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OMB No. 04120579 Expiration Date: 02/28/2018OFFEROR INFORMATION FOR PERSONAL SERVICES CONTRACTS The Privacy Act Statement is found at the end of this form. Section A Offer or Information 2. Grade
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Read the Privacy Act Statement form carefully to understand the purpose and requirements.
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Who needs form privacy act statement?

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Anyone who is required to disclose personal information to an organization or entity that is subject to the Privacy Act needs to fill out a Privacy Act Statement form. This includes individuals seeking services, benefits, or assistance from federal agencies, employees or applicants for federal employment, individuals involved in legal proceedings, individuals seeking access to federal records or information, etc.
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Form Privacy Act Statement is a document that informs individuals about the collection and use of their personal information by a federal agency.
Federal agencies are required to file form Privacy Act Statement when they collect personal information from individuals.
Form Privacy Act Statement can be filled out by providing information about the purpose of collecting personal information, how it will be used, and what rights individuals have regarding their information.
The purpose of form Privacy Act Statement is to ensure transparency and inform individuals about the collection and use of their personal information by federal agencies.
Form Privacy Act Statement must include information about the agency collecting the information, the purpose of collection, how the information will be used, and individuals' rights regarding their information.
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