U.S. Department of the Interior | U.S. Geological Survey
Page URL: http://earthquake.usgs.gov/earthquakes/dyfi/events/mb/12230066/us/form.sp.disabled.html
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Page Last Modified: March 01, 2012 19:39:22 UTC
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Privacy Act Statement
You are not required to provide your personal contact information in
order to submit your survey. However, if you do not provide contact
information, we may be unable to contact you for additional
information to verify your responses. If you do provide contact
information, this information will only be used to initiate
follow-up communications with you. The records for this collection
will be maintained in the appropriate Privacy Act System of Records
identified as Earthquake Hazards Program Earthquake Information.
(INTERIOR/USGS-2) published at 74 FR 34033 (July 14, 2009).
Paperwork Reduction Act Statement
The Paperwork Reduction Act of 1995 (44 U.S.C. 3501 et. seq.)
requires us to inform you that this information is being collected
to supplement instrumental data and to promote public safety through
better understanding of earthquakes. Response to this request is
voluntary. Public reporting for this form is estimated to average 6
minutes per response, including the time for reviewing instructions
and completing the form. A Federal agency may not conduct or
sponsor, and a person is not required to respond to, a collection of
information unless it displays a currently valid OMB Control Number.
Comments regarding this collection of information should be directed
to: Bureau Clearance officer, U.S. Geological Survey, 807 National
Center, Reston, VA 20192.
