The fbis acquisition, preservation, and exchange of fingerprints and associated information is generally authorized under 28 u. To restrict disclosure of personally identifiable records maintained by agencies. Dd form 2005, privacy act statement health care records. The privacy act of 1974, 5 usc 552a, provides protection to individuals by ensuring that personal information collected by federal agencies is limited to that which. A record from this system of records may be disclosed, as a routine use, in the course of. The fbis acquisition, preservation, and exchange of fingerprints and. Do not process, store, or transmit any personally identifiable information pii, unclassifiedfouo or classified information on this system. Total army personnel command, reserve component counterparts, and other agencies that have an input to training missions, the vehicle to manage individuals and training course seatsquotas through the training base of officers and skill level 2. A person designated to make scaadl decisions for the service member. The security accreditation level of this site is unclassified and below.
Usaid privacy act section e3 statement or notice template. Contents shall not be disclosed, discussed, or shared with individuals unless they. This statement serves to inform you of the purpose for collecting personal information required by tricare and health net federal services, llc hnfs and how it will be used. Regular active service member active guard active reserve air force army navy reserves national guard civilian marine corps coast guard h. Dd form 2923 download printable pdf or fill online privacy. Total army personnel command, reserve component counterparts, and other agencies that have an input to training missions, the vehicle to manage individuals and training course seatsquotas through the training base of officers and skill level 2 and above. Information about the privacy act statement and security. Navy website dod resource locator 45376 sponsored by the department of the navy chief information officer don cio. Collection of this information is authorized by 10 usc, sections 503 and 30. This statement serves to inform you of the purpose for collecting personal information required by health net federal services, llc hnfs, on behalf of the tricare program, and how it will be used. The information may be disclosed to the agency contractors, grantees, experts, consultants, or volunteers who have been engaged by the agency to assist in the performance of a service. Secnav don cio navy pentagon washington, dc 20350. Sep, 2010 secnav don cio navy pentagon washington, dc 20350. To provide detailed information necessary for army officials and commanders to discharge their responsibilities for maintaining discipline, law and order through investigation of complaints and incidents and possible criminal prosecution, civil court action, or regulatory order.
The blanket routine uses set forth at the beginning of the army s compilations of system of records. Other dod personnel, such as authorized alcohol and other drug screening, counseling, treatment, or other medical personnel who have a need to know. This could be a person designated by the service member, a courtappointed guardian, or a personal representative in accordance with dod 6025. This data is used to provide human resource management and succession planning for the army s senior military leaders. The information provided on is for general and educational purposes only and is not a substitute for professional advice.
The overview is not intended to provide policy guidance, as that role statutorily rests with the office of management and budget omb, 5 u. Guardians agreement to care for a soldiers children in his or her absence. All information is provided in good faith, however, we make no representation or warranty of any kind regarding its accuracy, validity, reliability, or completeness. To provide such data as is requested by the recruiter to contact, process, and enlist prospects fro army service. Employees who violate security regulations or make unauthorized use of dod interest. Date signature of the individual social security no.
The army maintains records during the conduct of army business. Army regulation 190, the army physical security program, authorizes the solicitation of personal information to check the records of the national crime information center. Records from this system of records may be disclosed to the national archives and records administration or to the general services administration for records management inspections conducted under 44 usc 2904 and 2906. This privacy act statement is located on the back of the fd258 fingerprint card. Ranktitle, first mi last name ranktitle, first mi last name signature date y m d da form 7433, apr 2009. Army records, regardless of media, aremaintained from creation through final disposition in a manner that protects the rights and interests of individuals and the federal.
All proceeds from the operation of this site are donated to veteran and other charities. The privacy act of 1974, 5 usc 552a, provides protection to individuals by ensuring that personal information collected by federal. Tournament dates month day, year b name of state park, marina, or concession i agree that the tournament may be held as scheduled at this location. Code, section 301 and executive order 9397 of 22 nov 43, information regarding personal identification including, but not limited to, name, address, telephone number, social security number, next of kin, etc. No agency shall disclose any record which is contained in a system of records by any means of communication to any person, or to another agency, except pursuant to a written request by, or with the prior written consent of, the individual to whom the record pertains, unless disclosure of the record would be. The army privacy program army publishing directorate. To provide commanders and law enforcement officials with means by which information may be accurately identified. Criteria, dod minimum antiterrorism standards for buildings. Articles army corps launches alternate care facility construction building health care facilities isnt a new task for usace, which has years of experience designing and building hospitals and clinics for the military health system. Issued by the epa chief information officer, pursuant to delegation 119, dated 772005 procedures for preparing. S pacific fleet inspector general hotline complaint form please answer all questions below, use block 9 for additional information or additional sheets if the blocks are not large. Depending on the nature of your application, supplemental authorities include federal statutes, state statutes pursuant to pub.
The american innovation and competitiveness act also requires that noaa to maintain a comprehensive system to evaluate the outcomes of its educational programs, not merely the number of activities and participants. The fipps help serve as a useful framework for the department to analyze how to handle pii, comply with its continuing responsibilities under the numerous legal obligations that apply, as well as adhere to its. Privacy act statement national oceanic and atmospheric. This must include measurable objectives, milestones and performance metrics to evaluate progress. Introduction to the privacy act defense privacy and civil liberties. Ssn and personal information in hisher leaders book with the understanding that this information will. Attach copy yes no duty position yymmdd please circle. Leaders guide to protecting personally identifiable information. See privacy act statement on reverse yymmdd required for asisqi producing courses military training request the proponent of this form is the directorate of plans, training, mobililization and security previous form is obsolete rankgrade profile. Tracking the provisions of the act itself, the overview provides reference to and legal analysis of court decisions interpreting the acts provisions. Providing information to the epa suspension and debarment program is voluntary. The access right cannot be delegated below the level of executive officer and is subject to the limitations on disciplinary and administrative action contained in other parts of this statement. Do not process, store, or transmit any personally identifiable information pii, unclassifiedfouo or classified information on.
Used by recruiter selection teams when interviewing recruiter applicants. Information collected will be used to expedite the selection process of recruiter applicants. Notwithstanding the above, using this is does not constitute consent to pm, le or ci investigative searching or monitoring of the content of privileged communications, or work product, related to personal representation or services by attorneys, psychotherapists, or clergy, and their assistants. Privacy act statement and advisories allow the individual to make an informed decision about providing their data. Collection of the information request by the recruiter and recorded on this form is authorized by title 10 u.
The pa statement process should accomplish one goal. To be used on all documents containing personal information. If monitoring of this or any other dod interest computer system reveals a possible violation of criminal statutes, this evidence and any other related information, including identification information about the user, may be provided to law enforcement officials. No agency shall disclose any record which is contained in a system of records by any means of communication to any person, or to another agency, except pursuant to a written request by, or with the prior written consent of, the individual to whom the record pertains, unless disclosure of. In the case of military personnel, the requested information is mandatory because of the need to. To grant individuals the right to seek amendment of agency records maintained on themselves upon a showing that the records are not accurate, relevant, timely or complete. Unauthorized attempts to upload information andor change information on this website are strictly prohibited and are subject to prosecution under the computer fraud and abuse act of 1986 and title 18 u.
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