10-29-1984 Council Packet - Laserfiche WebLink

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URIC/ 982 URBAN HENNEP I N COUNTY UTILITIES CONNECTION GRANT PROGRAM INDIVIDUAL DATA CONFIDENTIALITY YOUR RIGHTS AS A SUBJECT OF DATA In accordance with the Minnesota Government Clata Practices Act, Hennepin County is required to inform you of vour rights as they pertain to the private inrormation collected from you. Private data is that inrormation wm cn is available to you, but not to the oublic. The personal information we collect about you is private. The information collected from you or rrom other agencies or individuals authorized by you is used to determine your eligioility ror a grant. You are not required to provide information relating to your marital status and race; nowever, this information is vital to determine to what extent our programs are used by minorities. All other information on the form is needed to determine your eligibility. If you will not supply the required information, Hennepin County will not be able to determine your eligibility for the grant. The dissemination and use of the private data collected is limited to that necessary for the administration and management or Utilities Cunnection grants. Persons or agencies with whom this information may be snared include: 1. Hennepin County personnel administering Utilities Connection grants. 2. Personnel of any City cooperating witn the County in administering Utilities Connection grants. 3. City council members: only that information needed to approve the application for grant funds and/or payments to contractors. 4. Federal, state, county, local and contracted orivate auditors. 5. Authorized personnel from the U.S. Department of Housing and Urban Deve- lopment. 6. The contract ror deed holder: only to that you are a grant recipient and the amount of the grant. 7. Law enforcement personnel in the cases or suspected fraud. 8. Those individuals or agencies to whom you give your express written permission. Unless otherwise authorized by statute or rederal law, other government agencies utilizing the reported private data must also treat the inrormation as private. You may wisn to exercise your rights as contained in the Minnesota Government Data Practices Act. These rights include the right to: 1. See and obtain copies or the data maintained on you, 2. be told the contents and meaning or the data and, 3. contest the accuracy and completeness of the data. To exercise these rights, contact: Ms. MarvAnne Hernandez C-2353 Government Center milneapolis, MN 55437 I nave read and understand the above inrormation re ardin m d9 9 Y r-rn LS as a subject or data. date Grant recipient