The Privacy Act Statement.
This statement is required on all federal forms that collect information from individuals. The first panel below is a description of the four elements that it must contain and is from a document filed by the U.S. attorney in this case. The second panel below is a Privacy Act Statement that conforms with the law. The part about "routine uses" is emphasized because on some Patent Office forms, like PTO/SB/2048, the nine routine uses are not included, which is a violation of the law.