The Privacy Act and 43 CFR 2.48(d) require that you be furnished the following information in connection with the information requested by this form.
AUTHORITY: 43 U.S.C. 1201; 43 CFR Group 2930
PRINCIPAL PURPOSE: BLM will use your information to determine whether or not to issue you a Special Recreation Permit. BLM will use some of the information to determine your qualifications for the permit and other information to determine the merits of your proposal.
ROUTINE USES: BLM will disclose the information in accordance with the regulations at 43 CFR 2.56(d).
EFFECT OF NOT PROVIDING INFORMATION: Disclosing the information is necessary to receive a benefit. Not disclosing the information may result in BLM rejecting your application.
The Paperwork Reduction Act requires us to inform you that:
BLM will use the information to determine whether or not to issue you a Special Recreation Permit. Response to this request is required to obtain the benefit of receiving a Special Recreation Permit.
You do not have to respond to this or any other Federal agency-sponsored information collection unless it displays a valid OMB control number.