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diff --git a/extensions/MozProjectReview/template/en/default/bug/create/comment-moz-project-review-data-safety.txt.tmpl b/extensions/MozProjectReview/template/en/default/bug/create/comment-moz-project-review-data-safety.txt.tmpl
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+++ b/extensions/MozProjectReview/template/en/default/bug/create/comment-moz-project-review-data-safety.txt.tmpl
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+[%# This Source Code Form is subject to the terms of the Mozilla Public
+ # License, v. 2.0. If a copy of the MPL was not distributed with this
+ # file, You can obtain one at http://mozilla.org/MPL/2.0/.
+ #
+ # This Source Code Form is "Incompatible With Secondary Licenses", as
+ # defined by the Mozilla Public License, v. 2.0.
+ #%]
+
+[% USE Bugzilla %]
+[% cgi = Bugzilla.cgi %]
+
+[% PROCESS "bug/create/comment-moz-project-review.txt.tmpl" %]
+
+Data Safety Questions:
+
+User Data: [% cgi.param('data_safety_user_data') %]
+How many involved?: [% cgi.param('data_safety_user_count') %]
+How many users do you anticipate to be involved?: [% cgi.param('data_safety_user_count_anticipated') %]
+Type of Data:
+[%+ cgi.param('data_safety_data_type') %]
+Data Reason:
+[%+ cgi.param('data_safety_data_reason') %]
+Community Benefit:
+[%+ cgi.param('data_safety_community_benefit') %]
+Data Collection:
+[%+ cgi.param('data_safety_community_collection') %]
+Data Retention: [% cgi.param('data_safety_retention') %]
+Data Retention Length: [% cgi.param('data_safety_retention_length') %]
+Separate Party: [% cgi.param('data_safety_separate_party') %]
+Separate Party Data Type:
+[%+ cgi.param('data_safety_separate_party_data') %]
+Separate Party Data Communication:
+[%+ cgi.param('data_safety_separate_party_data_communication') %]
+Who are the separate parties?:
+[%+ cgi.param('data_safety_separate_party_who') %]
+Community Visibility and Input: [% cgi.param('data_safety_community_visibility') %]
+Communication Channels:
+[%+ cgi.param('data_safety_communication_channels') %]
+Public Communication Plan:
+[%+ cgi.param('data_safety_communication_plan') %]