FHFA Form 154 Tech Sprint Participation

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FEDERAL HOUSING FINANCE AGENCY
FHFA Form #154
01/2023

Office of Financial Technology
Tech Sprint Participation Form

Clear Form

Identifying Information
1. First Name:
2. Last Name:
3. Organization:
4. Email Address:
5. Are you interested in participating on a Tech Sprint team or learning more about opportunities to observe the Tech
Sprint?
Interested in Tech Sprint Team.

Interested in observing Tech Sprint.

6. Have you previously participated in a Tech Sprint or Hackathon?

Yes

No

7. Where are you located?
8. Which team role(s) are you interested in filling? Select all that apply.
Designer – You are the big ideas person
who can make unicorns and hit
moonshots. You know the right design to
make the moving parts fit together
seamlessly.

Domain Expert – You have in-depth
knowledge about products, services,
laws, and policies related to fintech.

Front End Developer – You make
buttons do stuff. You make screens
transition. You take the designs and
make them function, making sure the
user flow works correctly.

Communicator – You know how to sell
anything to anyone. You spin
descriptions to be irresistible
commodities.

Back End Developer – You work with
APIs, you know data well and are
prepared to manipulate it for good. You
glue stuff together to make it all work
seamlessly.

Team Leader – In addition to a team
role, you will be responsible for
managing your team’s timeline and
deliverables and will act as the point
person for the Tech Sprint organizers.

9. Are you registering as part of a team?
If yes, what is the name of your team?

Yes

No

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10. Relevant Experience: Please tell us about your background so we can carefully curate the teams.

11. Do you have any additional comments or questions?

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Release
I hereby grant and authorize the Federal Housing Finance Agency (FHFA) the right to take, edit, alter, copy, exhibit,
publish and make use of all pictures, audio, or videos taken of me by FHFA during the Tech Sprint, to be used in and/or for
legally promotional materials including, but not limited to, newsletters, fliers, posters, brochures, advertisements,
fundraising letters, annual reports, press kits and submissions to journalists, websites, social media sites, and other print and
digital communications, without payment or any other consideration. This authorization extends to all languages, media,
formats and markets now known or hereafter devised. This authorization shall continue indefinitely, unless I otherwise
revoke said authorization in writing. I understand and agree that these materials shall become the property of FHFA and
will not be returned.
I hereby hold harmless, and release FHFA all liability, petitions, and causes of action which I, my heirs, representatives,
executors, administrators, or any other persons may make while acting on my behalf or on behalf of my estate.
Applicable rules and procedures governing the Tech Sprint, including those relating to ownership rights over intellectual
property, will be shared with participants in advance of the event.
I warrant that I am of the age of consent (18 years or older) and that I am competent to contract in my own name. I have
read this release before signing below, and I fully understand the content, meaning and impact of this release.
Signature/Date:
Reminder: Apply your electronic signature above here. If you physically sign, please include date.

I accept these terms

I do not accept these terms

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Privacy Act Statement:
Authority: Pursuant to 12 U.S.C. § 4501 et seq., we are authorized to collect this information as may be necessary or
appropriate to assist the Director in fulfilling the duties and responsibilities in the supervision and regulation of the
regulated entities. Providing this information is voluntary.
Purpose: This information is being collected and maintained to facilitate an entity’s or an individual’s engagement with
the Office of Financial Technology (Fintech Office). FHFA’s Office of Financial Technology (Fintech Office) serves as a
strategic principal point-of contact and a centralized information clearing house to support FHFA in making informed
decisions, addressing emerging risks, and advancing mission priorities as they relate to housing finance fintech and
innovations. The Fintech Office incorporates the principle of “responsible innovation” into its activities, balancing the
value of new ideas, products, and operational approaches with the need for effective risk management and corporate
governance. Responsible innovation includes consideration and mitigation of possible adverse effects of innovation on
housing finance system stability, equitable access of consumers to affordable and sustainable mortgage credit, and the
competitive environment of the primary or secondary mortgage markets. The Fintech Office engages with market
participants, industry, non-profits, consumer groups, and academia to facilitate the sharing of best practices of housing
finance fintech and innovations. FHFA will in certain instances use the information collected to communicate and
engage with interested individuals or entities on activities or initiatives hosted by the Fintech Office and to ensure that
any individuals are eligible to work with FHFA or participate in Fintech Office activities.
Routine Uses: While the information requested is intended to be used primarily for internal purposes, in certain
circumstances it may be necessary to disclose this information externally, for example to disclose information to: a
federal agency or other external entity to the extent necessary to address a suspected or confirmed compromise of the
security, availability, or confidentiality of information; to contractors or other authorized persons as necessary to
perform their official duties for the Federal Government; to other agencies, courts, and persons as necessary and
relevant in the course of litigation, and as necessary and in accordance with requirements for law enforcement; or to a
person authorized to act on your behalf. A complete list of the routine uses can be found in the SORNs associated with
this collection of information, FHFA-5, Photographic, Video, Voice, and Similar Files (78 FR 66709) and FHFA-7, Mail,
Contacts, Telephone, and Other Lists (76 FR 33286).
Consequence of Failure to Provide Information: Providing this information is voluntary. The consequence of not
submitting your ideas, comments, requests, or questions is that your ideas, comments, requests, or questions will not
be considered by the FinTech Office.
Paperwork Reduction Act Statement: Notwithstanding any other provision of the law, no person is required to respond
to, nor shall any person be subject to a penalty for failure to comply with, a collection of information subject to the
requirements of the Paperwork Reduction Act, unless that collection of information displays a currently valid OMB Control
Number.

OMB No. XXXX-XXXX
Expires XX/XX/20XX