[Code of Federal Regulations]
[Title 12, Volume 6]
[Revised as of January 1, 2008]
From the U.S. Government Printing Office via GPO Access
[CITE: 12CFR716AppA]

[Page 582-583]

                       TITLE 12--BANKS AND BANKING

            CHAPTER VII--NATIONAL CREDIT UNION ADMINISTRATION

PART 716_PRIVACY OF CONSUMER FINANCIAL INFORMATION--Table of Contents

            Subpart D_Relation to Other Laws; Effective Date

                Appendix A to Part 716--SAMPLE CLAUSES

    Credit unions, including a group of affiliates that use a common
privacy notice, may use the following sample clauses, if the clause is
accurate for each institution that uses the notice.

     A-1--Categories of information you collect (all credit unions)

    You may use this clause, as applicable, to meet the requirement of
Sec. 716.6(a)(1) to describe the categories of nonpublic personal
information you collect.

                           Sample Clause A-1:

    We collect nonpublic personal information about you from the
following sources:
     Information we receive from you on applications
or other forms;
     Information about your transactions with us, our
affiliates, or others; and
     Information we receive from a consumer reporting
agency.

A-2--Categories of information you disclose (credit unions that disclose
                       outside of the exceptions)

    You may use one of these clauses, as applicable, to meet the
requirement of Sec. 716.6(a)(2) to describe the categories of nonpublic
personal information you disclose. These clauses may be used if you
disclose nonpublic personal information other than as permitted by the
exceptions in Sec. Sec. 716.13, 716.14, and 716.15.

                    Sample Clause A-2, Alternative 1:

    We may disclose the following kinds of nonpublic personal
information about you:
     Information we receive from you on applications
or other forms, such as [provide illustrative examples, such as ``your
name, address, social security number, assets, and income''];
     Information about your transactions with us, our
affiliates, or others, such as [provide illustrative examples, such as
``your account balance, payment history, parties to transactions, and
credit card usage'']; and
     Information we receive from a consumer reporting
agency, such as [provide illustrative examples, such as ``your
creditworthiness and credit history''].

                    Sample Clause A-2, Alternative 2:

    We may disclose all of the information that we collect, as described
[describe location in the notice, such as ``above'' or ``below''].

  A-3--Categories of information you disclose and parties to whom you
 disclose (credit unions that do not disclose outside of the exceptions)

    You may use this clause, as applicable, to meet the requirements of
Sec. 716.6(a)(2), (3) and (4) to describe the categories of nonpublic
personal information about members and former members that you disclose
and the categories of affiliates and nonaffiliated third parties to whom
you disclose. This clause may be used if you do not disclose nonpublic
personal information to any party, other than as permitted by the
exceptions in Sec. Sec. 716.14, and 716.15.

                           Sample Clause A-3:

    We do not disclose any nonpublic personal information about our
members and former members to anyone, except as permitted by law.

[[Page 583]]

  A-4--Categories of parties to whom you disclose (credit unions that
                   disclose outside of the exceptions)

    You may use this clause, as applicable, to meet the requirement of
Sec. 716.6(a)(3) to describe the categories of affiliates and
nonaffiliated third parties to whom you disclose nonpublic personal
information. This clause may be used if you disclose nonpublic personal
information other than as permitted by the exceptions in Sec. Sec.
716.13, 716.14, and 716.15, as well as when permitted by the exceptions
in Sec. Sec. 716.14, and 716.15.

                           Sample Clause A-4:

    We may disclose nonpublic personal information about you to the
following types of third parties:
     Financial service providers, such as [provide
illustrative examples, such as ``mortgage bankers, securities broker-
dealers, and insurance agents''];
     Non-financial companies, such as [provide
illustrative examples, such as ``retailers, direct marketers, airlines,
and publishers'']; and
     Others, such as [provide illustrative examples,
such as ``non-profit organizations''].
    We may also disclose nonpublic personal information about you to
nonaffiliated third parties as permitted by law.

             A-5--Service provider/joint marketing exception

    You may use one of these clauses, as applicable, to meet the
requirements of Sec. 716.6(a)(5) related to the exception for service
providers and joint marketers in Sec. 716.13. If you disclose nonpublic
personal information under this exception, you must describe the
categories of nonpublic personal information you disclose and the
categories of third parties with whom you have contracted.

                    Sample Clause A-5, Alternative 1:

    We may disclose the following information to companies that perform
marketing services on our behalf or to other financial institutions with
whom we have joint marketing agreements:
     Information we receive from you on applications
or other forms, such as [provide illustrative examples, such as ``your
name, address, social security number, assets, and income''];
     Information about your transactions with us, our
affiliates, or others, such as [provide illustrative examples, such as
``your account balance, payment history, parties to transactions, and
credit card usage'']; and
     Information we receive from a consumer reporting
agency, such as [provide illustrative examples, such as ``your
creditworthiness and credit history''].

                    Sample Clause A-5, Alternative 2:

    We may disclose all of the information we collect, as described
[describe location in the notice, such as ``above'' or ``below''] to
companies that perform marketing services on our behalf or to other
financial institutions with whom we have joint marketing agreements.

 A-6--Explanation of opt out right (credit unions that disclose outside
                           of the exceptions)

    You may use this clause, as applicable, to meet the requirement of
Sec. 716.6(a)(6) to provide an explanation of the consumer's right to
opt out of the disclosure of nonpublic personal information to
nonaffiliated third parties, including the method(s) by which the
consumer may exercise that right. This clause may be used if you
disclose nonpublic personal information other than as permitted by the
exceptions in Sec. Sec. 716.13, 716.14, and 716.15.

                           Sample Clause A-6:

    If you prefer that we not disclose nonpublic personal information
about you to nonaffiliated third parties, you may opt out of those
disclosures, that is, you may direct us not to make those disclosures
(other than disclosures permitted by law). If you wish to opt out of
disclosures to nonaffiliated third parties, you may [describe a
reasonable means of opting out, such as ``call the following toll-free
number: (insert number)].

          A-7--Confidentiality and security (all credit unions)

    You may use this clause, as applicable, to meet the requirement of
Sec. 716.6(a)(8) to describe your policies and practices with respect
to protecting the confidentiality and security of nonpublic personal
information.

                           Sample Clause A-7:

    We restrict access to nonpublic personal information about you to
[provide an appropriate description, such as ``those employees who need
to know that information to provide products or services to you'']. We
maintain physical, electronic, and procedural safeguards that comply
with federal regulations to guard your nonpublic personal information.