Privacy Act Statement
The Federal Bureau of Investigation (FBI) is authorized to collect the requested information pursuant to one or more of the following authorities, among others: 5 U.S.C. §§ 2103 and 3301; 28 U.S.C. § 536; Executive Orders 12968, as amended, and 13571; 5 C.F.R. § 0.138 and Part 302. The principal purpose of the form is to collect information that may assist in FBI recruitment efforts. You do not have to provide the requested information; however, failure to provide all or part of the requested information may result in the FBI’s inability to process the form. The information collected on this form is protected by the Privacy Act of 1974, as amended (5 U.S.C. § 552a), and is maintained in one or more of the following systems of records: DOJ/FBI-002, The FBI Central Records System, 63 Fed. Reg. 8659 (Feb. 20, 1998), as amended; DOJ-003, Correspondence Management Systems (CMS) for the Department of Justice, 66 Fed. Reg. 29992 (June 4, 2001), as amended; and OPM/GOVT-5, Recruiting, Examining, and Placement Records, 79 Fed. Reg. 16834 (Mar. 26, 2014), as amended. The information collected may be disclosed in accordance with the routine uses contained in those notices, the FBI Blanket Routine Uses, 66 Fed. Reg. 33558 (June 22, 2001), as amended, or as otherwise permitted by law.
