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Geriatric Academic Career Award
Program Guidance: Discrimination Prohibited & Privacy Act Notification Statement
Discrimination Prohibited
Title VI of the Civil Rights Act of 1964, as amended, provides that no person in the United States shall, on the grounds, of race, sex, age, color, or national origin, be excluded in participating in, be denied the benefits of, or be subject to discrimination, under any program or activity receiving Federal financial assistance.
Section 504 of the Rehabilitation Act of 1973 as amended, provides that no otherwise qualified individual with a disability in the United States shall, solely by reason of this disability, be excluded from participating in, be denied the benefits of, or be subject to discrimination under any program or activity receiving Federal financial assistance.
Privacy Act Notification Statement
The Privacy Act of 1974 (5 U.S.C. 552a) requires that an agency provide the following notification to each individual whom it asks to supply information.
- The authority for collecting the requested information is found in Title VII, Part D, Section 753(c) of the Public Health Service Act (42 U.S.C.294c).
- The principal purposes of this information are as follows:
- to verify the identity of the applicant;
- to determine program eligibility and benefits;
- to permit servicing of the GACA agreement; and,
- in the event it is necessary, to locate missing participants for breach of contract.
- The disclosure of this information may be to the following:
- to educational institutions in which participants serve as faculty members;
- to health professions associations and organizations; and,
- to other Federal agencies, consumer reporting agencies, debt collection bureaus, and other private and public parties.
The purpose of such disclosures is to locate individuals in breach of contract and to aid in collection of debts owed due to breach of contract. Disclosure of records will consist of the individual's name, social security number and other information necessary to establish identity of the individual, the amount, status, history of the claim, and the agency or program under which the claim arose. The information may be furnished during the life of the contractual agreement under the GACA.
Section 3(c) of the Privacy Act (5 U.S.C.552a) requires that an agency keep an accounting of disclosures of individually identified information from a system of records to all third parties outside of the Department of Health and Human Services. Upon an individual's written request to the System Manager, an agency must make the accounting of such disclosures available to the subject individual.
The Right to Financial Privacy Act (RFPA), 12 U.S.C. 3401 et seq , regulates any financial institution that provides a federal agency with access to information contained in the financial records of a customer. Section 3402 of the RFPA prohibits government access to financial records unless one of the five procedures is used and the records are "reasonably described.” The procedure being used by GACA is described in section 3404(a) of the RFPA, which provides that the customer may authorize disclosure of his/her financial records if he/she signs a statement identifying the records and specifying the recipient of the disclosure. |
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More Information for Applicants
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Applications due June 18, 2007
Program guidance & application form SF 424 R&R (pdf, 800 KB)
Application form SF 424 R&R-GACA (pdf, 532 KB)
Applications submitted on paper (no on-line submissions) to:
Geriatric Academic Career Award
HRSA-07-GACA
Bureau of Health Professions
Health Resources and Services Administration
Room 9A-08
5600 Fishers Lane
Rockville, MD 20857
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