It isn't difficult to be granted this permission. All an app needs to do is supply a reason defined in https://developer.apple.com/documentation/bundleresources/pr... as to why it's being used in the app's bundled PrivacyInfo.xcprivacy file, which could be disingenuous.
In addition, if you get caught lying about this, your app may be nuked and your developer account terminated. May not be a big hurdle, but definitely can hurt if you have many users.