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this document contains a privacy act statement and paperwork reduction act statement regarding an applicant\'s eye evaluation report Federal Aviation Administration OMB The DOT/FAA certification program
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Read the instructions carefully to understand the information needed for the Privacy Act statement
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Fill in your personal information accurately such as name, address, and contact details
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Provide any additional requested information, such as social security number or driver's license number
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Who needs privacy act statement and?

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Any individual or organization that collects or maintains personal information about individuals
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Government agencies, businesses, and other entities that handle sensitive or confidential information
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A Privacy Act Statement is a notice required by the Privacy Act of 1974 that informs individuals about the collection, maintenance, use, and dissemination of their personal information by federal agencies.
All federal agencies collecting personal information from individuals are required to provide a Privacy Act Statement.
To fill out a Privacy Act Statement, individuals should provide accurate personal information as requested and ensure they understand how their data will be used, maintained, and shared.
The purpose of a Privacy Act Statement is to inform individuals about their rights regarding their personal information and to ensure transparency regarding how their information will be handled by the agency.
A Privacy Act Statement must include the authority under which information is collected, the purpose for collecting the information, the nature of the information collected, and how the information may be used or disclosed.
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