FORM IS AN APPLICATION FOR PERMISSION
TO PROSPECT FOR MINEARLS ON PUBLIC AND ACQUIRED FEDERAL LANDS AS
AUTHORIZED BY THE MINERAL LEASING ACT OF 1920 AND THE MINERAL
LEASING ACT FOR ACQUIRED LANDS OF 1947. ADULT U.S. CITIZENS,
ASSOCIATIONS OF SUCH CITIZENS AND U.S. INCORPORATED FIRMS ARE
PERMITTED BY LAW TO PROSPECT FOR AND OBTAIN MINERALS FROM PUBLIC
LANDS
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.