Privacy Act Statement

U.S. Department of Justice
Criminal Division
Office of Enforcement Operations
1301 New York Avenue, N.W.
Washington, D.C. 20005
Washington, D.C. 20530

PRIVACY ACT STATEMENT

The United States Department of Justice is authorized to solicit the information on this form pursuant to the
Gambling Devices Act of 1962, 15 U.S.C. §§ 1171–1178 (“the Act”). It is mandatory for persons subject to the Act
to disclose, in full, the information solicited on this form to the Department of Justice. Persons who fail to register,
in full or in part, when engaged in activities that require such registration can face fines of up to $5,000 and
imprisonment of up to two years.
The principal purpose for collecting this information is to control, track, validate, and maintain gambling device
registrations in compliance with the Act. In addition to disclosing this information to the appropriate officials and
employees within the Department of Justice for the purposes of controlling, tracking, validating and maintaining
gambling device registrations, routine uses which may be made of the information collected on this form include,
but are not limited to: any criminal, civil, or regulatory law enforcement authority (whether federal, state, local,
territorial, tribal, foreign, or international) where the information is relevant to the recipient entity’s law enforcement
responsibilities; to contractors, grantees, experts, consultants, students, and others performing or working on a
contract, service, grant, cooperative agreement, or other assignment for the Federal government, when necessary to
accomplish an agency function related to the corresponding system of records; and to such recipients and under such
circumstances and procedures as are mandated by federal statute or treaty.
The full list of routine uses can be found in the System of Records Notices titled JUSTICE/CRM-030, Gambling
Device Registration System, last published in full at 83 Fed. Reg. 42,940 (August 24, 2018); and JUSTICE/CRM001, Central Criminal Division Index File and Associated Records, last published in full and available for review
at 72 Fed. Reg. 44182 (Aug. 7, 2007), and amended at 82 Fed. Reg. 24155 (May 25, 2017).