Privacy Act of 1974; System of Records, 68875-68877 [2014-27395]

Download as PDF Federal Register / Vol. 79, No. 223 / Wednesday, November 19, 2014 / Notices the individual concerning his or her entitlement, the amount of benefit payments, any review of suspected abuse or fraud, or any concern for program integrity or quality appraisal. The DoD Blanket Routine Uses may apply to this system of records. NOTE 1: This system of records contains individually identifiable health information. The DoD Health Information Privacy Regulation (DoD 6025.18–R) or any successor DoD issuances implementing the Health Insurance Portability and Accountability Act of 1996 (HIPAA) 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 or a successor issuance may place additional procedural requirements on 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: Except as provided under 42 U.S.C. 290dd–2, records of 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 a department or agency of the United States will be treated as confidential and disclosed only for the purposes and under the circumstances expressly authorized under 42 U.S.C. 290dd–2.’’ * * * * * STORAGE: Delete entry and replace with ‘‘Paper records and/or electronic storage media.’’ RETRIEVABILITY: Delete entry and replace with ‘‘Information is retrieved by subject matter with cross-reference by the individual’s name, SSN, and/or DoD ID Number.’’ mstockstill on DSK4VPTVN1PROD with NOTICES SAFEGUARDS: Delete entry and replace with ‘‘Electronic media, data and/or electronic records are maintained in a controlled area. Records are maintained in a secure, limited access, or monitored 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 VerDate Sep<11>2014 16:16 Nov 18, 2014 Jkt 235001 which are changed periodically, and administrative procedures. The system provides two-factor authentication through user IDs/ 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. All of the records must be properly secured for the duration of their life cycle. The safeguards in place for the paper records include placing the documents in locked file cabinets and storage rooms with limited access and electronic security measures. In addition, some of the records are housed in secure facilities monitored by security guards and video surveillance.’’ RETENTION AND DISPOSAL: Delete entry and replace with ‘‘Permanent. Retire to Denver Federal Records Center (FRC) when superseded or obsolete.’’ SYSTEM MANAGER(S) AND ADDRESS: Delete entry and replace with ‘‘Paralegal Specialist, Office of General Counsel, Defense Health Agency, 16401 East Centretech Parkway, Aurora, CO 80011–9066.’’ NOTIFICATION PROCEDURE: Delete entry and replace with ‘‘Individuals seeking to determine whether information about themselves is contained in this system of records should address written inquiries to Chief, Freedom of Information Act (FOIA) Service Center, Defense Health Agency Privacy and Civil Liberties Office, 7700 Arlington Boulevard, Suite 5101, Falls Church, VA 22042–5101. Requests should contain the full name and signature of the sponsor or beneficiary. If requesting information about a minor or legally incompetent person, the request must be made by the custodial parent, legal guardian, or party acting in loco parentis of such individual. Written proof of that status may be required before the existence of any information will be confirmed.’’ RECORD ACCESS PROCEDURES: Delete entry and replace with ‘‘Individuals seeking access to records about themselves contained in this system of records should address written inquiries to the Chief, FOIA Service Center, Defense Health Agency Privacy and Civil Liberties Office, 7700 Arlington Boulevard, Suite 5101, Falls Church, VA 22042–5101. PO 00000 Frm 00034 Fmt 4703 Sfmt 4703 68875 Written requests for information should include the full name and signature of the sponsor or beneficiary. If requesting records about a minor or legally incompetent person, the request must be made by the custodial parent, legal guardian, or party acting in loco parentis of such individual. Written proof of that status may be required before any records will be provided.’’ CONTESTING RECORD PROCEDURES: Delete entry and replace with ‘‘The Office of the Secretary of Defense (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: Delete entry and replace with ‘‘Individuals (TRICARE and CHAMPVA beneficiaries, sponsors, or others), attorneys, fiscal administrators, hospital contractors, managed care support contractors, providers of care, medical records, other government agencies (Federal, state, local, and foreign), and Congressional offices.’’ * * * * * [FR Doc. 2014–27383 Filed 11–18–14; 8:45 am] BILLING CODE 5001–06–P DEPARTMENT OF DEFENSE Department of the Air Force [Docket ID: USAF–2014–0031] Privacy Act of 1974; System of Records AGENCY: Department of the Air Force, DoD. Notice to alter a System of Records. ACTION: The Department of the Air Force proposes to alter a system of records notice, F032 AFCES A, entitled ‘‘Civil Engineer System-Fire Department Records’’ in its existing inventory of records systems subject to the Privacy Act of 1974, as amended. This system will be used to assist in protecting installation resources, equipment, and personnel that require emergency services. Operate emergency dispatch centers to support fire emergency operations. In addition, it will track fire prevention and protection, firefighting, rescue, and Hazardous Materials (HazMat) response and after action reports. SUMMARY: Comments will be accepted on or before December 19, 2014. This proposed action will be effective on the DATES: E:\FR\FM\19NON1.SGM 19NON1 68876 Federal Register / Vol. 79, No. 223 / Wednesday, November 19, 2014 / Notices day following the end of the comment period unless comments are received which result in a contrary determination. Dated: November 14, 2014. Aaron Siegel, Alternate OSD Federal Register Liaison Officer, Department of Defense. You may submit comments, identified by docket number and title, by any of the following methods: * Federal Rulemaking Portal: http:// 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 http:// www.regulations.gov as they are received without change, including any personal identifiers or contact information. F032 AFCES A ADDRESSES: Mr. Charles J. Shedrick, Department of the Air Force Privacy Office, Air Force Privacy Act Office, Office of Warfighting Integration and Chief Information Officer, ATTN: SAF/CIO A6, 1800 Air Force Pentagon, Washington, DC 20330– 1800, or by phone at (571)256–2515. FOR FURTHER INFORMATION CONTACT: The Department of the Air Force’s 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 or from the Defense Privacy and Civil Liberties Office Web site at http://dpclo.defense.gov/. The proposed systems reports, as required by 5 U.S.C. 552a(r) of the Privacy Act, as amended, were submitted on November 12, 2014, to the House Committee on Oversight and Government Reform, the Senate Committee on Homeland Security and 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). mstockstill on DSK4VPTVN1PROD with NOTICES SUPPLEMENTARY INFORMATION: VerDate Sep<11>2014 16:16 Nov 18, 2014 Jkt 235001 SYSTEM NAME: Civil Engineer System-Fire Department Records (December 4, 2008, 73 FR 73924). CHANGES: * * * * * SYSTEM IDENTIFIER: Delete entry and replace with ‘‘F032 AF CE H’’. SYSTEM NAME: Delete entry and replace with ‘‘Automated Civil Engineer System— Fire Department Records.’’ SYSTEM LOCATION: Delete entry and replace with ‘‘Defense Information Systems Agency (DISA), Systems Management Center, Montgomery, 401 East Moore Drive, Building 857, Gunter AFB, AL 36114– 3001.’’ CATEGORIES OF INDIVIDUALS COVERED BY THE SYSTEM: Delete entry and replace with ‘‘Any individual who places a call to the Air Force installation emergency 911 dispatcher and/or fire department for emergency assistance; Air Force fire department civilian employees.’’ CATEGORIES OF RECORDS IN THE SYSTEM: Delete entry and replace with ‘‘Callers’ name and phone number from which they are calling; and Air Force fire department employee’s name, grade/rank, DoD Identification Number DoD ID Number, home/mobile/office telephone number, home address, duty title, and duty station.’’ AUTHORITY FOR MAINTENANCE OF THE SYSTEM: Delete entry and replace with ‘‘10 U.S.C. 8013, Secretary of the Air Force; delegation by; 10 U.S.C. 9832, Property accountability: Regulations; 15 U.S.C. 2227, Fire Safety Systems in Federal Assisted Buildings: Regulations; Pre-fire Plans; 15 U.S.C. 2229, Firefighter assistance.’’ PURPOSE(S): Delete entry and replace with ‘‘To protect installation resources, equipment, and personnel that require emergency services. Operate emergency dispatch centers to support fire PO 00000 Frm 00035 Fmt 4703 Sfmt 4703 emergency operations. In addition, it will track fire prevention and protection, firefighting, rescue, and Hazardous Materials (HazMat) response and after action reports.’’ ROUTINE USES OF RECORDS MAINTAINED IN THE SYSTEM, INCLUDING CATEGORIES OF USERS AND THE PURPOSES OF SUCH USES: Delete entry and replace with ‘‘In addition to those disclosures generally permitted under 5 U.S.C. 552a(b) of the Privacy Act of 1974, as amended, these records contained therein may specifically be disclosed outside the DoD as a routine use pursuant to 5 U.S.C. 552a(b)(3) as follows: The DoD Blanket Routine Uses published at the beginning of the Air Force’s compilation of record system notices may apply to this system.’’ * * * * * RETRIEVABILITY: Delete entry and replace with ‘‘Individual’s name and duty station.’’ SAFEGUARDS: Delete entry and replace with ‘‘Steps have been taken to limit the access to the Privacy data to only those users with the appropriate roles. Access to records is limited to persons responsible for servicing the record in performance of their official duties and who are properly screened and cleared for needto-know. Access to the application is restricted by Department of Defense (DoD) Common Access Card (CAC).’’ * * * * * SYSTEM MANAGER(S) AND ADDRESS: Delete entry and replace with ‘‘Automated Civil Engineer System/ Interim Work Management System Program Manager, Headquarters (HQ) A7CRT, 139 Barnes Drive, Suite 1, Tyndall AFB, FL 32403–5319.’’ NOTIFICATION PROCEDURE: Delete entry and replace with ‘‘Individuals seeking to determine whether information about them is contained in this system should address written inquiries to the Civil Engineer System/Interim Work Management System Program Manager, Headquarters (HQ) A7CRT, 139 Barnes Drive, Suite 1, Tyndall AFB, FL 32403–5319. For verification purposes, individual should provide their full name, and/or DoD ID Number, any details which may assist in locating records, and their signature. E:\FR\FM\19NON1.SGM 19NON1 Federal Register / Vol. 79, No. 223 / Wednesday, November 19, 2014 / Notices In addition, the requester must provide a notarized statement or an unsworn declaration made in accordance with 28 U.S.C. 1746, in the following format: If executed outside the United States: ‘I declare (or certify, verify, or state) under penalty of perjury under the laws of the United States of America that the foregoing is true and correct. Executed on (date). (Signature).’ If executed within the United States, its territories, possessions, or commonwealths: ‘I declare (or certify, verify, or state) under penalty of perjury that the foregoing is true and correct. Executed on (date). (Signature)’.’’ RECORD ACCESS PROCEDURES: Delete entry and replace with ‘‘Individuals seeking access to records about themselves contained in this system should address written inquiries to the Civil Engineer System/Interim Work Management System Program Manager, Headquarters (HQ) A7CRT, 139 Barnes Drive, Suite 1, Tyndall AFB, FL 32403–5319. For verification purposes, individual should provide their full name, and/or DoD ID Number, any details which may assist in locating records, and their signature. In addition, the requester must provide a notarized statement or an unsworn declaration made in accordance with 28 U.S.C. 1746, in the following format: If executed outside the United States: ‘I declare (or certify, verify, or state) under penalty of perjury under the laws of the United States of America that the foregoing is true and correct. Executed on (date). (Signature).’ If executed within the United States, its territories, possessions, or commonwealths: ‘I declare (or certify, verify, or state) under penalty of perjury that the foregoing is true and correct. Executed on (date). (Signature)’.’’ * * * * * [FR Doc. 2014–27395 Filed 11–18–14; 8:45 am] BILLING CODE 5001–06–P DEPARTMENT OF EDUCATION mstockstill on DSK4VPTVN1PROD with NOTICES [Docket No. ED–2014–ICCD–0126] Agency Information Collection Activities; Submission to the Office of Management and Budget for Review and Approval; Comment Request; 2015–2016 Federal Student Aid Application Federal Student Aid (FSA), Department of Education (ED). ACTION: Notice. AGENCY: VerDate Sep<11>2014 16:16 Nov 18, 2014 Jkt 235001 In accordance with the Paperwork Reduction Act of 1995 (44 U.S.C. chapter 3501 et seq.), ED is proposing a revision of an existing information collection. DATES: Interested persons are invited to submit comments on or before December 19, 2014. ADDRESSES: Comments submitted in response to this notice should be submitted electronically through the Federal eRulemaking Portal at http:// www.regulations.gov by selecting Docket ID ED–2014–ICCD–0126 or via postal mail, commercial delivery, or hand delivery. If the regulations.gov site is not available to the public for any reason, ED will temporarily accept comments at ICDocketMgr@ed.gov. Please note that comments submitted by fax or email and those submitted after the comment period will not be accepted; ED will ONLY accept comments during the comment period in this mailbox when regulations.gov is not available. Written requests for information or comments submitted by postal mail or delivery should be addressed to the Director of the Information Collection Clearance Division, U.S. Department of Education, 400 Maryland Avenue SW., LBJ, Mailstop L–OM–2–2E319, Room 2E105, Washington, DC 20202–4537. FOR FURTHER INFORMATION CONTACT: For questions related to collection activities or burden, please contact Douglas Pineda Robles, 202–377–4578. SUPPLEMENTARY INFORMATION: The Department of Education (ED), 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, revised, and continuing collections of information. This helps the Department assess the impact of its information collection requirements and minimize the public’s reporting burden. It also helps the public understand the Department’s information collection requirements and provide the requested data in the desired format. ED is soliciting comments on the proposed information collection request (ICR) that is described below. 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 SUMMARY: PO 00000 Frm 00036 Fmt 4703 Sfmt 4703 68877 burden of this collection on the respondents, including through the use of information technology. Please note that written comments received in response to this notice will be considered public records. Title of Collection: 2015–2016 Federal Student Aid Application. OMB Control Number: 1845–0001. Type of Review: Revision of an existing collection of information. Respondents/Affected Public: Individuals. Total Estimated Number of Annual Responses: 44,992,857. Total Estimated Number of Annual Burden Hours: 24,083,155. Abstract: Section 483 of the Higher Education Act of 1965, as amended (HEA), mandates that the Secretary of Education ‘‘. . . shall produce, distribute, and process free of charge common financial reporting forms as described in this subsection to be used for application and reapplication to determine the need and eligibility of a student for financial assistance . . .’’. The determination of need and eligibility are for the following Title IV, HEA, federal student financial assistance programs: The Federal Pell Grant Program; the Campus-Based programs (Federal Supplemental Educational Opportunity Grant (FSEOG), Federal Work-Study (FWS), and the Federal Perkins Loan Program); the William D. Ford Federal Direct Loan Program; the Teacher Education Assistance for College and Higher Education (TEACH) Grant; and the Iraq and Afghanistan Service Grant. Federal Student Aid, an office of the U.S. Department of Education (hereafter ‘‘the Department’’), subsequently developed an application process to collect and process the data necessary to determine a student’s eligibility to receive Title IV, HEA program assistance. The application process involves an applicant’s submission of the Free Application for Federal Student Aid (FAFSA). After submission and processing of the FAFSA, an applicant receives a Student Aid Report (SAR), which is a summary of the processed data they submitted on the FAFSA. The applicant reviews the SAR, and, if necessary, will make corrections or updates to their submitted FAFSA data. Institutions of higher education listed by the applicant on the FAFSA also receive a summary of processed data submitted on the FAFSA which is called the Institutional Student Information Record (ISIR). The Department seeks OMB approval of all application components as a single ‘‘collection of information’’. The E:\FR\FM\19NON1.SGM 19NON1

Agencies

[Federal Register Volume 79, Number 223 (Wednesday, November 19, 2014)]
[Notices]
[Pages 68875-68877]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-27395]


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DEPARTMENT OF DEFENSE

Department of the Air Force

[Docket ID: USAF-2014-0031]


Privacy Act of 1974; System of Records

AGENCY: Department of the Air Force, DoD.

ACTION: Notice to alter a System of Records.

-----------------------------------------------------------------------

SUMMARY: The Department of the Air Force proposes to alter a system of 
records notice, F032 AFCES A, entitled ``Civil Engineer System-Fire 
Department Records'' in its existing inventory of records systems 
subject to the Privacy Act of 1974, as amended. This system will be 
used to assist in protecting installation resources, equipment, and 
personnel that require emergency services. Operate emergency dispatch 
centers to support fire emergency operations. In addition, it will 
track fire prevention and protection, firefighting, rescue, and 
Hazardous Materials (HazMat) response and after action reports.

DATES: Comments will be accepted on or before December 19, 2014. This 
proposed action will be effective on the

[[Page 68876]]

day following the end of the comment period 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: http://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 http://www.regulations.gov as they are received without change, 
including any personal identifiers or contact information.

FOR FURTHER INFORMATION CONTACT: Mr. Charles J. Shedrick, Department of 
the Air Force Privacy Office, Air Force Privacy Act Office, Office of 
Warfighting Integration and Chief Information Officer, ATTN: SAF/CIO 
A6, 1800 Air Force Pentagon, Washington, DC 20330-1800, or by phone at 
(571)256-2515.

SUPPLEMENTARY INFORMATION: The Department of the Air Force's 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 or from 
the Defense Privacy and Civil Liberties Office Web site at http://dpclo.defense.gov/.
    The proposed systems reports, as required by 5 U.S.C. 552a(r) of 
the Privacy Act, as amended, were submitted on November 12, 2014, to 
the House Committee on Oversight and Government Reform, the Senate 
Committee on Homeland Security and 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: November 14, 2014.
Aaron Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
F032 AFCES A

System Name:
    Civil Engineer System-Fire Department Records (December 4, 2008, 73 
FR 73924).

Changes:
* * * * *

System identifier:
    Delete entry and replace with ``F032 AF CE H''.

System name:
    Delete entry and replace with ``Automated Civil Engineer System--
Fire Department Records.''

System location:
    Delete entry and replace with ``Defense Information Systems Agency 
(DISA), Systems Management Center, Montgomery, 401 East Moore Drive, 
Building 857, Gunter AFB, AL 36114-3001.''

Categories of individuals covered by the system:
    Delete entry and replace with ``Any individual who places a call to 
the Air Force installation emergency 911 dispatcher and/or fire 
department for emergency assistance; Air Force fire department civilian 
employees.''

Categories of records in the system:
    Delete entry and replace with ``Callers' name and phone number from 
which they are calling; and Air Force fire department employee's name, 
grade/rank, DoD Identification Number DoD ID Number, home/mobile/office 
telephone number, home address, duty title, and duty station.''

Authority for maintenance of the system:
    Delete entry and replace with ``10 U.S.C. 8013, Secretary of the 
Air Force; delegation by; 10 U.S.C. 9832, Property accountability: 
Regulations; 15 U.S.C. 2227, Fire Safety Systems in Federal Assisted 
Buildings: Regulations; Pre-fire Plans; 15 U.S.C. 2229, Firefighter 
assistance.''

Purpose(s):
    Delete entry and replace with ``To protect installation resources, 
equipment, and personnel that require emergency services. Operate 
emergency dispatch centers to support fire emergency operations. In 
addition, it will track fire prevention and protection, firefighting, 
rescue, and Hazardous Materials (HazMat) response and after action 
reports.''

Routine uses of records maintained in the system, including categories 
of users and the purposes of such uses:
    Delete entry and replace with ``In addition to those disclosures 
generally permitted under 5 U.S.C. 552a(b) of the Privacy Act of 1974, 
as amended, these records contained therein may specifically be 
disclosed outside the DoD as a routine use pursuant to 5 U.S.C. 
552a(b)(3) as follows:
    The DoD Blanket Routine Uses published at the beginning of the Air 
Force's compilation of record system notices may apply to this 
system.''
* * * * *

Retrievability:
    Delete entry and replace with ``Individual's name and duty 
station.''

Safeguards:
    Delete entry and replace with ``Steps have been taken to limit the 
access to the Privacy data to only those users with the appropriate 
roles. Access to records is limited to persons responsible for 
servicing the record in performance of their official duties and who 
are properly screened and cleared for need-to-know. Access to the 
application is restricted by Department of Defense (DoD) Common Access 
Card (CAC).''
* * * * *

System Manager(s) and address:
    Delete entry and replace with ``Automated Civil Engineer System/
Interim Work Management System Program Manager, Headquarters (HQ) 
A7CRT, 139 Barnes Drive, Suite 1, Tyndall AFB, FL 32403-5319.''

Notification procedure:
    Delete entry and replace with ``Individuals seeking to determine 
whether information about them is contained in this system should 
address written inquiries to the Civil Engineer System/Interim Work 
Management System Program Manager, Headquarters (HQ) A7CRT, 139 Barnes 
Drive, Suite 1, Tyndall AFB, FL 32403-5319.
    For verification purposes, individual should provide their full 
name, and/or DoD ID Number, any details which may assist in locating 
records, and their signature.

[[Page 68877]]

    In addition, the requester must provide a notarized statement or an 
unsworn declaration made in accordance with 28 U.S.C. 1746, in the 
following format:
    If executed outside the United States: `I declare (or certify, 
verify, or state) under penalty of perjury under the laws of the United 
States of America that the foregoing is true and correct. Executed on 
(date). (Signature).'
    If executed within the United States, its territories, possessions, 
or commonwealths: `I declare (or certify, verify, or state) under 
penalty of perjury that the foregoing is true and correct. Executed on 
(date). (Signature)'.''

Record access procedures:
    Delete entry and replace with ``Individuals seeking access to 
records about themselves contained in this system should address 
written inquiries to the Civil Engineer System/Interim Work Management 
System Program Manager, Headquarters (HQ) A7CRT, 139 Barnes Drive, 
Suite 1, Tyndall AFB, FL 32403-5319.
    For verification purposes, individual should provide their full 
name, and/or DoD ID Number, any details which may assist in locating 
records, and their signature.
    In addition, the requester must provide a notarized statement or an 
unsworn declaration made in accordance with 28 U.S.C. 1746, in the 
following format:
    If executed outside the United States: `I declare (or certify, 
verify, or state) under penalty of perjury under the laws of the United 
States of America that the foregoing is true and correct. Executed on 
(date). (Signature).'
    If executed within the United States, its territories, possessions, 
or commonwealths: `I declare (or certify, verify, or state) under 
penalty of perjury that the foregoing is true and correct. Executed on 
(date). (Signature)'.''
* * * * *
[FR Doc. 2014-27395 Filed 11-18-14; 8:45 am]
BILLING CODE 5001-06-P