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Ly and return it to my office. Mr. Full Name Mrs. Ms. Home Phone Address Cell Phone City Zip Code Work Phone Email Address Date of Birth Please provide any of these numbers if they apply to your case: Social Security #.

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The Privacy Act (5 U.S.C. 552a, as amended) can generally be characterized as an omnibus “Code of Fair Information Practices” that regulates the collection, maintenance, use, and dissemination of personally identifiable information (PII) by Federal Executive Branch Agencies.

DI 4017 Consent For Disclosure Of Records Protected Under The Privacy Act [pdf] . This form is to provide consent to disclosure of your records to another person or entity. This form may also be used if you are the parent of a minor or legal guardian consenting to and authorizing disclosure of records.

The Privacy Act of 1974, as amended, 5 U.S.C. § 552a , establishes a code of fair information practices that governs the collection, maintenance, use, and dissemination of information about individuals that is maintained in systems of records by federal agencies.

The Act requires “each agency that maintains a system of records” to restrict the collection of information to only the information relevant to the purpose, to ensure the information remains accurate, to collect information directly from the subject whenever possible, and to tell the subject the purpose for which the ...

The Contractor will be required to design, develop, or operate a system of records on individuals, to accomplish an agency function subject to the Privacy Act of 1974, Public Law 93-579, December 31, 1974 (5 U.S.C. 552a) and applicable agency regulations.

Under the Privacy Act's disclosure provision, agencies generally are prohibited from disclosing records by any means of communication – written, oral, electronic, or mechanical – without the written consent of the individual, subject to twelve exceptions.

§552a (e) (3) agencies are required to provide what is commonly referred to as a Privacy Act Statement to all persons asked to provide personal information about themselves, which will go into a system of records (i.e., the information will be stored and retrieved using the individual's name or other personal ...

§552a (e)(3). When drafting a Privacy Act Statement for review by the Privacy Office, include the following elements: Authority: The legal authority for collecting the information – statute, executive order, regulation. Purpose: The purpose(s) for collecting the information and how DHS will use it.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232