General
This information is provided pursuant to the Privacy Act of 1974 (Public Law 94-579) of
December 31, 1974, as amended, to individuals supplying information for inclusion in a
system of records.
Authority -
Section 338A of the Public Health Service Act.;
Section 338B of the Public Health Service Act.;
Section 738 of the Public Health Service Act.;
Section 846 of the Public Health Service Act.;
Section 11703 of the Native Hawaiian Health Improvement Act.
Purpose and Uses
The purpose of the Bureau of Clinician Recruitment and Service (BCRS) is to assist
in the recruitment and retention of health professionals who are dedicated to providing
health care to underserved populations. The information you provide will be used to
evaluate your eligibility for participating in the BCRS programs. In addition, the BCRS
may obtain a credit bureau report for purposes of determining your eligibility. A participant’s
Contract, application and related data, documentation, and correspondences are maintained
in a system of records to be used within the Department of Health and Human Services
to monitor BCRS-related activities. The information may also be disclosed outside the
Department, as permitted by the Privacy Act and Freedom of Information Act, to the Congress,
the National Archives, the General Accounting Office, pursuant to court order and various routine
uses.
Effects of Nondisclosure
Disclosure of the information sought is voluntary; however, if not submitted, an application
will be considered incomplete and you will not be eligible for funding.
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