Privacy Act Statement

Privacy Act Statement
Subsection (e) (3) of 5 U.S.C. §522a (Section 3 of the Privacy Act) requires that TVA inform you of its
authority to request information and the uses which TVA may make of the information requested. That
subsection further requires TVA to inform you of the effects of not providing any or all of the requested
information.
TVA’s authority to request the information you will provide is derived from the TVA Act (16 U.S.C. §§831831ee), Executive Order No. 10450, the Atomic Energy Act of 1954, as amended, and a number of other
statutes and Presidential Executive orders.
Information provided on the form may be furnished to people, agencies, organizations, or institutions in
order to obtain information regarding you in connection with an investigation to determine (1) fitness for
TVA employment; (2) clearance to perform services for TVA under personal services, consultant, or other
contracts; or (3) security clearance or clearance for access to TVA installations. Furnishing the requested
information is voluntary; however, failure to provide all or part of the information may result in a lack of
further consideration for employment, clearance or access, or in the termination of your employment.
Information provided on this form is normally used only to determine fitness for employment or security
clearance or clearance for access to TVA installations. Information obtained on this form may be
furnished to third parties as authorized by law. For example, should a dispute arise or a congressional
inquiry be made regarding TVA employment practices, the information may be made available outside of
TVA in the course of that dispute or inquiry. Further, information on this form may be made available to
law enforcement agencies in the exercise of their duties, or to a prospective employer or TVA contractor
upon proper request.