Attachment 3

PR_GQETCS_att3_Privacy Act Statement.docx

Generic Clearance for Questionnaire Pretesting Research

Attachment 3

OMB: 0607-0725

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Privacy Act Statement

Authority for the collection of information for the Group Quarters Electronic Transfer Test is provided under 13 U.S.C. §§141 and 193.

The purpose of collecting this information is to explore the availability of using administrative records and test the capability to receive these data electronically from group quarters administrators and/or each primary GQ contact under their jurisdiction. Personal information collected includes contact name, name of agency, agency address, telephone number, and email address.

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

Personal information submitted on this system is voluntary, however, failure to provide the information will affect the Census Bureau’s ability to conduct group quarters enumeration during the 2020 Decennial Census.


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorJennifer Hunter Childs
File Modified0000-00-00
File Created2021-01-28

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