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Privacy Act Statement

The collection of information on this form is authorized by 28 U.S.C. section 533 and 28 C.F.R. section 0.85. The information requested will be used to complete your check-in for this event. You do not have to provide the requested information. However, failure to do so may prevent the FBI from properly checking you in. The information collected on this form is protected by the Privacy Act of 1974, as amended, Title 5, United States Code section 552a, and is maintained in the FBI’s Bureau Mailing Lists system of records, DOJ/FBI-003, notice of which was published in the Federal Register at 70 Fed. Reg. 7513 (Feb. 14, 2005) and which may be viewed at 05-2777.pdf (govinfo.gov). The information collected may be disclosed in accordance with the routine uses referenced in this notice or as otherwise permitted by law.