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r_ ~ l, ! s PRIVACY ACT STATEMENT Authority for requesting information is contained in Title 28 Code of Federal Regulations, Section 0.137, United States Code. Purpose is to provide current information regarding personal identification, medical status, and identification of medical professionals/ facilities, providing services/care to facilitate agency acquisition of necessary data for employment, medical care and compensation claim determination. Routine use of this information may be made consistent with the published notice for the PBIs Central Records System in the Federal Register. The requested infonnation is voluntary; however, failure to provide such information may impede or preclude agency action regarding employment, medical or compensation issues. In accordance with Sec. 7 of the Privacy Act, you are advised that disclosure of your'Social Security Account Number is voluntary, it is being requested pursuant to Executive Order 9397, and will -be used to locate and process requested information and agency records consistent with the terms of this authorization. Failure to provide a Social Security Account Number will not be a basis for rejection of this anthorization or denial of any right, benefit, or c1aim.~Howe92/er, the lack of such information may impede or delay the acquisition of necessary information and/or agency action regarding employment, medical or compensation issues. 1 .- I I x 1 II