Release Number 5808-10

April 15, 2010

Federal Regulators Release Model Consumer Privacy Notice Online Form Builder

Eight federal regulators released an Online Form Builder today that financial institutions can download and use to develop and print customized versions of a model consumer privacy notice.

The Online Form Builder, based on the model form regulation published in the Federal Register on December 1, 2009, under the Gramm-Leach-Bliley Act, is available with several options. Easy-to-follow instructions for the form builder will guide an institution to select the version of the model form that fits its practices, such as whether the institution provides an opt-out for consumers.

To obtain a legal “safe harbor” and so satisfy the law’s disclosure requirements, institutions must follow the instructions in the model form regulation when using the Online Form Builder.

The model privacy form was developed jointly by the Board of Governors of the Federal Reserve System, Commodity Futures Trading Commission, Federal Deposit Insurance Corporation, Federal Trade Commission, National Credit Union Administration, Office of the Comptroller of the Currency, Office of Thrift Supervision, and Securities and Exchange Commission.

The Online Form Builder is available at: The agencies will post a link to this site on their websites.

Media Contacts:

Federal Reserve

Barbara Hagenbaugh

(202) 452-2955


Scott Schneider

(202) 418-5080


David Barr

(202) 898-6992


Claudia Bourne Farrell

(202) 326-2181


Cherie Umbel

(703) 518-6337


Dean DeBuck

(202) 874-5770


William Ruberry

(202) 906-6677


John J. Nester

(202) 551-4120

Media Contacts
Scott Schneider

R. David Gary

Last Updated: April 15, 2010