Government Sponsor Sample Clauses

Government Sponsor. See Appendix A for a full description of responsibilities

Government Sponsor. By electronically initialing this application, I certify that this application is submitted with my consent Typed Initials: Date: PRIVACY NOTICE Data Sharing Agreements are project or contract-specific, not individual data user-specific. Only the names and professional contact information of the Applicant and Government Sponsor should be listed. The names and contact information for the listed individuals are maintained so information and notices can be sent to these individuals. It may be protected under the provisions of the Privacy Act of 1974 and only released as permitted by law. PRIVACY OFFICE SIGNATURE DSAA APPROVAL Xx. Xxxx XxXxxxxxx Data Sharing Compliance Manager Defense Health Agency Privacy and Civil Liberties Office 0000 Xxxxxxxxx Xxxxxxxxx, Xxxxx 0000 Falls Church, VA 22042-5101 Main: 000-000-0000 APPENDIX A‌‌ RESPONSIBILITIES DSAA APPLICANT / DSA RECIPIENT RESPONSIBILITIES: • Provide and maintain accurate and complete DSAA responses • Agree to and execute a DSA after the DSAA is approved by the Privacy Office • Ensure the project abides by the submitted protocol and the stipulations as stated in the DSA • Assume physical or contractual liability for preserving the data integrity • Fulfill Business Associate Agreement (BAA) requirements, if applicable • Submit a DSA modification request template to notify the Privacy Office of any data use, storage or disclosure changes • Follow DHA breach notification and response procedures (in the event of potential or actual loss, theft, or compromise of data) as outlined on the Privacy Office website • Notify the Privacy Office, no later than 30 days after the completion of the project or the DSA expiration (unless requesting renewal), by submitting a Certification of Data Disposition (CDD)