Drafted Privacy Act Statement for FEMA Form 127-0-1

PRIVACY ACT STATEMENT

AUTHORITY: 5 U.S.C. 301; The Federal Records Act, 44 U.S.C. 3101; The Homeland Security Act of 2002, Public Law 107-296, 6 U.S.C. 121; Public Law 89-508; Federal Claims Collection Act of 1966, 31. U.S.C. 3701; and Executive Order 9373. Solicitation of the Social Security Number (SSN) is authorized under the provisions of 31 U.S.C 7701.

PRINCIPAL PURPOSE(S): This information is to evaluate debtor’s ability to pay the government’s claim or judgement.

ROUTINE USE(S): In general, DHS/FEMA will only use this information as stated above. DHS/FEMA may share this information on a case-by-case basis as required by law or as necessary for a specific purpose, as described in the routine uses found in the Accounts Receivable System of Records Notice, DHS/ALL-008,  (October 17, 2008, 73 FR 61885). Pursuant to 31 U.S.C 3711, the Federal Emergency Management Agency (FEMA) is required to transfer delinquent debts over 180 days old to the Department of the Treasury (Treasury) for collection. When the debt is submitted for collection, the debtor’s name and SSN will be shared with Treasury with sources of payments that may be due the debtor. Treasury will reduce or withhold any of the debtor’s eligible Federal payments by the amount of the debt. Treasury may also refer the debt to the Department of Justice, a private debt collection agency, and/or report debtor information to a consumer credit reporting agency.

DISCLOSURE: The disclosure of information on this form is voluntary. If the requested information is not furnished, FEMA has the right to such disclosure of the information by legal methods.