Census Privacy Act Statement - ETF Form 1 05162024

Census Privacy Act Statement - ETF Form_1_05162024.docx

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Census Privacy Act Statement - ETF Form 1 05162024

OMB: 0690-0038

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Privacy Act and Burden Statement

Solicitation of your personal information is authorized by Title 5 U.S.C., Part III, Chapter 33, Subchapter 1, Section 3327; Title 5 U.S.C., Part III, Chapter 33, Subchapter 1, Section 3330; and Executive Orders 9397, as amended, and 10566.


The purpose of collecting this information is primarily to determine your qualifications for employment and may also be used to identify you to other sources asked to comment on your qualifications, e.g. educational institutions, former employers, and enforcement agencies, or to a court during legal proceedings. Personal information collected includes your name, email address, mailing address, telephone number, citizenship status, and resume.


Disclosure of the information provided to us may be shared with other Census Bureau staff for the work-related purposes identified in this statement as permitted under the Privacy Act of 1974 (5 U.S.C. Section 552a). Disclosure of this information is also subject to the published routine uses as identified in the Privacy Act System of Record Notice OPM/GOVT-5, Recruiting, Examining, and Placement Records.


Furnishing this information is voluntary, but failure to provide any part or all of the data requested will result in you receiving no further consideration for employment.


Public reporting burden for this collection of information is estimated to average 5 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: FLD.Decennial.Oversight@census.gov; use "Paperwork Reduction Project 0690-0038" as the subject.


The eight-digit OMB number at the top of this form confirms our authority to collect this information.



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorLuke Keller (CENSUS/DIR FED)
File Modified0000-00-00
File Created2024-07-20

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