Privacy Act of 1974; System of Records, 57610-57612 [E8-23292]
Download as PDF
57610
Federal Register / Vol. 73, No. 193 / Friday, October 3, 2008 / Notices
whether information about themselves
is contained in this system should
address written inquiries to The Chief of
Chaplains, 2511 Jefferson Davis
Highway, Suite 12500, Arlington, VA
22202–3907 or the Chaplain at the Army
installation where counseling or
interview occurred.
Individual should provide their full
name, present address and telephone
number, and signature.’’
specifically be disclosed outside the
DoD as a routine use pursuant to 5
U.S.C. 552a(b)(3) as follows:
The ‘Blanket Routine Uses’ set forth at
the beginning of the Army’s compilation
of systems of records notices also apply
to this system.
POLICIES AND PRACTICES FOR STORING,
RETRIEVING, ACCESSING, RETAINING, AND
DISPOSING OF RECORDS IN THE SYSTEM:
Delete entry and replace with
‘‘Individuals seeking access to
information about themselves contained
in this system should address written
inquiries to The Chief of Chaplains,
2511 Jefferson Davis Highway, Suite
12500, Arlington, VA 22202–3907 or the
Chaplain at the Army installation where
counseling or interview occurred.
Individual should provide their full
name, present address and telephone
number, and signature.’’
*
*
*
*
*
A0165–1b DACH
Department of the Army, DoD.
Notice to Amend a System of
Records.
ACTION:
SAFEGUARDS:
Information is stored in locked
cabinets or desks, and is accessible only
to the chaplain maintaining the record.
RETENTION AND DISPOSAL:
Retained for 2 years after the
individual case is closed; then
destroyed by shredding.
NOTIFICATION PROCEDURE:
Army installations. Official mailing
addresses are published as an appendix
to the Army’s compilation of systems of
records notices.
Individuals seeking to determine
whether information about themselves
is contained in this system should
address written inquiries to The Chief of
Chaplains, 2511 Jefferson Davis
Highway, Suite 12500, Arlington, VA
22202–3907 or the Chaplain at the Army
installation where counseling or
interview occurred.
Individual should provide their full
name, present address and telephone
number, and signature.
Memoranda and/or documents
resulting from counseling or interview
sessions between a chaplain and an
individual.
AUTHORITY FOR MAINTENANCE OF THE SYSTEM:
5 U.S.C. 3013, Secretary of the Army;
5 U.S.C. 301, Departmental Regulations;
Army Regulation 165–1, Chaplain
Activities in the United States Army
and E.O. 9397 (SSN).
PURPOSE(S):
mstockstill on PROD1PC66 with NOTICES
To document privileged counseling/
interview sessions between Army
chaplains and individuals.
ROUTINE USES OF RECORDS MAINTAINED IN THE
SYSTEM, INCLUDING CATEGORIES OF USERS AND
THE PURPOSES OF SUCH USES:
In addition to those disclosures
generally permitted under 5 U.S.C.
552a(b) of the Privacy Act, these records
or information contained therein may
VerDate Aug<31>2005
23:33 Oct 02, 2008
Jkt 217001
Department of the Army
AGENCY:
By individual’s surname.
SYSTEM LOCATION:
CATEGORIES OF RECORDS IN THE SYSTEM:
DEPARTMENT OF DEFENSE
RETRIEVABILITY:
The Chief of Chaplains, 2511 Jefferson
Davis Highway, Suite 12500, Arlington,
VA 22202–3907.
Army members, their dependents and
other individuals who have received
pastoral counseling from Army
chaplains.
BILLING CODE 5001–06–P
Privacy Act of 1974; System of
Records
Chaplain Privileged Counseling/
Interview Communication Cases
CATEGORIES OF INDIVIDUALS COVERED BY THE
SYSTEM:
[FR Doc. E8–23291 Filed 10–2–08; 8:45 am]
Paper records in locked file cabinets
and electronic storage media.
SYSTEM MANAGER(S) AND ADDRESS:
SYSTEM NAME:
None.
[Docket ID: USA–2208–0070]
STORAGE:
RECORD ACCESS PROCEDURES:
EXEMPTIONS CLAIMED FOR THE SYSTEM:
RECORD ACCESS PROCEDURES:
Individuals seeking access to
information about themselves contained
in this system should address written
inquiries to The Chief of Chaplains,
2511 Jefferson Davis Highway, Suite
12500, Arlington, VA 22202–3907 or the
Chaplain at the Army installation where
counseling or interview occurred.
Individual should provide their full
name, present address and telephone
number, and signature.
SUMMARY: The Department of the Army
is proposing to amend a system of
records in its existing inventory of
records systems subject to the Privacy
Act of 1974 (5 U.S.C. 552a), as amended.
DATES: The proposed action will be
effective on November 3, 2008 unless
comments are received that would
result in a contrary determination.
ADDRESSES: Department of the Army,
Privacy Office, U.S. Army Records
Management and Declassification
Agency, 7701 Telegraph Road, Casey
Building, Suite 144, Alexandria, VA
22325–3905.
FOR FURTHER INFORMATION CONTACT: Ms.
Vicki Short at (703) 428–6508.
SUPPLEMENTARY INFORMATION: The
Department of the Army systems of
records notices subject to the Privacy
Act of 1974 (5 U.S.C. 552a), as amended,
have been published in the Federal
Register and are available from the
address above.
The specific changes to the record
system being amended are set forth
below followed by the notice, as
amended, published in its entirety. The
proposed amendment is not within the
purview of subsection (r) of the Privacy
Act of 1974 (5 U.S.C. 552a), as amended,
which requires the submission of a new
or altered system report.
Dated: September 25, 2008.
Patricia L. Toppings,
OSD Federal Register Liaison Officer,
Department of Defense.
DHA 03
CONTESTING RECORD PROCEDURES:
The Army’s rules for accessing
records, and for contesting contents and
appealing initial agency determinations
are contained in Army Regulation 340–
21; 32 CFR part 505; or may be obtained
from the system manager.
RECORD SOURCE CATEGORIES:
PO 00000
From the individual.
Frm 00023
Fmt 4703
Sfmt 4703
SYSTEM NAME:
Pentagon Employee Referral Service
(PERS) Counseling Records (February
22, 1993, 58 FR 10227).
CHANGES:
Change system ID to ‘‘A0040–66c
DASG’’.
*
*
*
*
*
E:\FR\FM\03OCN1.SGM
03OCN1
Federal Register / Vol. 73, No. 193 / Friday, October 3, 2008 / Notices
SYSTEM LOCATION:
Delete entry and replace with
‘‘Pentagon Employee Referral Service,
DiLorenzo TRICARE Health Clinic,
Room 224, 5803 Army Pentagon,
Washington, DC 20310–5803.’’
*
*
*
*
*
AUTHORITY FOR MAINTENANCE OF THE SYSTEM:
Delete entry and replace with ‘‘10
U.S.C. 3013, Secretary of the Army; 5
U.S.C. Part 792, Federal Employees’
Health and Counseling Programs; E.O.
12564, 1986 Drug-Free Workplace;
Army Regulation 40–66, Medical Record
Administration and Health Care
Documentation; and E.O. 9397 (SSN).’’
*
*
*
*
*
Add two NOTES under Routine uses
of records maintained in the system,
including categories of users and the
purposes of such uses:
‘‘Note: Records of identity, diagnosis,
prognosis, or treatment of any client/patient,
irrespective of whether or when he/she
ceases to be a client/patient, maintained in
connection with the performance of any
alcohol or drug abuse prevention and
treatment function conducted, regulated, or
directly or indirectly assisted by any
department or agency of the United States,
shall, except as provided therein, be
confidential and be disclosed only for the
purposes and under the circumstances
expressly authorized in 42 U.S.C. 290dd–2.
This statute takes precedence over the
Privacy Act of 1974 in regard to accessibility
of such records except to the individual to
whom the record pertains. The DoD ’Blanket
Routine Uses’ do not apply to these types of
records.
Note: This system of records contains
individually identifiable health information.
The DoD Health Information Privacy
Regulation (DoD 6025.18–R) issued pursuant
to the Health Insurance Portability and
Accountability Act of 1996, applies to most
such health information. DoD 6025.18–R may
place additional procedural requirements on
the uses and disclosures of such information
beyond those found in the Privacy Act of
1974 or mentioned in this system of records
notice.
*
*
*
*
*
STORAGE:
Delete entry and replace with ‘‘Paper
records in filing cabinets and electronic
storage media.’’
mstockstill on PROD1PC66 with NOTICES
RETRIEVABILITY:
Delete entry and replace with
‘‘Patient’s last name, Social Security
Number (SSN) and Client Case
Number.’’
Delete entry and replace with ‘‘Paper
records are maintained in file cabinets
that are locked when the office is not
23:33 Oct 02, 2008
Jkt 217001
RETENTION AND DISPOSAL:
Delete entry and replace with ‘‘Paper
records are destroyed five years after
termination of counseling. Destruction
is by shredding, pulping, macerating, or
burning.
Electronic records are purged of
identifying data seven years after
termination of counseling.
Aggregate data without personal
identifiers is maintained for
management/statistical purposes until
no longer required.’’
SYSTEM MANAGER(S) AND ADDRESS:
Delete entry and replace with
‘‘Director, Pentagon Employee Referral
Service, DiLorenzo TRICARE Health
Clinic, Rm. 230, 5803 Army Pentagon,
Washington, DC 20310–5803.’’
NOTIFICATION PROCEDURE:
Delete entry and replace with
‘‘Individuals seeking to determine
whether information about themselves
is contained in this system should
address written inquiries to the Director,
Pentagon Employee Referral Service,
DiLorenzo TRICARE HEALTH Clinic,
5803 Army Pentagon, Washington, DC
20310–5803.
The request should contain the full
name, address, Social Security Number
(SSN) and the signature of the subject
individual.’’
RECORD ACCESS PROCEDURES:
Delete entry and replace with
‘‘Individuals seeking access to
information about themselves contained
in this system should address written
inquiries to the Director, Pentagon
Employee Referral Service, DiLorenzo
TRICARE Health Clinic, Rm. 230, 5803
Army Pentagon, Washington, DC
20310–5803.
The request should contain the full
name, address, Social Security Number
(SSN) and the notarized signature of the
subject individual.’’
32 CFR part 505; or may be obtained
from the system manager.’’
*
*
*
*
*
A0040–66c DASG
SYSTEM NAME:
Pentagon Employee Referral Service
(PERS) Counseling Records.
SYSTEM LOCATION:
Pentagon Employee Referral Service,
DiLorenzo TRICARE Health Clinic,
Room 224, 5803 Army Pentagon,
Washington, DC 20310–5803.
CATEGORIES OF INDIVIDUALS COVERED BY THE
SYSTEM:
All civilian DoD employees assigned
to duty in the Pentagon and environ
who are referred by management for, or
voluntarily request, counseling
assistance.
CATEGORIES OF RECORDS IN THE SYSTEM:
Records on patients which are
generated in the course of professional
counseling. Records of information on
condition, current status, progress and
prognosis for patients who have
personal, emotional, alcohol or drug
dependency problems, including
admitted or urinalysis-detected illegal
drug abuse.
AUTHORITY FOR MAINTENANCE OF THE SYSTEM:
10 U.S.C. 3013, Secretary of the Army;
5 U.S.C. Part 792, Federal Employees’
Health and Counseling Programs; E.O.
12564, 1986 Drug-Free Workplace;
Army Regulation 40–66, Medical Record
Administration and Health Care
Documentation; and E.O. 9397 (SSN).
PURPOSE(S):
To record counselor’s observations
concerning patient’s condition, current
status, progress prognosis and other
relevant treatment information
regarding patients in an employee
assistance treatment facility.
ROUTINE USES OF RECORDS MAINTAINED IN THE
SYSTEM, INCLUDING CATEGORIES OF USERS AND
THE PURPOSES OF SUCH USES:
In addition to those disclosures
generally permitted under 5 U.S.C.
552a(b) of the Privacy Act, these records
or information contained therein may
specifically be disclosed outside the
DoD as a routine use pursuant to 5
U.S.C. 552a(b)(3) as follows:
CONTESTING RECORD PROCEDURES:
SAFEGUARDS:
VerDate Aug<31>2005
occupied by authorized personnel. The
automated database files are on a
password-protected, stand alone
computer. All patient records are
maintained and used with the highest
regard for patient privacy. Only persons
on a need-to-know basis and trained in
the handling of information protected
by the Privacy Act have access to the
system.’’
57611
RECORDS IN THIS SYSTEM MAY NOT BE
DISCLOSED WITHOUT THE PRIOR WRITTEN
CONSENT OF SUCH PATIENT, UNLESS THE
DISCLOSURE WOULD BE:
Delete entry and replace with ‘‘The
Army’s rules for accessing records, and
for contesting contents and appealing
initial agency determinations are
contained in Army Regulation 340–21;
To medical personnel to the extent
necessary to meet a bona fide medical
emergency;
To qualified personnel for the
purpose of conducting scientific
PO 00000
Frm 00024
Fmt 4703
Sfmt 4703
E:\FR\FM\03OCN1.SGM
03OCN1
57612
Federal Register / Vol. 73, No. 193 / Friday, October 3, 2008 / Notices
research, management audits, financial
audits, or program evaluation, but such
personnel may not identify, directly or
indirectly, any individual patient in any
report of such research, audit, or
evaluation, or otherwise disclose patient
identities in any manner; and
If authorized by an appropriate order
of a court of competent jurisdiction
granted after application showing good
cause therefore.
Note: Records of identity, diagnosis,
prognosis, or treatment of any client/patient,
irrespective of whether or when he/she
ceases to be a client/patient, maintained in
connection with the performance of any
alcohol or drug abuse prevention and
treatment function conducted, regulated, or
directly or indirectly assisted by any
department or agency of the United States,
shall, except as provided therein, be
confidential and be disclosed only for the
purposes and under the circumstances
expressly authorized in 42 U.S.C. 290dd–2.
This statute takes precedence over the
Privacy Act of 1974 in regard to accessibility
of such records except to the individual to
whom the record pertains. The DoD ‘Blanket
Routine Uses’ do not apply to these types of
records.
Note: This system of records contains
individually identifiable health information.
The DoD Health Information Privacy
Regulation (DoD 6025.18–R) issued pursuant
to the Health Insurance Portability and
Accountability Act of 1996, applies to most
such health information. DoD 6025.18–R may
place additional procedural requirements on
the uses and disclosures of such information
beyond those found in the Privacy Act of
1974 or mentioned in this system of records
notice.
POLICIES AND PRACTICES FOR STORING,
RETRIEVING, ACCESSING, RETAINING, AND
DISPOSING OF RECORDS IN THE SYSTEM:
Paper records in filing cabinets and
electronic storage media.
RETRIEVABILITY:
Patient’s last name, Social Security
Number (SSN) and Client Case Number.
mstockstill on PROD1PC66 with NOTICES
SAFEGUARDS:
Paper records are maintained in file
cabinets that are locked when the office
is not occupied by authorized
personnel. The automated database files
are on a password-protected, stand
alone computer. All patient records are
maintained and used with the highest
regard for patient privacy. Only persons
on a need-to-know basis and trained in
the handling of information protected
by the Privacy Act have access to the
system.
RETENTION AND DISPOSAL:
Paper records are destroyed five years
after termination of counseling.
23:33 Oct 02, 2008
Jkt 217001
SYSTEM MANAGER(S) AND ADDRESS:
Director, Pentagon Employee Referral
Service, DiLorenzo TRICARE Health
Clinic, Rm. 230, 5803 Army Pentagon,
Washington, DC 20310–5803.
NOTIFICATION PROCEDURE:
Individuals seeking to determine
whether information about themselves
is contained in this system should
address written inquiries to the Director,
Pentagon Employee Referral Service,
DiLorenzo TRICARE HEALTH Clinic,
5803 Army Pentagon, Washington, DC
20310–5803.
The request should contain the full
name, address, Social Security Number
(SSN) and the signature of the subject
individual.
RECORD ACCESS PROCEDURES:
Individuals seeking access to
information about themselves contained
in this system should address written
inquiries to the Director, Pentagon
Employee Referral Service, DiLorenzo
TRICARE Health Clinic, Rm. 230, 5803
Army Pentagon, Washington, DC
20310–5803.
The request should contain the full
name, address, Social Security Number
(SSN) and the notarized signature of the
subject individual.
CONTESTING RECORD PROCEDURES:
STORAGE:
VerDate Aug<31>2005
Destruction is by shredding, pulping,
macerating, or burning.
Electronic records are purged of
identifying data seven years after
termination of counseling.
Aggregate data without personal
identifiers is maintained for
management/statistical purposes until
no longer required.
The Army’s rules for accessing
records, and for contesting contents and
appealing initial agency determinations
are contained in Army Regulation 340–
21; 32 CFR part 505; or may be obtained
from the system manager.
RECORD SOURCE CATEGORIES:
Patient, counselors, supervisors, coworkers or other agency or contractoremployee personnel; private individuals
to include family members of patient
and outside practitioners.
EXEMPTIONS CLAIMED FOR THE SYSTEM:
None.
[FR Doc. E8–23292 Filed 10–2–08; 8:45 am]
BILLING CODE 5001–06–P
DEPARTMENT OF EDUCATION
Notice of Proposed Information
Collection Requests
AGENCY:
PO 00000
Department of Education.
Frm 00025
Fmt 4703
Sfmt 4703
SUMMARY: The IC Clearance Official,
Regulatory Information Management
Services, Office of Management, invites
comments on the proposed information
collection requests as required by the
Paperwork Reduction Act of 1995.
DATES: Interested persons are invited to
submit comments on or before
December 2, 2008.
SUPPLEMENTARY INFORMATION: Section
3506 of the Paperwork Reduction Act of
1995 (44 U.S.C. Chapter 35) requires
that the Office of Management and
Budget (OMB) provide interested
Federal agencies and the public an early
opportunity to comment on information
collection requests. OMB may amend or
waive the requirement for public
consultation to the extent that public
participation in the approval process
would defeat the purpose of the
information collection, violate State or
Federal law, or substantially interfere
with any agency’s ability to perform its
statutory obligations. The IC Clearance
Official, Regulatory Information
Management Services, Office of
Management, publishes that notice
containing proposed information
collection requests prior to submission
of these requests to OMB. Each
proposed information collection,
grouped by office, contains the
following: (1) Type of review requested,
e.g. new, revision, extension, existing or
reinstatement; (2) Title; (3) Summary of
the collection; (4) Description of the
need for, and proposed use of, the
information; (5) Respondents and
frequency of collection; and (6)
Reporting and/or Recordkeeping
burden. OMB invites public comment.
The Department of Education is
especially interested in public comment
addressing the following issues: (1) Is
this collection necessary to the proper
functions of the Department; (2) will
this information be processed and used
in a timely manner; (3) is the estimate
of burden accurate; (4) how might the
Department enhance the quality, utility,
and clarity of the information to be
collected; and (5) how might the
Department minimize the burden of this
collection on the respondents, including
through the use of information
technology.
Dated: September 30, 2008.
Angela C. Arrington,
IC Clearance Official, Regulatory Information
Management Services, Office of Management.
Federal Student Aid
Type of Review: New.
Title: Request for Title IV
Reimbursement or Heightened Cash
Monitoring 2 (HCM2).
Frequency: Monthly; Annually.
E:\FR\FM\03OCN1.SGM
03OCN1
Agencies
[Federal Register Volume 73, Number 193 (Friday, October 3, 2008)]
[Notices]
[Pages 57610-57612]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E8-23292]
-----------------------------------------------------------------------
DEPARTMENT OF DEFENSE
Department of the Army
[Docket ID: USA-2208-0070]
Privacy Act of 1974; System of Records
AGENCY: Department of the Army, DoD.
ACTION: Notice to Amend a System of Records.
-----------------------------------------------------------------------
SUMMARY: The Department of the Army is proposing to amend a system of
records in its existing inventory of records systems subject to the
Privacy Act of 1974 (5 U.S.C. 552a), as amended.
DATES: The proposed action will be effective on November 3, 2008 unless
comments are received that would result in a contrary determination.
ADDRESSES: Department of the Army, Privacy Office, U.S. Army Records
Management and Declassification Agency, 7701 Telegraph Road, Casey
Building, Suite 144, Alexandria, VA 22325-3905.
FOR FURTHER INFORMATION CONTACT: Ms. Vicki Short at (703) 428-6508.
SUPPLEMENTARY INFORMATION: The Department of the Army systems of
records notices subject to the Privacy Act of 1974 (5 U.S.C. 552a), as
amended, have been published in the Federal Register and are available
from the address above.
The specific changes to the record system being amended are set
forth below followed by the notice, as amended, published in its
entirety. The proposed amendment is not within the purview of
subsection (r) of the Privacy Act of 1974 (5 U.S.C. 552a), as amended,
which requires the submission of a new or altered system report.
Dated: September 25, 2008.
Patricia L. Toppings,
OSD Federal Register Liaison Officer, Department of Defense.
DHA 03
System name:
Pentagon Employee Referral Service (PERS) Counseling Records
(February 22, 1993, 58 FR 10227).
Changes:
Change system ID to ``A0040-66c DASG''.
* * * * *
[[Page 57611]]
System Location:
Delete entry and replace with ``Pentagon Employee Referral Service,
DiLorenzo TRICARE Health Clinic, Room 224, 5803 Army Pentagon,
Washington, DC 20310-5803.''
* * * * *
Authority for maintenance of the system:
Delete entry and replace with ``10 U.S.C. 3013, Secretary of the
Army; 5 U.S.C. Part 792, Federal Employees' Health and Counseling
Programs; E.O. 12564, 1986 Drug-Free Workplace; Army Regulation 40-66,
Medical Record Administration and Health Care Documentation; and E.O.
9397 (SSN).''
* * * * *
Add two NOTES under Routine uses of records maintained in the
system, including categories of users and the purposes of such uses:
``Note: Records of identity, diagnosis, prognosis, or treatment
of any client/patient, irrespective of whether or when he/she ceases
to be a client/patient, maintained in connection with the
performance of any alcohol or drug abuse prevention and treatment
function conducted, regulated, or directly or indirectly assisted by
any department or agency of the United States, shall, except as
provided therein, be confidential and be disclosed only for the
purposes and under the circumstances expressly authorized in 42
U.S.C. 290dd-2. This statute takes precedence over the Privacy Act
of 1974 in regard to accessibility of such records except to the
individual to whom the record pertains. The DoD 'Blanket Routine
Uses' do not apply to these types of records.
Note: This system of records contains individually identifiable
health information. The DoD Health Information Privacy Regulation
(DoD 6025.18-R) issued pursuant to the Health Insurance Portability
and Accountability Act of 1996, applies to most such health
information. DoD 6025.18-R may place additional procedural
requirements on the uses and disclosures of such information beyond
those found in the Privacy Act of 1974 or mentioned in this system
of records notice.
''* * * * *
Storage:
Delete entry and replace with ``Paper records in filing cabinets
and electronic storage media.''
Retrievability:
Delete entry and replace with ``Patient's last name, Social
Security Number (SSN) and Client Case Number.''
Safeguards:
Delete entry and replace with ``Paper records are maintained in
file cabinets that are locked when the office is not occupied by
authorized personnel. The automated database files are on a password-
protected, stand alone computer. All patient records are maintained and
used with the highest regard for patient privacy. Only persons on a
need-to-know basis and trained in the handling of information protected
by the Privacy Act have access to the system.''
Retention and disposal:
Delete entry and replace with ``Paper records are destroyed five
years after termination of counseling. Destruction is by shredding,
pulping, macerating, or burning.
Electronic records are purged of identifying data seven years after
termination of counseling.
Aggregate data without personal identifiers is maintained for
management/statistical purposes until no longer required.''
System manager(s) and address:
Delete entry and replace with ``Director, Pentagon Employee
Referral Service, DiLorenzo TRICARE Health Clinic, Rm. 230, 5803 Army
Pentagon, Washington, DC 20310-5803.''
Notification procedure:
Delete entry and replace with ``Individuals seeking to determine
whether information about themselves is contained in this system should
address written inquiries to the Director, Pentagon Employee Referral
Service, DiLorenzo TRICARE HEALTH Clinic, 5803 Army Pentagon,
Washington, DC 20310-5803.
The request should contain the full name, address, Social Security
Number (SSN) and the signature of the subject individual.''
Record access procedures:
Delete entry and replace with ``Individuals seeking access to
information about themselves contained in this system should address
written inquiries to the Director, Pentagon Employee Referral Service,
DiLorenzo TRICARE Health Clinic, Rm. 230, 5803 Army Pentagon,
Washington, DC 20310-5803.
The request should contain the full name, address, Social Security
Number (SSN) and the notarized signature of the subject individual.''
Contesting record procedures:
Delete entry and replace with ``The Army's rules for accessing
records, and for contesting contents and appealing initial agency
determinations are contained in Army Regulation 340-21; 32 CFR part
505; or may be obtained from the system manager.''
* * * * *
A0040-66c DASG
System name:
Pentagon Employee Referral Service (PERS) Counseling Records.
System location:
Pentagon Employee Referral Service, DiLorenzo TRICARE Health
Clinic, Room 224, 5803 Army Pentagon, Washington, DC 20310-5803.
Categories of individuals covered by the system:
All civilian DoD employees assigned to duty in the Pentagon and
environ who are referred by management for, or voluntarily request,
counseling assistance.
Categories of records in the system:
Records on patients which are generated in the course of
professional counseling. Records of information on condition, current
status, progress and prognosis for patients who have personal,
emotional, alcohol or drug dependency problems, including admitted or
urinalysis-detected illegal drug abuse.
Authority for maintenance of the system:
10 U.S.C. 3013, Secretary of the Army; 5 U.S.C. Part 792, Federal
Employees' Health and Counseling Programs; E.O. 12564, 1986 Drug-Free
Workplace; Army Regulation 40-66, Medical Record Administration and
Health Care Documentation; and E.O. 9397 (SSN).
Purpose(s):
To record counselor's observations concerning patient's condition,
current status, progress prognosis and other relevant treatment
information regarding patients in an employee assistance treatment
facility.
Routine uses of records maintained in the system, including categories
of users and the purposes of such uses:
In addition to those disclosures generally permitted under 5 U.S.C.
552a(b) of the Privacy Act, these records or information contained
therein may specifically be disclosed outside the DoD as a routine use
pursuant to 5 U.S.C. 552a(b)(3) as follows:
Records in this system may not be disclosed without the prior written
consent of such patient, unless the disclosure would be:
To medical personnel to the extent necessary to meet a bona fide
medical emergency;
To qualified personnel for the purpose of conducting scientific
[[Page 57612]]
research, management audits, financial audits, or program evaluation,
but such personnel may not identify, directly or indirectly, any
individual patient in any report of such research, audit, or
evaluation, or otherwise disclose patient identities in any manner; and
If authorized by an appropriate order of a court of competent
jurisdiction granted after application showing good cause therefore.
Note: Records of identity, diagnosis, prognosis, or treatment of
any client/patient, irrespective of whether or when he/she ceases to
be a client/patient, maintained in connection with the performance
of any alcohol or drug abuse prevention and treatment function
conducted, regulated, or directly or indirectly assisted by any
department or agency of the United States, shall, except as provided
therein, be confidential and be disclosed only for the purposes and
under the circumstances expressly authorized in 42 U.S.C. 290dd-2.
This statute takes precedence over the Privacy Act of 1974 in regard
to accessibility of such records except to the individual to whom
the record pertains. The DoD `Blanket Routine Uses' do not apply to
these types of records.
Note: This system of records contains individually identifiable
health information. The DoD Health Information Privacy Regulation
(DoD 6025.18-R) issued pursuant to the Health Insurance Portability
and Accountability Act of 1996, applies to most such health
information. DoD 6025.18-R may place additional procedural
requirements on the uses and disclosures of such information beyond
those found in the Privacy Act of 1974 or mentioned in this system
of records notice.
Policies and practices for storing, retrieving, accessing, retaining,
and disposing of records in the system:
Storage:
Paper records in filing cabinets and electronic storage media.
Retrievability:
Patient's last name, Social Security Number (SSN) and Client Case
Number.
Safeguards:
Paper records are maintained in file cabinets that are locked when
the office is not occupied by authorized personnel. The automated
database files are on a password-protected, stand alone computer. All
patient records are maintained and used with the highest regard for
patient privacy. Only persons on a need-to-know basis and trained in
the handling of information protected by the Privacy Act have access to
the system.
Retention and disposal:
Paper records are destroyed five years after termination of
counseling. Destruction is by shredding, pulping, macerating, or
burning.
Electronic records are purged of identifying data seven years after
termination of counseling.
Aggregate data without personal identifiers is maintained for
management/statistical purposes until no longer required.
System manager(s) and address:
Director, Pentagon Employee Referral Service, DiLorenzo TRICARE
Health Clinic, Rm. 230, 5803 Army Pentagon, Washington, DC 20310-5803.
Notification procedure:
Individuals seeking to determine whether information about
themselves is contained in this system should address written inquiries
to the Director, Pentagon Employee Referral Service, DiLorenzo TRICARE
HEALTH Clinic, 5803 Army Pentagon, Washington, DC 20310-5803.
The request should contain the full name, address, Social Security
Number (SSN) and the signature of the subject individual.
Record access procedures:
Individuals seeking access to information about themselves
contained in this system should address written inquiries to the
Director, Pentagon Employee Referral Service, DiLorenzo TRICARE Health
Clinic, Rm. 230, 5803 Army Pentagon, Washington, DC 20310-5803.
The request should contain the full name, address, Social Security
Number (SSN) and the notarized signature of the subject individual.
Contesting record procedures:
The Army's rules for accessing records, and for contesting contents
and appealing initial agency determinations are contained in Army
Regulation 340-21; 32 CFR part 505; or may be obtained from the system
manager.
Record source categories:
Patient, counselors, supervisors, co-workers or other agency or
contractor-employee personnel; private individuals to include family
members of patient and outside practitioners.
Exemptions claimed for the system:
None.
[FR Doc. E8-23292 Filed 10-2-08; 8:45 am]
BILLING CODE 5001-06-P