City of Gallatin Connie Kittrell
132 West Main Street Gallatin, TN 37066-3244 (615) 451-5895 w ww.gallatintn.gov
Privacy Act Statement
Authority: The FBI’s acquisition, preservation, and exchange of fingerprints and associated information
is generally authorized under 28 U.S.C. 534. Depending on the nature of your application,
supplemental authorities include Federal statues, State statues pursuant to Pub. L. 92-544, Presidential
Executive Orders, and federal. Providing your fingerprints and associated information is voluntary;
however, failure to do so may affect completion or approval of your application.
Social Security Account Number (SSAN). Your SSAN is needed to keep records accurate because
other people may have the same name and birth date. Pursuant to Federal Privacy Act of 1974 (5 USC
552a), the requesting agency is responsible for information you provide whether disclosure is
mandatory or voluntary, by what statutory or other authority your SSAN is solicited, and what uses
will be made of it. Executive Order 9397 also asks Federal agencies to use this number to help identify
individuals in agency records.
Principal Purpose: Certain determinations, such as employment, licensing, and security clearances,
may be predicted on fingerprint-based background checks. Your fingerprints and associated
information/biometrics may be provided to the employing, investigating, or otherwise responsible
agency, and/or the FBI for the p8urpose of comparing your fingerprints to other fingerprints in the
FBI’s Next Generation Identification (NGI) system or its successor systems (including civil, criminal,
and latent fingerprint repositories) or other available records of the employing, investigating, or
otherwise responsible agency. The FBI may retain your fingerprints and associated
information/biometrics in NGI after the completion of the application and, while retained, your
fingerprints may continue to be compared against other fingerprints submitted to or retained by NGI.
Routine Uses: During the processing of the application and for as long thereafter as your fingerprints
and associated information/biometrics are retained in NGI, your information may be disclosed
pursuant to your consent and may be disclosed without your consent as permitted by the Privacy Act
of 1974 and all applicable Routine Uses for the NGI system and the FBI’s Blanket Routine Uses. Routine
uses include, but are not limited to, disclosures to: employing, governmental or authorized non-
governmental agencies responsible for employment, contracting licensing, security clearances, and
other suitability determinations; local, state, tribal, or federal law enforcement agencies; criminal justice
agencies; and agencies responsible for national security or public safety.
Additional Information: The requesting agency and/or the agency conducting the application-
investigation will provide you additional information pertinent to the specific circumstances of
consequences of not providing requested information. In addition, any such agency in the Federal
Executive Branch has also published notice in the Federal Register describing any system(s) of records
in which that agency may also maintain your records, including the authorities, purposes, and routine
uses for the system(s).