Authority: [Agency]
is authorized to collect this Personally Identifiable Information
(PII) by and through the following authority: 5 U.S.C. 301; 44 U.S.C.
3101; [other applicable agency authorities].
Purpose: The
PII requested is being collected solely to conduct feedback and
dialogue functions with submitters, as necessary.
Sharing
Your Information: The
information that you provide will be used by and disclosed to Federal
Government personnel and contractors for the above-mentioned purpose.
This includes using the information as necessary and authorized by
the routine uses published in [applicable agency System of
Records Notice (SORN)]. Do not provide personal information beyond
what is explicitly asked for in any of the provided data
fields.
Disclosure: The
disclosure of your PII is voluntary. However, a failure to provide
your email information will inhibit our ability to provide feedback
regarding the reported matter.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Huff, Tyrone |
| File Modified | 0000-00-00 |
| File Created | 2021-08-24 |