The Board will inform each individual whom it asks to supply information, on the form which it uses to collect the information or on a separate form that can be retained by the individual, of:
    
    
        
        (a) 
         The authority which authorizes the solicitation of the information and whether disclosure of such information is mandatory or voluntary;
     
    
        
        (b) 
         The principal purpose or purposes for which the information is intended to be used;
     
    
        
        (c) 
         The routine uses which may be made of the information, as published in the Federal Register; and,
     
    
        
        (d) 
         The effects on the individual of not providing all or any part of the requested information.