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Privacy Act Statement

Pursuant to 5 U.S.C. § 552a(e)(3), this Privacy Act Statement serves to inform you of why DHS is requesting the information on this form.

Authority:  5 U.S.C. 301; 44 U.S.C. 3101.

Purpose: DHS is requesting basic contact information in order to provide instructions and responses to questions asked and comments made through the use of the provided “Contact Us” link or “Information Sharing Community” link.

Routine Uses:  The information requested on this form may be shared externally as a “routine use” with other named contributors to this interagency website (DHS, DOJ, ED & HHS) to assist DHS in providing instructions for accessing the HSIN secure community through the use of the “Information Sharing Community” link; or responses to questions asked and comments made through the use of the provided “Contact Us” link. A complete list of the routine uses can be found in the system of records notice associated with this form, “DHS/ALL-002 DHS Mailing and Other Lists System.” The Department’s full list of system of records notices can be found on the Department's website at http://www.dhs.gov/system-records-notices-sorns.

Disclosure:  Providing basic contact information is strictly voluntary. However, failure to provide this information may result in a lack of instructions provided or response to questions asked and comments made through the use of the provided “Contact Us” and “Information Sharing Community” links. To ensure a submitter’s right to privacy, the inclusion of PII that does not constitute basic contact information is discouraged. 
 

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