DI Form 9004-BLM Paleontology Locality Record

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Overview

Instructions
DI-9004
Notices

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Sheet 1: Instructions

CUI//PRVCY (When filled-in)

DI Form 9004-BLM (Rev. 09/2025)

U.S. Department of the Interior

OMB Control No. 1093-008-BLM

Expires xx/xx/xxxx

INSTRUCTIONS

PALEONTOLOGY LOCALITY RECORD

General: This form is used to document a locality or multiple localities. This form can be used by bureau employees, permittees, and the public to collect paleontological site or locality information.

1. Locality number. This number is assigned by the bureau and is used to manage all reported sites or localities.

2. Field number. Other numbers assigned to the site. These are normally assigned by the field party when first recording the locality, partner institution, other entity, or may be earlier numbers assigned by the bureau.

3. Common name for locality. This is the name given to paleontological localities for common reference (such as Eolambia 2, Andrew's Site, or Big Pig Dig).

4. Land owner. Indicate the managing bureau office and administrative unit. Identify the applicable governmental entitites (state, county, tribal, etc.) or private owner name.

5. Location (Lat/Long or UTM). Preferred format is Latitude/Longitude, NAD83. Include coordinate source and positional accuracy if known.

6. USGS map reference. If reporting in PLSS (Public Land Survey System) provode Township, Range, Section, and mark the boundaries of the locality on a USGS 1:24,000-scale topographic map that can be appended to this form.

7. County. Identify the County in which the locality is found.

8. State. Identify the State in which the locality is found.

9. Access. Provide specific instructions for accessing the locality as appropriate.

10. Geologic age. Include the International Commission on Stratigraphy (ICS) age, or the North American Land Mammal Age (NALMA), as appropriate.

11. Geologic unit. Identify the rock unit if known (formation, member, etc.).

12. Paleontological resource categories. Check all categories that are observed at the locality (including vertebrate fossil, invertebrate fossil, plant fossil, microfossil vertebrate, microfossil non-vertebrate, trace fossil vertebrate, trace fossil non-vertebrate, trace fossil plant)

13. Taxa observed. Identify taxa (family, genus, species, etc.) and elements (humerus, femur, skull fragment, etc.) that are observed at the locality; identify which taxa are represented whether collected or not.

14. Collection and repository. Identify what was collected and the name of the approved repository where it will be preserved and any accession numbers that have been assigned by the repository. If collections are not taken directly to the repository identify their interim location (museum, laboratory, office, classroom, evidence locker, temporary storage, etc.).

15. Scientific description. Characterize the locality's geology, lithology, soils, geomorphology, and mineralogy, as appropriate. Indicate areal extent, setting, exposures, geologic and stratigraphic context(s) in which paleontological resource materials were observed, and depth of observed deposits. Indicate approximate quantities of paleontological resource taxa observed (e.g., “less than 10,” “between 50 and 75”) and whether they are found in context (in situ) or are eroded across the surface (float). Include relevant observations or scholarly information that is appropriate.

16. Associated records. Identify what associated records were created during the visit, including reference to field notes, photographs, stratigraphic sections, annotated maps, etc.

17. General remarks. Include information or append records that are important to understanding the resource that are not captured under another section. Remarks might include general impressions; consultant project name, number, and client; possible management issues; if this is an update to another record, or other contextual information as appropriate.

18a. Investigator/Collector. The name(s) of the person(s) who completed the form.

18b. Date visited. Date the locality was visited and recorded.

19. Locality condition. Identify whether the locality is stable and what human caused or natural factors are putting it at risk. Note whether the locality has been subject to theft or vandalism or is in danger of such damage. Include observations of erosional conditions.

20. Permit number. Indicate the permit number as appropriate.

End of Instructions

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Sheet 2: DI-9004

CUI//PRVCY (When filled-in)

DI Form 9004-BLM (Rev. 09/2025)

U.S. Department of the Interior

OMB Control No. 1093-008-BLM

Expires xx/xx/xxxx

IMPORTANT: To ensure your data conforms to the Section 508 of the Rehabilitation Act, as amended, DO NOT leave any blank cells. Enter N/A.

1. Locality Number

2. Field Number

3. Common name for locality

4. Land owner

5. Location

6. USGS map reference

7. County

8. State

9. Access

10. Geologic Age

11. Geologic Unit

12. Paleontological resource categories

13. Taxa observed

14. Collection and repository

15. Scientfic description

16. Associated records

17. General remarks

18a. Investigator/Collector

18b. Date visited

19. Locality condition

20. Permit number

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Sheet 3: Notices

CUI//PRVCY (When filled-in)

DI Form 9004-BLM (Rev. 09/2025)

U.S. Department of the Interior

OMB Control No. 1093-008

Expires xx/xx/xxxx

NOTICES

Privacy Act Statement

Authority: 16 U.S.C. 470aaa.aaa-11, Paleontological Resources Preservation Act of 2009.

Purpose: The primary use of the records maintained in the system is to manage, protect, and preserve paleontological resources on Federal lands under the jurisdiction of the Department of the Interior. Information will be used to inventory paleontological resources in compliance with 16 U.S.C. 470aaa-1 of the Paleontological Resources Preservation Act (PRPA) of 2009.

Routine Uses: In addition to those disclosures generally permitted under 5 U.S.C. 552a(b) of the Privacy Act, records or information may be shared with partners and curators who have physical custody of Federally-owned collections of paleontological resources to manage the collections, permitted researchers to share relevant information from previous discoveries and scientific investigations, and other Federal agencies and non-Federal entities as necessary to maintain accurate and complete permit records as authorized under the Privacy Act and in the routine uses outlined in the system of records notice INTERIOR/DOI-20, Paleontological Resources Preservation System.

Disclosure: Providing information is voluntary; however, not providing the requested information may hinder the approval of the requested permit.

Paperwork Reduction Act Statement

In accordance with the Paperwork Reduction Act (44 U.S.C. 3501, et seq.), we collect the necessary information, under the applicable laws, to inventory paleontological localities. Your response is required to obtain or retain a benefit. We may not conduct or sponsor and you are not required to respond to a collection of information unless it displays a currently valid OMB control number. OMB has approved this collection of information and assigned Control No. 1093-0008.

Estimated Burden Statement

We estimate it will take you about 1 hour to complete this form, including time to maintain records, gather information, and complete the form. You may send comments on the burden estimate or any other aspect of this form to the Departmental Information Collection Clearance Officer, Office of the Chief Information Officer, 1849 C Street NW, Washington, DC 20240, or via email at DOIPRA@ios.doi.gov. Please do not send your completed form to this email address.

Records Disposition

DRS 2.1, Item 6 (Pending NARA Approval) - Historically Significant Resource Management and NAGPRA Records. PERMANENT. Cut off at end of the fiscal year, or at the end of a more extended project action (such as a mitigation treatment), or as instructed in the bureau/office records manual. Transfer records to NARA 15 years after cut-off, or when no longer needed for agency business, whichever is later.

End of Notices