Privacy Act of 1974; System of Records, 63287-63288 [2011-26306]
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jlentini on DSK4TPTVN1PROD with NOTICES
Federal Register / Vol. 76, No. 197 / Wednesday, October 12, 2011 / Notices
Avg. Hours per Response: The USPTO
estimates that it will take the public
approximately 18 to 30 minutes (0.30 to
0.50 hours) to complete the applications
in this collection, depending on the
application. This includes the time to
gather the necessary information,
prepare the application, and submit the
completed application to the USPTO.
Needs and Uses: This collection of
information is required by the
Trademark Act, 15 U.S.C. 1051 et seq.
The rules implementing the Trademark
Act are set forth in 37 CFR part 2. The
Act and rules provide for the Federal
registration of trademarks, service
marks, collective trademarks and service
marks, collective membership marks,
and certification marks. Individuals and
businesses who use their marks, or
intend to use their marks, in commerce
regulable by Congress, may file an
application with the USPTO to register
their marks. The USPTO uses the
information in this collection to process
the applications for the various marks
and to determine whether the marks
may be registered. This collection
contains three paper forms and six
electronic forms. The electronic forms
are available through the Trademark
Electronic Application System (TEAS).
The information in this collection is
available to the public.
Affected Public: Businesses or other
for-profits; and not-for-profit
institutions.
Frequency: On occasion.
Respondent’s Obligation: Required to
obtain or retain benefits.
OMB Desk Officer: Nicholas A. Fraser,
e-mail:
Nicholas_A._Fraser@omb.eop.gov.
Once submitted, the request will be
publicly available in electronic format
through the Information Collection
Review page at https://www.reginfo.gov.
Paper copies can be obtained by:
• E-mail:
InformationCollection@uspto.gov.
Include ‘‘0651–0009 copy request’’ in
the subject line of the message.
• Mail: Susan K. Fawcett, Records
Officer, Office of the Chief Information
Officer, United States Patent and
Trademark Office, P.O. Box 1450,
Alexandria, VA 22313–1450.
Written comments and
recommendations for the proposed
information collection should be sent on
or before November 14, 2011 to
Nicholas A. Fraser, OMB Desk Officer,
via e-mail to
Nicholas_A._Fraser@omb.eop.gov, or by
fax to 202–395–5167, marked to the
attention of Nicholas A. Fraser.
VerDate Mar<15>2010
17:43 Oct 11, 2011
Jkt 226001
Dated: October 6, 2011.
Susan K. Fawcett,
Records Officer, USPTO, Office of the Chief
Information Officer.
[FR Doc. 2011–26307 Filed 10–11–11; 8:45 am]
BILLING CODE 3510–16–P
DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket ID DOD–2011–OS–0110]
Privacy Act of 1974; System of
Records
Office of the Secretary of
Defense, Department of Defense (DoD).
ACTION: Notice to Add a System of
Records.
AGENCY:
The Office of the Secretary of
Defense proposes to add a system of
records to its inventory of record
systems subject to the Privacy Act of
1974 (5 U.S.C. 552a), as amended.
DATES: This proposed action would be
effective without further notice on
November 14, 2011 unless comments
are received which result in a contrary
determination.
ADDRESSES: You may submit comments,
identified by docket number and title,
by any of the following methods:
* Federal Rulemaking Portal: https://
www.regulations.gov. Follow the
instructions for submitting comments.
* Mail: Federal Docket Management
System Office, 4800 Mark Center Drive,
East Tower, 2nd Floor, Suite 02G09,
Alexandria, VA 22350–3100.
Instructions: All submissions received
must include the agency name and
docket number for this Federal Register
document. The general policy for
comments and other submissions from
members of the public is to make these
submissions available for public
viewing on the Internet at https://
www.regulations.gov as they are
received without change, including any
personal identifiers or contact
information.
FOR FURTHER INFORMATION CONTACT: Ms.
Cindy Allard, Chief, OSD/JS Privacy
Office, Freedom of Information
Directorate, Washington Headquarters
Services, 1155 Defense Pentagon,
Washington DC 20301–1155, or by
phone at (571) 372–0461.
SUPPLEMENTARY INFORMATION: The Office
of the Secretary of Defense notices for
systems of records 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 in FOR FURTHER INFORMATION
CONTACT.
SUMMARY:
PO 00000
Frm 00010
Fmt 4703
Sfmt 4703
63287
The proposed system report, as
required by 5 U.S.C. 552a(r) of the
Privacy Act of 1974, as amended, was
submitted on October 5, 2011, to the
House Committee on Oversight and
Government Reform, the Senate
Committee on Governmental Affairs,
and the Office of Management and
Budget (OMB) pursuant to paragraph 4c
of Appendix I to OMB Circular No.
A–130, ‘‘Federal Agency
Responsibilities for Maintaining
Records About Individuals,’’ dated
February 8, 1996 (February 20, 1996, 61
FR 6427).
Dated: October 6, 2011.
Aaron Siegel,
Alternate OSD Federal Register Liaison
Officer, Department of Defense.
DHA 22
SYSTEM NAME:
Medical Situational Awareness in the
Theater (MSAT).
SYSTEM LOCATION:
Office of the Assistant Secretary of
Defense for Health Affairs, Force Health
Protection & Readiness, Skyline 4, Suite
901, 5113 Leesburg Pike, Falls Church,
VA 22041–3226.
CATEGORIES OF INDIVIDUALS COVERED BY THE
SYSTEM:
Members of the uniformed services
and DoD civilian employees (to include
non-appropriated fund employees) who
receive or have received medical or
dental care at one or more DoD medical
treatment facilities in an active theater
of operations.
CATEGORIES OF RECORDS IN THE SYSTEM:
Individual’s name, age, date of birth,
Social Security Number (SSN) and/or
DoD Identification (DoD ID) number,
marital status, phone number, address,
race, pay grade, personnel code,
mobilization status, unit identification,
and unit phone number.
An individual’s Trauma Number,
Register Number, and patient encounter
data pertaining to symptoms;
International Classification of Diseases
(ICD) diagnosis codes; clinical data
elements and codes with respect to
symptoms, medical history, physical
examination, tests, diagnosis, and
therapy, medications, and vital signs;
and treatment facility locations.
AUTHORITY FOR MAINTENANCE OF THE SYSTEM:
10 U.S.C. Chapter 55, Medical and
Dental Care; and E.O. 9397 (SSN), as
amended.
PURPOSE(S):
To provide information to medical
commanders and their staff on
E:\FR\FM\12OCN1.SGM
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63288
Federal Register / Vol. 76, No. 197 / Wednesday, October 12, 2011 / Notices
personnel readiness status before and
during deployment and sustainment,
patient tracking from initial point of
care and en route to CONUS military
treatment facilities, medical
surveillance of illnesses, injury rates
and trends for theater, syndromic, and
chemical, biological, radiological, and
nuclear surveillance of individuals for
early warning alerts.
To provide information that, when
combined with medical intelligence,
patient tracking, geospatial mapping,
logistics, personnel, and other
information, supports a single identical
display of relevant information shared
by more than one command to facilitate
collaborative planning and to assist all
echelons in achieving situational
awareness, and for assisting the
Combatant Command and Joint Task
Force Surgeon in assessing risks,
mitigating operational vulnerabilities,
and allocating scarce combat resources
during the planning and conduct of
operations.
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 of 1974, as
amended, these records may specifically
be disclosed outside the DoD as a
routine use pursuant to 5 U.S.C.
552a(b)(3).
The DoD ‘Blanket Routine Uses’ set
forth at the beginning of the Office of
the Secretary of Defense (OSD)
compilation of systems of records
notices apply to this system.
jlentini on DSK4TPTVN1PROD with NOTICES
Note 1: 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 and 45 CFR Parts
160 and 164, Health and Human Services,
General Administrative Requirements and
Security & Privacy, respectively, 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, as amended, or
mentioned in this system of records notice.
Note 2: Personal identity, diagnosis,
prognosis or treatment information of any
patient maintained in connection with the
performance of any program or activity
relating to substance abuse education,
prevention, training, treatment,
rehabilitation, or research, which is
conducted, regulated, or directly or indirectly
assisted by any department or agency of the
United States is, except as per 42 U.S.C.
290dd–2, treated as confidential and
disclosed only for the purposes and under
the circumstances expressly authorized
under 42 U.S.C. 290dd–2.
VerDate Mar<15>2010
17:43 Oct 11, 2011
Jkt 226001
POLICIES AND PRACTICES FOR STORING,
RETRIEVING, ACCESSING, RETAINING, AND
DISPOSING OF RECORDS IN THE SYSTEM:
STORAGE:
Electronic storage media.
RETRIEVABILITY:
Individual’s name, date of birth,
Trauma Number, Register Number, SSN
and/or DoD ID Number, or any
combination of the above.
SAFEGUARDS:
Electronic media, data and/or
electronic records are maintained in a
controlled area. The computer system is
accessible only to authorized personnel.
Entry into these areas is restricted to
those personnel with a valid
requirement and authorization to enter.
Physical entry is restricted by the use of
locks, passwords which are changed
periodically, and administrative
procedures.
The system provides two-factor
authentication including Common
Access Cards (CAC) and user ID/
passwords. Access to personal
information is restricted to those who
require the data in the performance of
their official duties. All personnel
whose official duties require access to
the information are trained in the proper
safeguarding and use of the information.
RETENTION AND DISPOSAL:
Disposition pending (until the
National Archives and Records
Administration approves retention and
disposal schedule, records will be
treated as permanent).
SYSTEM MANAGER(S) AND ADDRESS:
Product Manager, MSAT, Defense
Health Information Management
System, Skyline 4, Suite 700, 5113
Leesburg Pike, Falls Church, VA 22041–
3226.
NOTIFICATION PROCEDURE:
Individuals seeking to determine
whether information about themselves
is contained in this system of record
should address written inquiries to the
TRICARE Management Activity,
Department of Defense, ATTN: TMA
Privacy Officer, Suite 810, 5111
Leesburg Pike, Falls Church, VA 22041–
3206.
Requests should contain the
individual’s full name and SSN and/or
DoD ID Number.
RECORD ACCESS PROCEDURES:
Individuals seeking access to records
about themselves contained in this
system of record should address written
inquiries to TRICARE Management
Activity, Attention: Freedom of
Information Act Requester Service
PO 00000
Frm 00011
Fmt 4703
Sfmt 4703
Center, 16401 East Centretech Parkway,
Aurora, CO 80011–9066.
Requests should contain the
individual’s full name, SSN and/or DoD
ID Number, the name and number of
this system of records notice, and be
signed.
CONTESTING RECORD PROCEDURES:
The OSD rules for accessing records,
for contesting contents and appealing
initial agency determinations are
published in OSD Administrative
Instruction 81, 32 CFR Part 311, or may
be obtained from the system manager.
RECORD SOURCE CATEGORIES:
Theater Medical Data Store, AHLTA—
Theater, and Theater Medical
Information Program Cache.
EXEMPTIONS CLAIMED FOR THE SYSTEM:
None.
[FR Doc. 2011–26306 Filed 10–11–11; 8:45 am]
BILLING CODE 5001–06–P
DEPARTMENT OF EDUCATION
Notice of Proposed Information
Collection Requests
Department of Education.
Comment request.
AGENCY:
ACTION:
The Department of Education
(the Department), in accordance with
the Paperwork Reduction Act of 1995
(PRA) (44 U.S.C. 3506(c)(2)(A)),
provides the general public and Federal
agencies with an opportunity to
comment on proposed and continuing
collections of information. This helps
the Department assess the impact of its
information collection requirements and
minimize the reporting burden on the
public and helps the public understand
the Department’s information collection
requirements and provide the requested
data in the desired format. The Acting
Director, Information Collection
Clearance Division, Privacy, Information
and Records 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 12, 2011.
ADDRESSES: Comments regarding burden
and/or the collection activity
requirements should be electronically
mailed to ICDocketMgr@ed.gov or
mailed to U.S. Department of Education,
400 Maryland Avenue, SW., LBJ,
Washington, DC 20202–4537. Please
note that written comments received in
response to this notice will be
considered public records.
SUMMARY:
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Agencies
[Federal Register Volume 76, Number 197 (Wednesday, October 12, 2011)]
[Notices]
[Pages 63287-63288]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-26306]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket ID DOD-2011-OS-0110]
Privacy Act of 1974; System of Records
AGENCY: Office of the Secretary of Defense, Department of Defense
(DoD).
ACTION: Notice to Add a System of Records.
-----------------------------------------------------------------------
SUMMARY: The Office of the Secretary of Defense proposes to add a
system of records to its inventory of record systems subject to the
Privacy Act of 1974 (5 U.S.C. 552a), as amended.
DATES: This proposed action would be effective without further notice
on November 14, 2011 unless comments are received which result in a
contrary determination.
ADDRESSES: You may submit comments, identified by docket number and
title, by any of the following methods:
* Federal Rulemaking Portal: https://www.regulations.gov. Follow the
instructions for submitting comments.
* Mail: Federal Docket Management System Office, 4800 Mark Center
Drive, East Tower, 2nd Floor, Suite 02G09, Alexandria, VA 22350-3100.
Instructions: All submissions received must include the agency name
and docket number for this Federal Register document. The general
policy for comments and other submissions from members of the public is
to make these submissions available for public viewing on the Internet
at https://www.regulations.gov as they are received without change,
including any personal identifiers or contact information.
FOR FURTHER INFORMATION CONTACT: Ms. Cindy Allard, Chief, OSD/JS
Privacy Office, Freedom of Information Directorate, Washington
Headquarters Services, 1155 Defense Pentagon, Washington DC 20301-1155,
or by phone at (571) 372-0461.
SUPPLEMENTARY INFORMATION: The Office of the Secretary of Defense
notices for systems of records 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 in FOR FURTHER INFORMATION CONTACT.
The proposed system report, as required by 5 U.S.C. 552a(r) of the
Privacy Act of 1974, as amended, was submitted on October 5, 2011, to
the House Committee on Oversight and Government Reform, the Senate
Committee on Governmental Affairs, and the Office of Management and
Budget (OMB) pursuant to paragraph 4c of Appendix I to OMB Circular No.
A-130, ``Federal Agency Responsibilities for Maintaining Records About
Individuals,'' dated February 8, 1996 (February 20, 1996, 61 FR 6427).
Dated: October 6, 2011.
Aaron Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
DHA 22
System name:
Medical Situational Awareness in the Theater (MSAT).
System location:
Office of the Assistant Secretary of Defense for Health Affairs,
Force Health Protection & Readiness, Skyline 4, Suite 901, 5113
Leesburg Pike, Falls Church, VA 22041-3226.
Categories of individuals covered by the system:
Members of the uniformed services and DoD civilian employees (to
include non-appropriated fund employees) who receive or have received
medical or dental care at one or more DoD medical treatment facilities
in an active theater of operations.
Categories of records in the system:
Individual's name, age, date of birth, Social Security Number (SSN)
and/or DoD Identification (DoD ID) number, marital status, phone
number, address, race, pay grade, personnel code, mobilization status,
unit identification, and unit phone number.
An individual's Trauma Number, Register Number, and patient
encounter data pertaining to symptoms; International Classification of
Diseases (ICD) diagnosis codes; clinical data elements and codes with
respect to symptoms, medical history, physical examination, tests,
diagnosis, and therapy, medications, and vital signs; and treatment
facility locations.
Authority for maintenance of the system:
10 U.S.C. Chapter 55, Medical and Dental Care; and E.O. 9397 (SSN),
as amended.
Purpose(s):
To provide information to medical commanders and their staff on
[[Page 63288]]
personnel readiness status before and during deployment and
sustainment, patient tracking from initial point of care and en route
to CONUS military treatment facilities, medical surveillance of
illnesses, injury rates and trends for theater, syndromic, and
chemical, biological, radiological, and nuclear surveillance of
individuals for early warning alerts.
To provide information that, when combined with medical
intelligence, patient tracking, geospatial mapping, logistics,
personnel, and other information, supports a single identical display
of relevant information shared by more than one command to facilitate
collaborative planning and to assist all echelons in achieving
situational awareness, and for assisting the Combatant Command and
Joint Task Force Surgeon in assessing risks, mitigating operational
vulnerabilities, and allocating scarce combat resources during the
planning and conduct of operations.
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 of 1974, as amended, these records may
specifically be disclosed outside the DoD as a routine use pursuant to
5 U.S.C. 552a(b)(3).
The DoD `Blanket Routine Uses' set forth at the beginning of the
Office of the Secretary of Defense (OSD) compilation of systems of
records notices apply to this system.
Note 1: 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 and 45 CFR Parts 160 and
164, Health and Human Services, General Administrative Requirements
and Security & Privacy, respectively, 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, as amended, or mentioned in
this system of records notice.
Note 2: Personal identity, diagnosis, prognosis or treatment
information of any patient maintained in connection with the
performance of any program or activity relating to substance abuse
education, prevention, training, treatment, rehabilitation, or
research, which is conducted, regulated, or directly or indirectly
assisted by any department or agency of the United States is, except
as per 42 U.S.C. 290dd-2, treated as confidential and disclosed only
for the purposes and under the circumstances expressly authorized
under 42 U.S.C. 290dd-2.
Policies and practices for storing, retrieving, accessing, retaining,
and disposing of records in the system:
Storage:
Electronic storage media.
Retrievability:
Individual's name, date of birth, Trauma Number, Register Number,
SSN and/or DoD ID Number, or any combination of the above.
Safeguards:
Electronic media, data and/or electronic records are maintained in
a controlled area. The computer system is accessible only to authorized
personnel. Entry into these areas is restricted to those personnel with
a valid requirement and authorization to enter. Physical entry is
restricted by the use of locks, passwords which are changed
periodically, and administrative procedures.
The system provides two-factor authentication including Common
Access Cards (CAC) and user ID/passwords. Access to personal
information is restricted to those who require the data in the
performance of their official duties. All personnel whose official
duties require access to the information are trained in the proper
safeguarding and use of the information.
Retention and disposal:
Disposition pending (until the National Archives and Records
Administration approves retention and disposal schedule, records will
be treated as permanent).
System manager(s) and address:
Product Manager, MSAT, Defense Health Information Management
System, Skyline 4, Suite 700, 5113 Leesburg Pike, Falls Church, VA
22041-3226.
Notification procedure:
Individuals seeking to determine whether information about
themselves is contained in this system of record should address written
inquiries to the TRICARE Management Activity, Department of Defense,
ATTN: TMA Privacy Officer, Suite 810, 5111 Leesburg Pike, Falls Church,
VA 22041-3206.
Requests should contain the individual's full name and SSN and/or
DoD ID Number.
Record access procedures:
Individuals seeking access to records about themselves contained in
this system of record should address written inquiries to TRICARE
Management Activity, Attention: Freedom of Information Act Requester
Service Center, 16401 East Centretech Parkway, Aurora, CO 80011-9066.
Requests should contain the individual's full name, SSN and/or DoD
ID Number, the name and number of this system of records notice, and be
signed.
Contesting record procedures:
The OSD rules for accessing records, for contesting contents and
appealing initial agency determinations are published in OSD
Administrative Instruction 81, 32 CFR Part 311, or may be obtained from
the system manager.
Record source categories:
Theater Medical Data Store, AHLTA--Theater, and Theater Medical
Information Program Cache.
Exemptions claimed for the system:
None.
[FR Doc. 2011-26306 Filed 10-11-11; 8:45 am]
BILLING CODE 5001-06-P