USDA’s National Agricultural Statistics Service

2023 CIPSEA Report to Office of Management and Budget
1 

2023 CIPSEA Report to OMB for USDA’s National Agricultural Statistics Service

General

The Confidential Information Protection and Statistical Efficiency Act (CIPSEA) provides strong 

confidentiality protections to Federal agencies conducting statistical information collections such 

as surveys and censuses, as well as other statistical activities including data analysis. CIPSEA 

was originally codified in Title V of the E-Government Act, Confidential Information Protection 

and Statistical Efficiency Act of 2002, but was replaced with the Confidential Information 

Protection and Statistical Efficiency Act of 2018, Title III of Pub. L. No. 115-435, codified in 44 

U.S.C. Ch. 35. 

This report contains the USDA National Agricultural Statistics Service’s (NASS) CIPSEA 

activities in 2023 and fulfills the Office of Management and Budget’s (OMB) annual report 

requirement documented in the Implementation Guidance for Title V of the E-Government Act, 

Confidential Information Protection and Statistical Efficiency Act of 2002 (CIPSEA) dated June 

15, 2007. OMB has not issued revised guidance for the 2018 version of CIPSEA; hence, this 

report was prepared following guidance from the 2002 version. 

Use of the CIPSEA Pledge

In 2023 NASS conducted surveys and censuses approved under 39 OMB Control Numbers. All

surveys and censuses conducted under these Information Collections were covered under 

CIPSEA. All questionnaires (paper and on-line) used for these Information Collections (ICs) 

included the following CIPSEA pledge: 

The information you provide will be used for statistical purposes only. Your response 

will be kept confidential and any person who willfully discloses ANY identifiable 

information about you or your operation is subject to a jail term, a fine, or both. This 

survey is conducted in accordance with the Confidential Information Protection and 

Statistical Efficiency Act of 2018, Title III of Pub. L. No. 115-435, codified in 44 

U.S.C. Ch. 35 and other applicable Federal laws. For more information on how we 

protect your information please visit: https://www.nass.usda.gov/confidentiality. 

For voluntary surveys the statement, “Response to this survey is voluntary.” followed this 

pledge. For mandatory surveys the statement, “Response to this survey is mandatory” or 

“Response to this survey is required by law” followed the pledge. 

Table 1 provides the list of Information Collections (ICs) NASS had active in 2023. NASS 

followed the confidentiality provisions in the Confidential Information Protection and Statistical 

Efficiency Act of 2018, Title III of Pub. L. No. 115-435, codified in 44 U.S.C. Ch. 35 for the 

data collected from all of these ICs. 

Table 1: NASS’s Information Collections Active in 2023 

OMB No. Information Collection Name

0535-0001 Cold Storage

0535-0002 Field Crops Production

0535-0003 Agricultural Prices
2

OMB No. Information Collection Name

0535-0004 Egg, Chicken, and Turkey Surveys

0535-0005 Livestock Slaughter

0535-0007 Stocks Reports

0535-0020 Milk and Milk Products

0535-0037 Vegetable Surveys

0535-0039 Fruit, Nuts, and Specialty Crops

0535-0088 Objective Yield Surveys

0535-0093 Commercial Floriculture Survey

0535-0109 Agricultural Labor

0535-0140 List Sampling Frame Surveys

0535-0150 Aquaculture Survey

0535-0153 Bee and Honey Survey

0535-0212 Mink Survey

0535-0213 Agricultural Surveys Program

0535-0218 Agricultural Resource Management Phase 1 & 2 and Chemical Use Surveys

0535-0220 Cotton Ginnings

0535-0226 Census of Agriculture

0535-0234 Irrigation and Water Management Survey

0535-0237 Census of Aquaculture

0535-0248 Generic Clearance of Survey Improvement Projects

0535-0249 Organic Survey

0535-0254 Current Agricultural Industrial Reports (CAIR)

0535-0256 Feral Swine Survey

0535-0258 Cost of Pollination Survey

0535-0261 Fast Track Generic Clearance for Qualitative Feedback on Customer Satisfaction 

Surveys

0535-0262 Water Use Survey 

0535-0264 Quick Response for Cooperator funded Surveys Generic Clearance

0535-0266 Custom Work Surveys

0535-0270 Hemp Production and Disposition Inquiry

0535-0271 National Agroforestry Survey

0535-0272 Conservation Practice Adoption Motivations Survey

0535-0273 Cooperator Funded Chemical Use Surveys

0535-0274 NASS Data Security Requirements for Accessing Confidential Data

0535-0275 Agricultural Resource Management Phase 3 Economic Surveys

0535-0276 2023 Hawaii Agricultural Disaster Survey

3145-0271 Standard Application Process Portal
3

Use of the CIPSEA Agents Provision

In accordance with CIPSEA, NASS granted agent status to 3,179 contractors and researchers in 

2023. All agents received CIPSEA training or signed the confidentiality certificate in either

Appendix A (form ADM-004), Appendix B (form ADM–043), or Appendix C (form NAS-004). 

The training and certificates affirm all agents were aware of, and agreed to abide by, CIPSEA 

provisions. All agents had access to CIPSEA-protected data collected under one or more of the 

Information Collections listed in Table 1. The categories of agents NASS granted in 2023, along 

with a count of each type, are listed in Table 2.

Table 2: NASS Agents Granted in 2023

Agent Description Approximate 

Agent Count

Enumerators

NASS cooperates with the National Association of State Departments of 

Agriculture (NASDA) to provide enumerators who collect data for NASS’s 

surveys. Annually, all enumerators must sign a confidentiality statement 

NAS-004: NASDA Certification of Confidentiality and Motor Vehicle 

Insurance (see Appendix C). NASS maintains a memorandum of 

understanding (MOU) with NASDA that explains CIPSEA confidentiality 

provisions. NASDA enumerators include both those who conduct 

interviews over the telephone and those who conduct face-to-face 

interviews.

2,333

State Employees

NASS maintains MOUs with State governments and Land Grant 

Universities. Some of these MOUs provide State-funded employees who 

work in NASS Field Offices. These employees perform similar activities 

to NASS employees, including accessing CIPSEA-protected data for

processing, review, editing, and analysis.

40

Census of 

Agriculture Data 

Entry & Edit 

Staff

NASS contracted with Midtown Group (a firm that provides temporary 

staff) to provide staff to key-enter and edit data received from the 2022

Census of Agriculture.

68

Contracted Data 

Entry Staff

NASS contracted with Midtown Group (a firm that provides temporary 

staff) to provide staff to key-enter data received from NASS surveys and 

process Objective Yield samples.

10

National 

Processing 

Center (NPC) 

Data Entry Staff

Annually, NASS contracts with the Census Bureau’s NPC to provide key 

entry staff for specific Census of Agriculture and survey programs. All key 

entry staff must sign a confidentiality statement ADM-004: Certification of 

Confidentiality.

275

U.S. Territory 

Cooperative 

Agreement Staff

NASS enters into Cooperative Agreements with organizations from 

American Samoa, Guam, Northern Mariana Islands, Puerto Rico, and 

Virgin Islands which provide enumerators who collect data (personal field 

interviews) for NASS’s Census of Agriculture Program. All enumerators 

must sign a confidentiality statement NAS-004: NASDA Certification of 

Confidentiality. NASS maintains a memorandum of understanding (MOU) 

with each Cooperator that explains CIPSEA confidentiality provisions.

100

Information 

Technology 

Contractors & 

Affiliates

NASS contracts with various information technology companies to provide 

system programming and maintenance services. NASS also contracts with 

other USDA offices to provide information technology services. Some of 

these contractors and USDA staff have access to CIPSEA-protected data. 

145
4

Agent Description Approximate 

Agent Count

NASS-Funded 1/

Researchers

NASS contracts with the National Institute of Statistical Sciences (NISS), 

universities, and other researchers to provide expertise on various statistical 

and geospatial methodologies. Each contract is formalized with a 

Statement of Work, an Intergovernmental Personnel Act, or a cooperative 

agreement. These researchers are provided access to data to conduct 

research on statistical analysis methodologies. Data access is provided at 

NASS facilities and/or on NASS’s computer network.

28

Researchers

(Non-NASS 

funded)

This category includes researchers from universities and governmental 

agencies (Federal and State) who request to access existing NASS survey 

data for research purposes. Before these researchers are granted agent 

status to conduct specialized statistical analyses on CIPSEA-protected data, 

they must provide NASS with information about the research team and the 

proposed project through the Standard Application Process (SAP) or other 

approved method. Specifically, the information provided to NASS to 

evaluate the request include:

• Researcher information 

o Full name, affiliation, title and contact information for each 

person who will have access to the data

o Citizenship status 

• Research Description

o Requested data

o Research question and project abstract

o Methodology and linkages

o Project products, output, and timeline

NASS reviews the application to determine if access is approved. If 

approved, data access may be provided at NASS facilities, at NASScontrolled centers, or by remote access through a secure Data Enclave 

following completion of security protocols.

180

Total 3,179

1/ Some university researchers may be at NASS on sabbatical and not actually funded by NASS. 

Data Sharing Activities Under Subtitle B

This section is not applicable to NASS since NASS is not covered under CIPSEA Subtitle B.
NATIONAL 

AGRICULTURAL 

STATISTICS 

SERVICE 

U.S. Department of Agriculture 

Rm 5041A, South Building 

1400 Independence Ave. S.W. 

Washington, D.C. 20250 

202-720-4333

CONFIDENTIALITY CERTIFICATION 

ADM-004 

USDA-NASS

Revised (12/20) 

The Associate Administrator, National Agricultural Statistics Service, through an Authorized 

Representative, has placed before me the following: 

a. PSM-CS-5, Policy on the Management of Personally Identifiable Information (Supersedes

PSM 17).

b. United States Department of Agriculture, Departmental Regulation 1042-42 (Agricultural

Statistics Board).

c. Title III of Pub. L. No. 115-435, codified in 44 U.S.C. Ch. 35, Section 3572 [Confidential

Information Protection and Statistical Efficiency Act (CIPSEA)], “Fines and Penalties.”

d. Title III of Pub. L. No. 115-435, codified in 44 U.S.C. Ch. 35 (CIPSEA), Section 3572,

“Limitations on Use and Disclosure of Data and Information.”

e. Title 18 United States Code, Section 1902, “Disclosure of crop information and speculation

thereon.”

f. Title 18 United States Code, Section 1905, “Disclosure of confidential information generally.”

g. Title 7 United States Code, Section 2276, “Confidentiality of information.”

h. Title 18 United States Code, Section 2072, “False crop reports.”

I certify that I have read the above mentioned materials this Day of , 20 , 

and will abide by them. 

Signature: 

(Please type or print in ink the following information) 

Name

Title, Agency or Organization:

Street Address:

City, State & Zip Code:

Witnessed by: Date: 

Representative of Associate Administrator, 

National Agricultural Statistics Service 

As an Officer, Employee, or Agent Acting for or on Behalf of the United States Department of 

Agriculture in work related to the preparation of Agricultural Estimates and Reports; I fully recognize 

my responsibility for safeguarding sensitive but unclassified, confidential as well as publicly available 

types of data, records, or information from unauthorized modification, destruction, or disclosure, 

whether accidental or intentional.

Appendix A
Title III of Pub. L. No. 115-435, codified in 44 U.S.C. Ch. 

35, Section 3572. Fines and Penalties. 

Title 18, U.S. Code, Section 1905 

Disclosure of confidential information generally 

ADM-004 

USDA-NASS

Revised (12/20) 

“Whoever, being an officer, employee, or agent of an agency 

acquiring information for exclusively statistical purposes, having 

taken and subscribed the oath of office, or having sworn to observe 

the limitations imposed by Section 3572 (see below), comes into 

possession of such information by reason of his or her being an 

officer, employee, or agent and, knowing that the disclosure of the 

specific information is prohibited under the provisions of this 

subchapter, willfully discloses the information in any manner to a 

person or agency not entitled to receive it, shall be guilty of a class 

E felony and imprisoned for not more than 5 years, or fined not 

more than $250,000, or both.” 

Title III of Pub. L. No. 115-435, codified in 44 U.S.C. Ch. 35, 

Section 3572. Limitations on Use and Disclosure of Data and 

Information. 

(a) Use of Statistical Data or Information.--Data or information 

acquired by an agency under a pledge of confidentiality and for 

exclusively statistical purposes shall be used by officers, 

employees, or agents of the agency exclusively for statistical 

purposes and protected in accordance with such pledge. 

(b) Disclosure of Statistical Data or Information.-- (1) Data or 

information acquired by an agency under a pledge of confidentiality 

for exclusively statistical purposes shall not be disclosed by an 

agency in identifiable form, for any use other than an exclusively 

statistical purpose, except with the informed consent of the 

respondent. (2) A disclosure pursuant to paragraph (1) is 

authorized only when the head of the agency approves such 

disclosure and the disclosure is not prohibited by any other law. (3) 

This section does not restrict or diminish any confidentiality 

protections in law that otherwise apply to data or information 

acquired by an agency under a pledge of confidentiality for 

exclusively statistical purposes. 

(c) Rule for Use of Data or Information for Nonstatistical 

Purposes.--A statistical agency or unit shall clearly distinguish any 

data or information it collects for nonstatistical purposes (as 

authorized by law) and provide notice to the public, before the data 

or information is collected, that the data or information could be 

used for nonstatistical purposes. 

(d) Designation of Agents.--A statistical agency or unit may 

designate agents, by contract or by entering into a special 

agreement containing the provisions required under section 

3561(2) for treatment as an agent under that section, who may 

perform exclusively statistical activities, subject to the limitations 

and penalties described in this title. 

Title 18, U.S. Code, Section 1902 

Disclosure of crop information and speculation thereon 

“Whoever, being an officer, employee or person acting for or on 

behalf of the United States or any department or agency thereof, 

and having by virtue of his office, employment or position, become 

possessed of information which might influence or affect the market 

value of any product of the soil grown within the United States, 

which information is by law or by the rules of such department or 

agency required to be withheld from publication until a fixed time, 

willfully imparts, directly or indirectly, such information, or any part 

thereof, to any person not entitled under the law or the rules of the 

department or agency to receive the same, or before such 

information is made public through regular official channels, directly 

or indirectly speculated in any such product by buying or selling the 

same in any quantity, shall be fined under this title or imprisoned 

not more than ten years, or both.” “No person shall be deemed 

guilty of a violation of any such rules, unless prior to such alleged 

violation he shall have had actual knowledge thereof.” 

Whoever, being an officer or employee of the United States or of 

any department or agency thereof, any person acting on behalf of 

the Office of Federal Housing Enterprise Oversight, or agent of the 

Department of Justice as defined in the Antitrust Civil Process Act 

(15 U.S.C. 1311–1314), or being an employee of a private sector 

organization who is or was assigned to an agency under chapter 37

of title 5, publishes, divulges, discloses, or makes known in any 

manner or to any extent not authorized by law any information 

coming to him in the course of his employment or official duties or 

by reason of any examination or investigation made by, or return, 

report or record made to or filed with, such department or agency or 

officer or employee thereof, which information concerns or relates 

to the trade secrets, processes, operations, style of work, or 

apparatus, or to the identity, confidential statistical data, amount or 

source of any income, profits, losses, or expenditures of any 

person, firm, partnership, corporation, or association; or permits any 

income return or copy thereof or any book containing any abstract 

or particulars thereof to be seen or examined by any person except 

as provided by law; shall be fined under this title, or imprisoned not 

more than one year, or both; and shall be removed from office or 

employment. 

Title 7, U.S. Code, Section 2276 

Confidentiality of information 

(a) In the case of information furnished under a provision of law 

. . . ., neither the Secretary of Agriculture, any other officer 

or employee of the Department of Agriculture or agency 

thereof, nor any other person may: 

(1) use such information for a purpose other than the 

development or reporting of aggregate data in a manner 

such that the identity of the person who supplied such 

information is not discernible and is not material to the 

intended use of such information; or 

(2) disclose such information to the public, unless such 

information has been transformed into a statistical or 

aggregate form that does not allow the identification of 

the person who supplied particular information. 

(b) (1) In carrying out a provision of law . . ., no department, 

agency, officer, or employee of the Federal Government, 

other than the Secretary of Agriculture, shall require a 

person to furnish a copy of statistical information 

provided to the Department of Agriculture. 

(2) A copy of such information: 

(A) shall be immune from mandatory disclosure of any 

type, including legal process; and 

(B) shall not, without the consent of such person be 

admitted as evidence or used for any purpose in any 

action, suit, or other judicial or administrative 

proceeding. 

(c) “Any person who shall publish, cause to be published, or 

otherwise publicly release information collected pursuant to 

a provision of law . . ., in any manner or for any purpose 

shall be fined not more than $10,000 or imprisoned for not 

more than 1 year, or both.” 

Title 18, U.S. Code, Section 2072 

False crop reports 

“Whoever, being an officer or employee of the United States or any 

of its agencies, whose duties require the compilation or report of 

statistics or information relating to the products of the soil, 

knowingly compiles for issuance, or issues, any false statistics or 

information as a report of the United States or any of its agencies, 

shall be fined under this title or imprisoned not more than five years, 

or both.” 
NATIONAL

AGRICULTURAL

STATISTICS

SERVICE

U.S. Department of Agriculture

1400 Independence Avenue, SW

Washington, DC 20250

Request No _________________

I, , understand and agree to the following conditions concerning the use of 

unpublished data provided by the National Agricultural Statistics Service in response to my request.

Approved data source/s year/s:

The specific conditions of the agreement are:

a. Any aggregates, summaries, or analysis that have not been published by the National Agricultural Statistics Service (NASS) cannot

be considered as official estimates.

b. All individual report data are confidential and may not be revealed, copied, or transmitted in any form. All summaries and analyses

must not reveal individual operations and must be cleared by authorized staff.

Access is authorized via (check one):

 Data Enclave

 Project Collaboration Only

 Other:________________

c. These data will be used for statistical and economic research purposes only.

d. Reproducing or sharing the data, whether in original or aggregated form, with persons other than those who are explicitly approved

on the data access project agreement and have completed necessary security protocols is strictly prohibited.

In addition to the above conditions, I have been provided Title III of Pub. L. No. 115-435, codified in 44 U.S.C. Ch. 35, Section 3572, Fines 

and Penalties, and Limitations on Use and Disclosure of Data and Information; 18 U. S. Code 1902, Disclosure of crop information and 

speculation thereon; 18 U. S. Code 1905, Disclosure of confidential information generally; 7 U. S. Code 2276, Confidentiality of information; 

and 18 U.S. Code 2072, False crop reports.

I certify that I have read the above-mentioned regulations this day of , 20 , and will abide by them.

Name (Type or Print)

Organization or Agency / Division / Branch

City and State Signature

Witnessed by:

 Representative of Chair, Agricultural Statistics Board,

 National Agricultural Statistics Service

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of 

information unless it displays a valid OMB control number. The valid OMB number is 0535-0274. The time required to complete this information collection

is estimated to average 20 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining 

the data needed, and completing and reviewing the collection of information.

ADM-043

USDA NASS 

OMB No. 0535-0274

Approval Expires:04/30/2026

CERTIFICATION AND RESTRICTIONS 

ON USE OF UNPUBLISHED DATA 

Appendix B
ADM-043

USDA NASS

Revised (12/20)

Title III of Pub. L. No. 115-435, codified in 44 U.S.C. Ch. 35, 

Section 3572. Fines and Penalties.

Whoever, being an officer, employee, or agent of an agency 

acquiring information for exclusively statistical purposes, having 

taken and subscribed the oath of office, or having sworn to observe 

the limitations imposed by Section 3572 (see below), comes into 

possession of such information by reason of his or her being an 

officer, employee, or agent and, knowing that the disclosure of the 

specific information is prohibited under the provisions of this title, 

willfully discloses the information in any manner to a person or 

agency not entitled to receive it, shall be guilty of a class E felony 

and imprisoned for not more than 5 years, or fined not more than 

$250,000, or both.

Title III of Pub. L. No. 115-435, codified in 44 U.S.C. Ch. 35, 

Section 3572. Limitations on Use and Disclosure of Data and 

Information.

(a) Use of Statistical Data or Information.--Data or information 

acquired by an agency under a pledge of confidentiality and for 

exclusively statistical purposes shall be used by officers, 

employees, or agents of the agency exclusively for statistical 

purposes. 

(b) Disclosure of Statistical Data or Information.-- (1) Data or 

information acquired by an agency under a pledge of confidentiality 

for exclusively statistical purposes shall not be disclosed by an 

agency in identifiable form, for any use other than an exclusively 

statistical purpose, except with the informed consent of the 

respondent. (2) A disclosure pursuant to paragraph (1) is 

authorized only when the head of the agency approves such 

disclosure and the disclosure is not prohibited by any other law. (3) 

This section does not restrict or diminish any confidentiality 

protections in law that otherwise apply to data or information 

acquired by an agency under a pledge of confidentiality for 

exclusively statistical purposes. 

(c) Rule for Use of Data or Information for Nonstatistical 

Purposes.--A statistical agency or unit shall clearly distinguish any 

data or information it collects for nonstatistical purposes (as 

authorized by law) and provide notice to the public, before the data 

or information is collected, that the data or information could be 

used for nonstatistical purposes. 

(d) Designation of Agents.--A statistical agency or unit may 

designate agents, by contract or by entering into a special 

agreement containing the provisions required under section 

3561(2) for treatment as an agent under that section, who may 

perform exclusively statistical activities, subject to the limitations 

and penalties described in this title. 

Title 18, U.S. Code, Section 1902

Disclosure of crop information and speculation thereon 

Whoever, being an officer, employee or person acting for or on 

behalf of the United States or any department or agency thereof, 

and having by virtue of his office, employment or position, become 

possessed of information which might influence or affect the market 

value of any product of the soil grown within the United States, 

which information is by law or by the rules of such department or 

agency required to be withheld from publication until a fixed time, 

willfully imparts, directly or indirectly, such information, or any part 

thereof, to any person not entitled under the law or the rules of the 

department or agency to receive the same, or before such 

information is made public through regular official channels, directly 

or indirectly speculated in any such product by buying or selling the 

same in any quantity, shall be fined... or imprisoned..., or both. 

<See Fines and Penalties> No person shall be deemed guilty of a 

violation of any such rules, unless prior to such alleged violation he 

shall have had actual knowledge thereof.

Title 18, U.S. Code, Section 1905

Disclosure of confidential information generally 

Whoever, being an officer or employee of the United States or of 

any department or agency thereof, publishes, divulges, discloses, 

or makes known in any manner or to any extent not authorized by 

law any information coming to him in the course of his employment 

or official duties or by reason of any examination or investigation 

made by, or return, report or record made to or filed with, such 

department or agency or officer or employee thereof, which 

information concerns or relates to the trade secrets, processes, 

operations, style of work, or apparatus, or to the identity, 

confidential statistical data, amount or source of any income, 

profits, losses, or expenditures of any person, firm, partnership, 

corporation, or association; or permits any income return or copy 

thereof or any book containing any abstract or particulars thereof to 

be seen or examined by any person except as provided by law; 

shall be fined . . ., or imprisoned . . ., or both and shall be removed 

from office or employment. <See Fines and Penalties>

Title 7, U.S. Code, Section 2276

Confidentiality of information

(a) In the case of information furnished under a provision of law 

. . . ., neither the Secretary of Agriculture, any other officer 

or employee of the Department of Agriculture or agency 

thereof, nor any other person may:

(1) use such information for a purpose other than the 

development or reporting of aggregate data in a manner 

such that the identity of the person who supplied such 

information is not discernible and is not material to the 

intended use of such information; or

(2) disclose such information to the public, unless such 

information has been transformed into a statistical or 

aggregate form that does not allow the identification of 

the person who supplied particular information.

(b) (1) In carrying out a provision of law . . ., no department, 

agency, officer, or employee of the Federal Government, 

other than the Secretary of Agriculture, shall require a 

person to furnish a copy of statistical information 

provided to the Department of Agriculture.

(2) A copy of such information:

(A) shall be immune from mandatory disclosure of any 

type, including legal process; and

(B) shall not, without the consent of such person be 

admitted as evidence or used for any purpose in any 

action, suit, or other judicial or administrative 

proceeding.

(c) Any person who shall publish, cause to be published, or 

otherwise publicly release information collected pursuant to 

a provision of law . . ., in any manner or for any purpose

prohibited in section (a), shall be fined . . . or imprisoned . . ., 

or both. <See Fines and Penalties>

Title 18, U.S. Code, Section 2072

False crop reports

Whoever, being an officer or employee of the United States or any 

of its agencies, whose duties require the compilation or report of 

statistics or information relating to the products of the soil, 

knowingly compiles for issuance, or issues, any false statistics or 

information as a report of the United States or any of its agencies, 

shall be fined under this title or imprisoned not more than five 

years, or both.
NAS-004 

(Rev. 12/20)

Witnessed by: Date: 

Representative of National Association of State Departments of 

Agriculture or the National Agricultural Statistics Service

NASDA CERTIFICATION OF 

CONFIDENTIALITY AND MOTOR VEHICLE INSURANCE

As an Officer, Employee, or Person Acting for or on Behalf of the United States Department of 

Agriculture in activities related to data collection and preparation of Reports, I fully recognize my 

responsibility for: 

a. Safeguarding Confidential as well as Nonconfidential types of data, records, or information from

unauthorized disclosure, destruction, or modification, whether accidental or intentional.

b. Maintaining the minimum motor vehicle insurance coverage required in my State, while driving

an automobile in relation to NASDA business.

The authorized representative of National Association of State Department of Agriculture and National 

Agricultural Statistics Service has placed before me the following: 

a. NASS Security Expectations Brochure.

b. Title 18, United States Code, Paragraph 1905, "Disclosure of confidential Information Generally."

c. Title III of Pub. L. No. 115-435, codified in 44 U.S.C. Ch. 35 [Confidential Information Protection and

Statistical Efficiency Act (CIPSEA)], Section 3572, "Limitations on Use and Disclosure of Data and

Information."

d. Title III of Pub. L. No. 115-435, codified in 44 U.S.C. Ch. 35 (CIPSEA), Section 3572, "Fines and

Penalties."

e. NASDA motor Vehicle Insurance Regulation. (Required of all NASDA employees being reimbursed

for mileage in connection with NASDA business.)

I certify that I have read the above mentioned material this day of , 20 , and 

will abide by them. 

Title: Signature: 

(Please type or print in ink the following information)

Name: 

Street Address: 

City, State, & Zip Code: 

Appendix C
NAS-004 

 (Rev. 12/20)

UNITED STATES CODE 

Title 18, Section 1905, Disclosure of Confidential 

information generally. 

Whoever, being an officer or employee of the United 

States or of any department or agency thereof, 

publishes, divulges, discloses, or makes known in any 

manner or to any extent not authorized by law any 

information coming to him in the course of his 

employment or official duties or by reason of any 

examination or investigation made by, or return, report 

or record made to or filed with, such department or 

agency or officer or employee thereof, which 

information concerns or relates to the trade secrets, 

processes, operations, style of work, or apparatus, or to 

the identity, confidential statistical data, amount or 

source of any income, profit, losses, or expenditures of 

any person, firm, partnership, corporation, or 

association; or permits any income return or copy 

thereof or any book containing any abstract or 

particulars thereof to be seen or examined by any 

person except as provided by law; shall be fined under 

this title, or imprisoned not more than one year, or 

both; and shall be removed from office or employment. 

Title III of Pub. L. No. 115-435, codified in 44 

U.S.C. Ch. 35 [Confidential Information Protection 

and Statistical Efficiency Act (CIPSEA)] 

Section 3572, Limitations on Use and Disclosure of 

Data and Information. 

(a) Use of Statistical Data or Information. – Data or 

information acquired by an agency under a pledge of 

confidentiality and for exclusively statistical purposes 

shall be used by officers, employees, or agents of the 

agency exclusively for statistical purposes. 

(b) Disclosure of Statistical Data or Information. – 

(1) Data or information acquired by an agency under 

a pledge of confidentiality for exclusively statistical 

purposes shall not be disclosed by an agency in 

identifiable form, for any use other than an 

exclusively statistical purpose, except with the 

informed consent of the respondent. 

(2) A disclosure pursuant to paragraph (1) is 

authorized only when the head of the agency 

approves such disclosure and the disclosure is not 

prohibited by any other law. 

(3) This section does not restrict or diminish any 

confidentiality protections in law that otherwise 

apply to data or information acquired by an agency 

under a pledge of confidentiality for exclusively 

statistical purposes. 

(c) Rule for Use of Data or Information for 

Nonstatistical Purposes. – A statistical agency or unit 

shall clearly distinguish any data or information it 

collects for nonstatistical purposes (as authorized by 

law) and provide notice to the public, before the data or 

information is collected, that the data or information 

could be used for nonstatistical purposes. 

(d) Designation of Agents. – A statistical agency or 

unit may designate agents, by contract or by entering 

into a special agreement containing the provisions 

required under section 502(2) for treatment as an agent 

under that section, who may perform exclusively 

statistical activities, subject to the limitations and 

penalties described in this title. 

Section 3572, Fines and Penalties. 

Whoever, being an officer, employee, or agent of an 

agency acquiring information for exclusively statistical 

purposes, having taken and subscribed the oath of 

office, or having sworn to observe the limitations 

imposed by Section 3752 (above), comes into 

possession of such information by reason of his or her 

being an officer, employee, or agent and, knowing that 

the disclosure of the specific information is prohibited 

under the provisions of this title, willfully discloses the 

information in any manner to a person or agency not 

entitled to receive it, shall be guilty of a class E felony 

and imprisoned for not more than 5 years, or fined not 

more than $250,000, or both. 

NASDA MOTOR VEHICLE INSURANCE 

REGULATION 

As an employee of NASDA, you are not covered under 

the Federal Tort Claims Act. You must have motor 

vehicle liability insurance which meets the minimum 

requirement for your State. You should contact your 

insurance company to determine if additional coverage 

is needed. Survey work qualifies as a non-farm 

business. Insurance companies generally require a 

higher rate for cars and trucks used in a non-farm 

business in comparison with vehicles used solely for 

farm work. NASDA does have comprehensive 

liability insurance covering their liability in excess of 

insurance carried by Enumerators. Should you fail to 

inform you insurance company that you are engaged in 

a non-farm business with you motor vehicle, you could 

face possible cancellation of the policy if you are 

involved in an accident.