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OMBCONTROLNUMBER:07030064 OMBEXPIRATIONDATE:08/31/2021RSCAPPROVALNUMBER:NAVY(AR)2678 RCSEXPIRATIONDATE:08/31/2021MillenniumCohortStudy VOLUNTARYCONSENTTOPARTICIPATEINARESEARCHSTUDY Whyisthisstudybeingdone?
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Begin by opening the privacy act statement form.
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Read through the instructions and guidelines provided on the form.
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Start by entering your personal information such as your name, address, and contact details.
04
Fill out the purpose for which the personal information is being collected.
05
Indicate whether or not the disclosure of the information is voluntary or mandatory.
06
Provide any necessary authorizations or consents required for the collection and use of the information.
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Review the completed form for accuracy and completeness.
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Sign and date the form.
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Submit the filled out privacy act statement as required by the requesting organization or agency.

Who needs privacy act statement you?

01
Anyone who is required to provide personal information to an organization or agency that is covered by the Privacy Act requires a privacy act statement.
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A Privacy Act Statement is a disclosure that informs individuals about how their personal information will be collected, used, maintained, and disclosed by a federal agency.
Individuals who are asked to provide personal information to a federal agency, particularly if the information will be included in a system of records, are typically required to file a Privacy Act Statement.
To fill out a Privacy Act Statement, individuals must provide accurate personal information as requested, read the statement thoroughly, and understand how their information will be used before signing or submitting.
The purpose of a Privacy Act Statement is to ensure transparency regarding the collection and use of personal information, safeguarding individuals' privacy rights and informing them of their rights.
The information typically reported includes the authority for collecting the information, the purpose of collection, how the information will be used, and whether the information will be shared with other parties.
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