iAccommodate Intranet Application (replacing the 504 SharePoint Tracker)

Privacy Act Statement

Collection and Use of Personal Information

Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. § 794) allows us to collect this

information. We will use the information you provide to process your request for reasonable

accommodation.

You do not have to give us the information. Your responses are voluntary. However, failing to

provide us with the requested information could prevent us from providing you with the

accommodation you have requested.

We rarely use the information you give us for any purpose other than for processing your request

for accommodation. However, we may disclose information in accordance with the Privacy Act.

For example, we may disclose the information within the agency on a need to know basis,

pursuant to a court order, and to other agencies (e.g., Bureau of the Census and the Government

Accountability Office) for research, audit, or investigative activities necessary to ensure the

integrity and improvement of our programs. We may also disclose information pursuant to

routine uses, as provided by the Privacy Act, such as the following:

1. To the Department of Justice for investigating and prosecuting violations of the Social

Security Act, representing the Commissioner, or investigating issues of fraud by agency

officers or employees;

2. To contractors and other Federal agencies to assist us in running our programs; and,

3. To a congressional office assisting the subject of a record.

A complete list of routine uses for this information is available in our systems of records, which

are available on our Internet website at www.socialsecurity.gov or at your local Social Security

office.

Paperwork Reduction Act Statement –This information collection meets the requirements of 44 U.S.C. § 3507, as amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget (OMB) control number. The OMB control number for this collection is 0960-0777. We estimate that it will take about 10 minutes to and answer the questions. Send only comments relating to our time estimate above to: SSA, 6401 Security Blvd, Baltimore, MD 21235-0001.

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