Privacy Act Determination - signed

NCIPC Generic Information Request (ICR) PII and Privacy Act Determination
Title

Violence Prevention Technical Assistance Center: Participant Feedback Forms. OMB Control Number: 0920-1050

Involves PII? Yes

No

Privacy Act Applicable? Yes

No

signed by
Anusha R. Digitally
Anusha R. Patel -S
2023.06.26
Patel -S Date:
07:45:59 -04'00'
NCIPC Information Systems Security Steward (ISSO)

Version 1.0

1

11/1/2022