The Privacy Act of 1974 required each federal agency that maintains a system of information on individuals as to:
1. The authority, whether granted by statute, or by executive order of the President, which authorizes the solicitation of the information and whether disclosure of such information is mandatory or voluntary.
2. The Principle purposes(s) for which the information is intended to be used.
3. The routine use which may be made of the information, as published pursuant to paragraph (4) (d) of this subsection; and
4. The effect on him/her, if any, of not providing all or any part of the requested information.
The Bureau of Indian Affairs Higher Education Assistance Program operated under general authority of 24 USC chapters, 42 STAT.208PL 67-85 with specific legislation contained in 25USC, subchapter E, part 32, administration of educational loans, grants and other assistance for higher education. In accordance with the accountability for the administration of funds appropriated for the program and in order to provide service to recipients, and to declare eligibility, certain information is required of applicants. This form solicits the required information. Use of personal data will be available to authorized sources upon request. The applicant should understand eligibility of the applicant and to provide the means for producing certain statistical record required of this office. Failure on the part of the applicant to provide the requested information will preclude the applicant from eligibility in obtaining higher education assistance under this program.
I have read the Privacy Statement listed with the application form. I hereby provide the required information and authorize the use(s) of such information to the extent of the use(s) specified in the statement.