Form 5-5514 Bid for Grazing Privileges

Form 5‑5514 UNITED STATES OMB No. 1076-0157

DEPARTMENT OF THE INTERIOR Expires: _________

BUREAU OF INDIAN AFFAIRS

BID FOR GRAZING PRIVILEGES

To the Superintendent, ________________________________ Agency

Sir:

In response to the notice of sale of grazing privileges under permit for a _______ year period beginning _________________________

(Date)

and terminating not later than _____________________, on the ______________________ Indian Reservation, bids to be opened at

(Date)

the office of the Superintendent at _____ o'clock _ m. on the ___ day of ,____________ , I (or we) hereby submit the following bid:

Name or Number of Range Unit	Number of Head	Kind of Livestock	Grazing Season
			From --	To --

I (or we) submit the following bid offer in the amount of $____________________.

Respectfully,

______________________________________	__________________________________________________________ (Address)	______________ (Date)
______________________________________	__________________________________________________________ (Address)	______________ (Date)
______________________________________	__________________________________________________________ (Address)	______________ (Date)

INSTRUCTIONS

Enclose this bid in a sealed envelope addressed to the Superintendent of the above agency. Do not submit in duplicate. Mark plainly, "BID FOR GRAZING PRIVILEGES."

A separate bid must be submitted for each range unit desired.

If the bid is made by more than one individual, acting neither as a firm nor as a corporation, each must sign.

If the bid is made by a partnership, the signature must consist of the name of the firm followed by the signature of each of the members thereof.

If the bid is made by a corporation, the signature must consist of the name of the corporation, followed by the name of the proper officer or officers as required by the laws of the corporation, accompanied by evidence of authority of such officer or officers to bind the corporation.

Paperwork Reduction Act Statement: This form is covered by the Paperwork Reduction Act.  It is used to establish the respective rights and responsibilities of the respondent and the Federal government. The information is provided by respondents to obtain or retain a benefit.  In compliance with the Paperwork Reduction Act of 1995, as amended, the collection has been reviewed by the Office of Management and Budget and assigned a number and an expiration date.  The number and expiration date are at the top right corner of the form.  An agency may not sponsor or conduct, and a person is not required to respond to, a request for information collection unless it displays a currently valid OMB Control Number.  The public reporting burden is estimated to average 20 minutes per respondent.  This includes the time needed to understand the requirements, gather the information, complete the form, and submit it to the Department.  Comments regarding the burden or other aspects of the form may be directed to the Indian Affairs Information Collection Clearance Officer, Office of Regulatory Affairs – Indian Affairs, 1849 C Street, NW, MS-4141, Washington, DC 20240.