OMB). Lobbying Certification (29 CFR Part 93) Individual Non-Disclosure and Confidentiality Certification Form I understand that I will or may be exposed to certain confidential information, including but not limited to, personal identifying information of individuals who receive public assistance, employment and unemployment insurance records maintained by the Agency for Workforce Innovation, made available to my employer, for the limited purpose of performing its duty pursuant to a Contract for Services and Non-Disclosure and Confidentiality Certification Agreement. These confidential records may include name (or other personally identifiable information), social security numbers, wage and employment data and public assistance information which are protected under federal and state law. Such information is confidential and may not be disclosed to others. In order to perform my duties associated with the program requirements set forth under contract or Agreement, I am requesting an approved username, password, and additional instructions for accessing the State’s Management Information Systems, (hereinafter collectively referred to as Workforce Systems”). Prior “the to receiving such means of access, I acknowledge and agree to abide by the following standards for the receipt and handling of confidential information: I shall use access to the Workforce Systems only to secure information to conduct official program business under such contract/Agreement. I shall not disclose my username, password, or other information needed to access the Systems to any party nor shall I give any other individual access to information secured. If I should become aware that any other individual other than an – authorized employee may have obtained or has obtained access to my – username, password, or other information needed to access the Workforce Systems, I shall immediately notify the Regional Workforce Board Security Officer. I shall not share with anyone any other information regarding access to the Systems unless I am specifically authorized by the Agency. I shall not access or request access to any social security numbers, personal information, wage or employment data unless such access is necessary for the performance of my official duties. I not disclose any individual data to any parties who are not authorized to receive such data except in the form of reports containing only aggregate statistical information compiled in such a manner that it cannot be used to identify the individual(s) involved.
OMB). Lobbying Certification (29 CFR Part 93) Individual Non-Disclosure and Confidentiality Certification Form I understand that I will or may be exposed to certain confidential information, including but not limited to, personal identifying information of individuals who receive public assistance, employment and unemployment insurance records maintained by the Agency for Workforce Innovation, made available to my employer, for the limited purpose of performing its duty pursuant to a Contract for Services and Non-Disclosure and Confidentiality Certification Agreement. These confidential records may include name (or other personally identifiable information), social security numbers, wage and employment data and public assistance information which are protected under federal and state law. Such information is confidential and may not be disclosed to others. In order to perform my duties associated with the program requirements set forth under contract or Agreement, I am requesting an approved username, password, and additional instructions for accessing the State’s Management Information Systems, (hereinafter collectively referred to as “the Workforce Systems”). Prior to receiving such means of access, I acknowledge and agree to abide by the following standards for the receipt and handling of confidential information: I shall use access to the Workforce Systems only to secure information to conduct official program business under such contract/Agreement. I shall not disclose my username, password, or other information needed to access the Systems to any party nor shall I give any other individual access to information secured. If I should become aware that any other individual – other than an authorized employee – may have obtained or has obtained access to my username, password, or other information needed to access the Workforce Systems, I shall immediately notify the Regional Workforce Board Security Officer. I shall not share with anyone any other information regarding access to the Systems unless I am specifically authorized by the Agency. I shall not access or request access to any social security numbers, personal information, wage or employment data unless such access is necessary for the performance of my official duties. I not disclose any individual data to any parties who are not authorized to receive such data except in the form of reports containing only aggregate statistical information compiled in such a manner that it cannot be used to identify the individual(s) involved.
Required%20Federal%20and%20State%20Forms%201-10-17.docx