Privacy act form navy
What is a Privacy Act statement?
Privacy Act Statement. The Privacy Act of 1974, Title 5 U.S.C. § 552a, establishes a code of fair information practice that governs the collection, maintenance, use, and dissemination of personally identifiable information about individuals that is maintained in systems of records by federal agencies.
What is the Privacy Act cover sheet?
The Privacy Act Data Cover Sheet should be used when hand carrying PII to a recipient with an official need-to-know. It may also be used to cover documents containing PII when working at your desk.
What is the Privacy Act of 1974?
The Privacy Act of 1974, 5 U.S.C. § 552a, establishes a code of fair information practices that governs the collection, maintenance, use, and dissemination of information about individuals that is maintained in systems of records by federal agencies.
What is a Privacy Act warning?
Privacy Act Warning. This is a Department of Defense (DoD) computer system. Information contained in this system is subject to the Privacy Act of 1974 (5 U.S.C. 552a, as amended). Personal information contained in this system may be used only by authorized persons in the conduct of official business.
[PDF File]PRIVACY ACT STATEMENT - HEALTH CARE RECORDS
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PRIVACY ACT STATEMENT - HEALTH CARE RECORDS. This form is not an authorization or consent to use or disclose your health information. 1. AUTHORITY FOR COLLECTION OF INFORMATION INCLUDING SOCIAL SECURITY NUMBER (SSN): Information may be collected from you to provide and document your medical care; determine your eligibility for benefits
(THIS FORM IS SUBJECT TO THE PRIVACY ACT OF 1974 - …
privacy act of 1974 - use dd form 2005.) frame . eyewear prescription . date order number . to: (lab) from: name (last, first) grade address ng other n cg phs clinic patient ship to: sphere cylinder axis decenter h prism h base . r l . multivision near add seg ht total decenter . r l .
[PDF File]Privacy Act - United States Department of State
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of the Act or in accordance with our routine uses published in Title 22 of the Code of Federal Regulations. The information solicited on this form may be made available as a routine use to other government agencies for law enforcement and administrative purposes. PRIVACY ACT STATEMENT Signature of the Applicant City, Country
[PDF File]PRIVACY ACT RELEASE FORM - United States Marine Corps
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PRIVACY ACT RELEASE FORM . PRIVACY ACT STATEMENT Information contained on this form is maintained under the systems of records notice NM11101-1 DON Family and Bachelor Housing Program (April 1, 2008, 73 FR 17334). AUTHORITY: 10 U.S.C. 5013, Secretary of the Navy; 10 U.S.C. 5041, Headquarters, Marine
[PDF File]Privacy Act Data Cover Sheet - Navy CNIC E-Library
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privacy act statement. Public Law 104-134 (April 26, 1996) requires that any person doing business with the Federal Government furnish a Social Security Number or Tax Identification Number (TIN).
PRIVACY ACT STATEMENT Authority ... - United States Navy
PRIVACY SENSITIVE Page 1 of 1 PRIVACY ACT STATEMENT Authority: 10 U.S.C. 5013, Secretary of the Navy; and E.O. 9397 (SSN). Purpose: To provide necessary travel Electronic Funds Transfer (EFT) information to ensure administrative actions are taken to authorize direct
[PDF File]PERSONAL DATA – PRIVACY ACT OF 1974
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CIVILIAN HUMAN RESOURCES SYSTEM ACCESS REQUEST FORM PERSONAL DATA – PRIVACY ACT OF 1974 Civilian Human Resources System Access Request Form 10/2016 Section 3 HRLink HRLink ACCESS: (Please check all the following options that apply to this user)
[PDF File]Privacy Act Data Cover Sheet
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Email Address . Fax : JEB Little Creek -Fort Story, Virginia Beach . 757-462-8939 : LittleCreekHousing@navy.mil. 757-462-1244 : Naval Air Station Oceana, Virginia Beach
[DOC File]CLAIM FOR REIMBURSEMENT - United States Navy
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Title: CLAIM FOR REIMBURSEMENT Author: LMIT-ODIN Last modified by: Thomas Caldwell Created Date: 4/2/2007 10:33:00 PM Company: HUD Other titles: CLAIM FOR REIMBURSEMENT
[DOC File]PRIVACY ACT STATEMENT - United States Navy
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Title: PRIVACY ACT STATEMENT Author: ponce.clay Last modified by: ponce.clay Created Date: 2/28/2005 9:30:00 PM Company: NMCI Other titles: PRIVACY ACT STATEMENT
[DOC File]TRAVEL HISTORY FORM - United States Naval Academy
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for official use only: privacy sensitive Any misuse or unauthorized disclosure can result in both civil and criminal penalties Authority: 5 USC 5701, 37 USC 404-427, …
MEDICAL SCREENING FOR CIVILIAN ... - United States Navy
Mar 23, 2017 · It is imperative that this form is filled in as completely as possible. Individual is responsible for completion of items (1) through (3). Any questions left blank may be cause for denial for embarkation. All items should be self-explanatory. Average time of completion of …
[DOCX File]Microsoft Word - Reenlistment Request - CNIC
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reenlistment/extention request form. section. 1. member-----section. 2. ccc-----section. 3. routing. matrix (member to complete) name: l. f., mi, rate, warfare
[DOC File]GOV TRAVEL CARD APPLICATION PACKET
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Attached is the application (fill out Part 1 only), statement of understanding, online training certificate memo and card use info. The Bank of America application form must have the applicant’s name entered correctly, which is their first name, middle initial and then last name,
[DOC File]PRIVACY ACT STATEMENT: AUTHORITY 5 U
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LEGAL ASSISTANCE OFFICE (LAO) CLIENT INTAKE QUESTIONNAIRE PRIVACY ACT STATEMENT: AUTHORITY 5 U.S.C. 301 & 44 U.S.C. 3101 (Executive Order 9397) SSN PRINCIPAL PURPOSE (S): Information is to monitor the caseloads in the Legal Assistance Office. ROUTINE USE (S): Information provided is used to assign cases and monitor legal assistance attorneys ...
[DOC File]PRIVACY ACT STATEMENT - United States Navy
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Title: PRIVACY ACT STATEMENT Author: joseph.januchowski Last modified by: Sara Geer Created Date: 4/9/2008 4:04:00 PM Company: NMCI Other titles: PRIVACY ACT STATEMENT
[DOCX File]Naval Safety Center
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FOIA Request Form Revised January 15, 2020. Page 1. FOIA Request Form Revised January 15, 2020. FOIA Request Form Revised January 15, 2020. Page 1. Page 1
[DOCX File]Home - Navy Medicine
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e. Active Duty Service. Be serving on active duty as enlisted personnel in any rating of the U.S. Navy or Navy Reserve (including FTS). Reserves on ADSW or 1-, 2-, or 3-year recalls and CANRECs are not eligible for the program.
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