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Sec. L5. SPECIAL STIF~ULATIONS (Conl'd.) - <br />• <br />NOTICE <br />The Privacy Act and the regulation at 43 CFR 2.48(d) provide that you be furnished with the following information in connection with the <br />information required by this lease. <br />AUTHORITY: 30 LLS.C. 181 et seq., 30 U.S.C. 351-359 <br />PRINCIPAL PURPOSE: The information required by this lease is used to allow the BLM to gather data relevant to the: extent and quality <br />of public coal resources and [o manage the leasing and development of coal in the public interest. <br />ROUTTNE USES: (1) Report the amount of coal leased, entities to whom leased, and, in aggregate, production from leases for revenue <br />and other purposes. (2) Subject m restrictions and conditions stated in the lease, authorize the site-specific extraction of public coo! <br />resources. <br />EFFECT OF NOT P:tOVIDING INFORVIATION: Report and disclosure of the information is mandatory for all lessee:;. <br />The Paperwork Reduction Act of 1980 (44 U.S.C. 3501, et seq.) requires us to inform you that: • <br />This information is being collected to authorize and evaluate proposed and ongoing mining operations on federa3 coal leases and tc <br />compute revenues owed to lessor. <br />Response [o this regEiest is mandatory for the types of activities specified in 43 CFR Group 3400. <br />BURDEN HOURS STATEMENT <br />Public reporting burden for this form is estimated to ranee from 25 minutes for reviewing the instructions and completing and signing the <br />lease form to 500 burden hours for complying with the information requirements connected with resource recovery and exploration plans <br />and mining plans. L)vect comments regarding the burden estimate or any other aspect of this form to: U.S. Department of the Interior. <br />Bureau of Land Management, (Alternate) Bureau Clearance Officer, 1849 C St., N.W., Washington, D.C. 20240, and the Office of <br />Management and Budget, Paperwork Reduction Project (1004-0073), Washington, D. C. 20503 <br />THE LJ~ITED STATES OF A.NERICA <br />__1~ KPSOU'i'GPS f, im i ~F°r1 <br />Company or Lessee flame <br />~~ (ture of Lessee) <br />,lQv ffi o r~ =p PEA ~ ~i Pn~ <br />(Titl <br />By~ <br />II~~ (Signing Officer) <br />~SU ~ ~<sati~ce S erJi c25 <br />l'l'i[!e) <br />(Date) IDaxr <br />Title l8 U.S.C. Section 1001, makes it a crime for any person knowingly and willfully to make to any depa^rent or agency of the Cnited States any <br />false, ftctitious or traudulent sta[emenss or :eDresenta[ions as [o any matter within iss jursdiccion. <br />This form does not cc~nsticuce an info~rma[ion collection as denned by J4 [i.S.C. 350^_ and therefore dons got require 018 approval. <br />_US.GO'JCgNME Vi'~FiY :.VC OFFICE'99'_-5 Y'92 <br />