />The Pnvacy Act of 1974 and thr regulaton in 4J CFR 2 481d1 provide ihm you be furnished the (ollowmg <br />information in tonnecuon with information required by' this application. <br />AUTHORITY: 30 U.S.C. 60t, 602: 43 U.S.C. 7201:60 Smt, 367 <br />PRINCIPAL PURPOSE -The information is to be used to process your application (or a Free Use Permit. <br />ROUTINE USES: ~ ~~ <br />(I).The adjudication o(the applicants rights to the land or restitirces.__ <br />(2) Documentation (or public information in support ofnotations made on land status records for the <br />management, disposal, and use of public lands and resourccs. . ' <br />(3) Transfer to appropriate Federal agencies when concurrence is required prior to granting a right in <br />public lands or resources. <br />(4) Transfer to the U.S. Department of J ustice in the event of litigation involving the records or the subject <br />matter of the records. <br />(5) Transfer, in the event there is indicated a violation or potential violation o(a statute, regulation, rule, <br />order or license, whether civil, criminal or regulatory in natu re, to the appropriate agency or agencies, <br />;~, ;F. ~~ .whether Federal.State, local orforcign, chargedwith the responsibility o(investigationorproucuting <br />such violation or charged with enforcing or implementing the statute, rule, regulation, order or license <br />violated or potentially violated. <br />~" ~. ~ ~EFFECTOF NOT PROVIDING INFORMATION-Il youdo not(urnish all the information required by this <br />. ~ (orm,,your application may be rejected. ., ., ,~, , <br />The Paperwork Reduction Act of 1980 (44 U.S.C. 3501 et. seq.} requires us to inform you that: <br />Information is being collected to obtain vegetal and mineral depletion information relevant to natural <br />_. _ resource inventorZ. ' ' ~ ~ ` <br />Information will be used (or depletion records. <br />Response to [his request is mandatory (43-55IO) to fuJf)I the requirements for the cutting of timber and far <br />oil end gas claimants. <br />~~ <br />l:c :' <br />