Privacy Act Statement Form PDF Details

In today’s digital age, safeguarding personal information has taken center stage, manifesting in various protective measures across organizational practices. Among these, the Privacy Act Statement form, especially the DD FORM 2923, represents a pivotal tool designed to enforce the confidentiality of personal data within documents. Instituted by the Privacy Act of 1974, this specific form serves a dual purpose: firstly, to caution handlers about the sensitive nature of the enclosed documents, emphasizing that such information is not to be disclosed, discussed, or shared with anyone lacking a direct, official need-to-know basis. Secondly, it aims to ensure that the delivery of documents is conducted with the utmost care, explicitly instructing against leaving sensitive documents with third parties and classifying them as “For Official Use Only.” The instructions outlined within the form strikingly highlight the legal implications of unauthorized disclosure, warning of potential civil and criminal penalties, thus underscoring the seriousness with which the Privacy Act regards personal data protection. Moreover, it guides individuals who mistakenly receive such documents on the steps to take, ensuring the information’s integrity remains intact. This holistic approach not only reinforces the significance of diligently handling personal information but also integrates a system of accountability and corrective measures in the event of unintended breaches.

QuestionAnswer
Form NamePrivacy Act Statement Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesprivacy act 1974 cover sheet, privacy act statement form, dd form 2923 privacy act statement pdf, army privacy act statement form

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Privacy Act Data

Cover Sheet

To be used on all documents containing personal information

DOCUMENTS ENCLOSED ARE SUBJECT

TO THE PRIVACY ACT OF 1974

Contents shall not be disclosed, discussed, or shared with individuals unless they have a direct need-to-know in the performance of their official duties. Deliver this/these document(s) directly to the intended recipient. DO NOT drop off with a third-party.

The enclosed document(s) may contain personal or privileged information and should be treated as “For Official Use Only.” Unauthorized disclosure of this information may result in CIVIL and CRIMINAL penalties. If you are not the intended recipient or believe that you have received this document(s) in error, do not copy, disseminate or otherwise use the information and contact

the owner/creator or your Privacy Act officer regarding the document(s).

Privacy Act Data Cover Sheet

DD FORM 2923, SEP 2010