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John Murtha — Part 14
Page 73
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Federal Register. The requested information is voluntary, however, failure to provide such
PRIVACY ACT STATEMENT
Authority for requesting information is contained in Title 28 Cade of Federal
Regulations, Section 0.137, United States Code. Purpose ig 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 FBI's Central Records System in the
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 authorization or denial of any right, benefit or claim. However, the lack of such
information may impede or delay the gcquisition of necessary information and/or agency action
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regarding employment, medica] or compensation issues.
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