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Statement of Confidentiality for Staff

Nutrition Services Division Management Bulletin
Purpose: Policy

To: Commodity Supplemental Food Program Local Agencies

Number: USDA-CSFP-03-2012

Attention: Commodity Supplemental Food Program Administrator

Date: March 2012

Subject: Statement of Confidentiality for Staff and Volunteers in the Commodity Supplemental Food Program

Reference: Title 7, Code of Federal Regulations, Section 247.36

This Management Bulletin (MB) disseminates the confidentiality requirements for local agencies administering the Commodity Supplemental Food Program (CSFP).

Confidentiality of Applicants or Participants

Title 7, Code of Federal Regulations, Section 247.36 denotes that state and local agencies must restrict the use or disclosure of information obtained from CSFP applicants or participants to persons directly connected with the administration or enforcement of the program.

Under this regulation, state or local agencies may exchange participant information with other health or welfare programs to help prevent dual participation, determine eligibility, or, with the consent of the participant, for program outreach.

Certification Procedures for Staff and Volunteers

In order to comply with this regulation, authorized CSFP staff and volunteers at the local agency must agree to sign the Statement of Confidentiality form available at the CSFP Web page at Staff and volunteers will agree to comply with the policy and terms of the confidentiality statement.

Confidential and personal information generally includes the following:

  • Names, addresses, telephone numbers, e-mail addresses
  • Birth dates
  • Gender, disability status, marital status
  • Income and financial information
  • Employment status

The CSFP hard copy applications, as well as the online applications, denote this type of information. Therefore, all local agency staff and volunteers who process or have access to the CSFP applications must sign the Statement of Confidentiality form. Violations of the confidentiality statement may result in disciplinary actions to include immediate dismissal.

If you have any questions regarding this MB, please contact Irene Boubalos, CSFP Program Consultant, by phone at 916‑229-3343 or by e-mail at

Questions:   Nutrition Services Division | 800-952-5609
Last Reviewed: Thursday, March 30, 2017
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