Privacy Act Notification Sample Clauses

Privacy Act Notification. The CNA will be subject to the Privacy Act of 1974 (5 U.S.C. § 552a) and applicable Commission regulations, when conducting AbilityOne Program qualified NPA site visits and/or in the event the CNA has reason to inspect personally identifiable information maintained for AbilityOne Program purposes. Violation of the Act may involve the imposition of criminal penalties.

Privacy Act Notification. This information is provided pursuant to the Privacy Act of 1974 (Public Law 94-579), as amended, for individuals supplying information for inclusion in a system of records. The authority for the collection of this information is 42 U.S.C. §3797cc-21. The purpose of the ▇▇▇▇ ▇. ▇▇▇▇▇▇▇ Loan Repayment for Prosecutors and Public Defenders statute is to encourage qualified individuals to enter and continue employment as prosecutors and public defenders. This Agreement and related data are made part of the file to be used within the Department of Justice for record-keeping and management while participating in the ▇▇▇▇ ▇. ▇▇▇▇▇▇▇ Loan Repayment program. The information also may be disclosed outside the Department, as permitted by the Privacy Act and Freedom of Information Act, to the Congress, the Internal Revenue Service, and pursuant to court order. You are asked to provide your Social Security Number. Please note that if you do not provide this information, and you are selected to participate in the ▇▇▇▇ ▇. ▇▇▇▇▇▇▇ Loan Repayment program, your Social Security Number will be required later to enable the Department to verify your eligibility status. Failure to submit this information will render this Agreement incomplete and you will be considered ineligible to participate in the program.

Privacy Act Notification. Recipients agree that information collected by the NIH from a Recipient, as part of the DUC, may be made public in part or in whole for tracking and reporting purposes. This Privacy Act Notification is provided pursuant to Public Law 93-579, Privacy Act of 1974, 5 U.S.C. Section 552a. Authority for the collection of the information requested below from Recipients comes from the authorities regarding the establishment of the National Institutes of Health, its general authority to conduct and fund research and to provide training assistance, and its general authority to maintain records in connection with these and its other functions (42 U.S.C. 203, 241, 289l-1 and 44 U.S.C. 3101), and Sections 301 and 493 of the Public Health Service Act. These records will be maintained in accordance with the Privacy Act System of Record Notice 09-25-0156 (https://▇▇▇.▇▇.▇▇▇.▇▇▇/forms/Privacy%20Documents/Documents/Privacy%20Act%20Systems%20of%2 0Records%20Notices%20(SORNs)%205-1-15.pdf) covering “Records of Participants in Programs and Respondents in Surveys Used to Evaluate Programs of the Public Health Service, HHS/PHS/NIH/OD.” The primary uses of this information are to document, track, monitor, and evaluate the use of NIMH Data Archive datasets, as well as to notify interested Recipients of updates, corrections or other changes to the database. The Federal Privacy Act protects the confidentiality of some NIH records. The NIH will use the information collected for the purposes described above. In addition, the Act allows the release of some information in the Recipient’s records without the Recipient’s permission; for example, if it is requested by members of Congress or other authorized individuals. The information requested in this DUC is voluntary, but necessary for obtaining access to data in the NIMH Data Archive.

Privacy Act Notification. This information is provided pursuant to the Privacy Act of 1974 (Public Law No. 94-579), as amended, for individuals supplying information for inclusion in a system of records. The authority for the collection of this information is 34 U.S.C. §10671. The purpose of the ▇▇▇▇ ▇. ▇▇▇▇▇▇▇ Loan Repayment for Prosecutors and Public Defenders statute is to encourage qualified individuals to enter and continue employment as prosecutors and public defenders. This Agreement and related data are made part of the file to be used within the Department of Justice for record-keeping and management while participating in the ▇▇▇▇ ▇. ▇▇▇▇▇▇▇ Student Loan Repayment program. The information also may be disclosed outside the Department, as permitted by the Privacy Act and Freedom of Information Act, to the Congress, the Internal Revenue Service, and pursuant to court order. You are asked to provide your Social Security Number. Please note that if you do not provide the information, and you are selected to participate in the ▇▇▇▇ ▇. ▇▇▇▇▇▇▇ Student Loan Repayment program, your Social Security Number will be required later to enable the Department to verify your eligibility status. Failure to submit this information will render this Agreement incomplete and you be considered ineligible to participate in the program. I, , agree to the terms of this Service Agreement. The following form should be used only in cases where a current JRJ beneficiary has not yet fulfilled his/her initial 3-year service obligation, but remains eligible for JRJ benefits. Appendix D: JRJ Beneficiary Service Agreement (Acknowledgment of Benefit)‌ Note to JRJ State Administering Agencies: the following form should be used only in cases where a current JRJ beneficiary has not yet fulfilled his/her initial 3-year service obligation, but remains eligible for JRJ benefits. Upon fulfilling his/her initial 3-year service obligation, the JRJ beneficiary may exit the program or, if selected to receive additional JRJ benefits, should execute the JRJSLRP – Secondary Term of Service document (see Appendix D above). I, , hereby acknowledge the following: NAME

Privacy Act Notification. In order to access the NESARC-III, the Recipient agrees to provide the information requested below. The Recipient agrees that information collected from the Recipient, as part of the Data Access Request, may be made public in part or in whole for tracking and reporting purposes. This Privacy Act Notification is provided pursuant to Public Law 93-579, Privacy Act of 1974, 5 U.S.C. Section 552a. Authority for the collection of the information requested below from the recipient comes from the authorities regarding the establishment of the National Institutes of Health, its general authority to conduct and fund research and to provide training assistance, and its general authority to maintain records in connection with these and its other functions (42 U.S.C. 203, 241, 289l-1 and 44 U.S.C. 3101), and Section 301 and 493 of the Public Health Service Act. These records will be maintained in accordance with the Privacy Act System of Record Notice ▇▇-▇▇-▇▇▇ covering “Clinical Basic and Population-based Research Studies of the National Institutes of Health (NIH), HHS/NIH/OD”. Primary uses of this information are to document, track, and monitor and evaluate the use of the NIAAA NESARC-III datasets, as well as notify interested recipients of updates, corrections, or other changes to the database.

Privacy Act Notification. This information is provided pursuant to the Privacy Act of 1974 (Public Law 94-579), as amended, for individuals supplying information for inclusion in a system of records. The authority for the collection of this information is 42 U.S.C. §3797cc-21. The purpose of the ▇▇▇▇ ▇. ▇▇▇▇▇▇▇ Loan Repayment for Prosecutors and Public Defenders statute is to encourage qualified individuals to enter and continue employment as prosecutors and public defenders. This Agreement and related data are made part of the file to be used within the Department of Justice for record-keeping and management while participating in the ▇▇▇▇ ▇. ▇▇▇▇▇▇▇ Loan Repayment program. The information also may be disclosed outside the Department, as permitted by the Privacy Act and Freedom of Information Act, to the Congress, the Internal Revenue Service, and pursuant to court order. You are asked to provide your Social Security Number. Please note that if you do not provide this information, and you are selected to participate in the ▇▇▇▇ ▇. ▇▇▇▇▇▇▇ Loan Repayment program, your Social Security Number will be required later to enable the Department to verify your eligibility status. Failure to submit this information will render this Agreement incomplete and you will be considered ineligible to participate in the program. I, , agree to the terms of this Service Agreement. SIGNATURE (must be in ink) DATE NAME: Last four #’s of SSN: xxx-xx- In consideration of the student loan repayment incentive for which I may qualify under 42 U.S.C. §3797cc-21, such incentive having been offered above and beyond the incentive(s) from which I have already benefitted from in exchange for a term of service that I have fulfilled, I hereby agree as follows: 1. I will remain employed as a prosecutor or public defender for a period of service of not less than one year (12 months), unless involuntarily separated from my employment. In accordance with 42 U.S.C. §3797cc-21(b)(1 ), the term "prosecutor'' is understood to mean a full-time employee of a State or unit of local government who- (A) is continually licensed to practice law; and (B) prosecutes criminal or juvenile delinquency cases at the State or unit of local government level (including supervision, education, or training of other persons prosecuting such cases). In accordance with 42 U.S.C. §3797cc-21(b)(2), the term "public defender'' is understood to mean an attorney who- (A) is continually licensed to practice law; and (B) is- (i) a full-time employee of...

Privacy Act Notification. Thisinformation is providedpursuant to the Privacy Act of 1974 (Public Law No. 94-579), as amended, for individuals supplyinginformation forinclusion in a system of records. Theauthorityforthecollection of this information is 42 U.S.C. §3797cc-21. Thepurpose of the ▇▇▇▇ ▇. ▇▇▇▇▇▇▇ Loan Repayment for Prosecutors and Public Defenders statute is to encourage qualified individuals to enter and continue employment as prosecutors and public defenders. This Agreement and related data are made part of the file to be used within the Department of Justice for record- keeping and management while participating in the ▇▇▇▇ ▇. ▇▇▇▇▇▇▇ Student Loan Repayment program. The information also may be disclosed outside the Department, as permitted by the Privacy Act and Freedom of Information Act, to the Congress, the Internal Revenue Service, and pursuant to courtorder. You are asked to provide your Social Security Number. Pleasenotethat if you do not providetheinformation, and you are selected to participate in the ▇▇▇▇ ▇. ▇▇▇▇▇▇▇ Student Loan Repayment program, your Social Security Number will be required later to enable the Department to verify your eligibility status. Failure to submit this information will render this Agreement incomplete and you be considered ineligible to participate in the program. I, agree to the terms of the Service Agreement II. SIGNATURE DATE

Privacy Act Notification. This information is provided pursuant to the Privacy Act of 1974 (Public Law No. 94-579), as amended, for individuals supplying information for inclusion in a system of records. The authority for the collection of this information is 42 U.S.C. §3797cc-21. The purpose of the ▇▇▇▇ ▇. ▇▇▇▇▇▇▇ Loan Repayment for Prosecutors and Public Defenders statute is to encourage qualified individuals to enter and continue employment as prosecutors and public defenders. This Agreement and related data are made part of the file to be used within the Department of Justice for record- keeping and management while participating in the ▇▇▇▇ ▇. ▇▇▇▇▇▇▇ Loan Repayment program. The information also may be disclosed outside the Department, as permitted by the Privacy Act and Freedom of Information Act, South Carolina Freedom of Information Act, to the Congress, the Internal Revenue Service, and pursuant to court order. You are asked to provide your Social Security Number. Please note that if you do not provide the information, and you are selected to participate in the ▇▇▇▇ ▇. ▇▇▇▇▇▇▇ Loan Repayment program, your Social Security Number will be required later to enable the Department to verify your eligibility status. Failure to submit this information will render this Agreement incomplete and you be considered ineligible to participate in the program. I, agree to the terms of this Service Agreement I. Signature Date

Privacy Act Notification. The Contractor shall ensure that the following banner is dis- played on all DOS systems that contain Pri- vacy Act information operated by the Con- tractor prior to allowing anyone access to the system: This system contains information pro- tected under the provisions of the Privacy Act of 1974 (Pub. L. 93–579). Any privacy in- formation displayed on the screen or printed shall be protected from unauthorized disclo- sure. Employees who violate privacy safe- guards may be subject to disciplinary ac- tions, a fine of up to $5,000, or both.