The information provided as part of the Grant Reviewer Interest Form will be used to select reviewers for grants. Completing this application is voluntary; applicants are not legally required to provide the MDA with the information requested, but only completed applications will be considered. While much of the information applicants provide is classified by Minnesota law as public, some of the information may be classified by law as private or nonpublic at the MDA. Data classified as private or nonpublic will be accessible only to MDA employees and contractors that have a work assignment that requires access to the data, and to other entities authorized by state or federal law to receive the data. The MDA may be obligated to provide the data to law enforcement, the Minnesota Department of Administration, Minnesota Management and Budget, the Office of the State Auditor, or the Office of the Legislative Auditor. Finally, private data about you may be released to third parties through your informed consent, or pursuant to a valid court order or federal subpoena.
Internal Revenue Service Code Section 6109 requires reviewers to provide their correct taxpayer identification number to payers who must file information returns with the IRS. The MDA will use the information provided on the applicant’s W-9 form in order to report payments received as part of the grant reviewer payment to the IRS. The IRS uses the numbers for identification purposes and to help verify the accuracy of the applicant’s tax return. For more information on how the information provided on a W-9 may be used, refer to the Privacy Act Notice on page 6 of the W-9 form.
