Privacy Act of 1974; System of Records, 22240-22242 [2016-08707]
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asabaliauskas on DSK3SPTVN1PROD with NOTICES
22240
Federal Register / Vol. 81, No. 73 / Friday, April 15, 2016 / Notices
personal identifiers or contact
information.
Any associated form(s) for this
collection may be located within this
same electronic docket and downloaded
for review/testing. Follow the
instructions at https://
www.regulations.gov for submitting
comments. Please submit comments on
any given form identified by docket
number, form number, and title.
FOR FURTHER INFORMATION CONTACT: To
request more information on this
proposed information collection or to
obtain a copy of the proposal and
associated collection instruments,
please write to the Defense Finance and
Accounting Services, P.O. Box 998002,
ATTN: DFAS–HGA/CL, Scott Lafferty,
Deputy Assistant General Counsel for
Garnishment Operations, Cleveland, OH
44199–8002; via email at
scott.w.lafferty.civ@mail.mil or at (216)
522–5118.
SUPPLEMENTARY INFORMATION:
Title; Associated Form; and OMB
Number: Application for Former Spouse
Payments From Retired Pay, DD Form
2293; OMB Number 0730–0008.
Needs and Uses: The information
collection requirement is necessary to
provide DFAS with the basic data
needed to process court orders for
division of military retired pay as
property or order alimony and child
support payment from that retired pay
per Title 10 U.S.C. 1408, ‘‘Payment of
retired or retainer pay in compliance
with court orders.’’ The former spouse
may apply to the DFAS for direct
payment of these monies by using DD
Form 2293.
Affected Public: Individuals and
households.
Annual Burden Hours: 6741.
Number of Respondents: 26,963.
Responses per Respondent: 1.
Annual Responses: 26,963.
Average Burden per Response: 15
minutes.
Frequency: On occasion.
The respondents of this information
collection are spouses or former spouses
of military members. The applicant
submits a DD Form 2293 to the DFAS.
The information from the DD Form 2293
is used by DFAS in processing the
applicant’s request as authorized under
10 U.S.C. 1408. The DD Form 2293 was
devised to standardize applications for
payment under the Act. Information on
the form is also used to determine the
applicant’s current status and contains
statutory required certifications the
applicant/former spouse must make
when applying for payments.
VerDate Sep<11>2014
17:27 Apr 14, 2016
Jkt 238001
Dated: April 12, 2016.
Aaron Siegel,
Alternate OSD Federal Register Liaison
Officer, Department of Defense.
AGENCY:
* Mail: ODCMO, Directorate for
Oversight and Compliance, 4800 Mark
Center Drive, Attn: Mailbox 24,
Alexandria, VA 22350–1700.
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.
ACTION:
FOR FURTHER INFORMATION CONTACT:
[FR Doc. 2016–08752 Filed 4–14–16; 8:45 am]
BILLING CODE 5001–06–P
DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket ID: DOD–2016–HA–0042]
Privacy Act of 1974; System of
Records
Defense Health Agency, DoD.
Notice to alter a System of
Records.
Consistent with the Defense
Health Agency’s creation on October 1,
2013, the existing system of records,
DHA 20 DoD, entitled ‘‘Department of
Defense Suicide Event Report (DoDSER)
System,’’ is being realigned to the
Defense Health Agency’s compilation of
Privacy Act System of Records Notices
(SORNs). The realignment of this system
requires a change in its system identifier
to reflect the numbering system used by
the Defense Health Agency.
The Defense Health Agency also
proposes to alter this system of records.
This system establishes, collects, and
maintains integrated DoD enterprise and
survey data to be used for direct
reporting of Reportable Events involving
individuals on active duty or serving in
the Reserves, supporting ongoing
population-based health surveillance
activities and public health within DoD,
and for analysis. Surveillance activities
include the systematic collection,
analysis, interpretation, and reporting of
outcome-specific data for use in
planning and development of best
practices, education, public health
within DoD, and training on protocols
for identifying, responding to, and
managing individuals at increased risk
of suicide; and implementation,
evaluation, and prevention of suicide
behaviors and Reportable Events within
the DoD.
DATES: Comments will be accepted on or
before May 16, 2016. This proposed
action will be effective the date
following the end of the comment
period unless comments are received
which result in a contrary
determination.
SUMMARY:
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.
ADDRESSES:
PO 00000
Frm 00033
Fmt 4703
Sfmt 4703
Ms.
Linda S. Thomas, Chief, Defense Health
Agency Privacy and Civil Liberties
Office, 7700 Arlington Boulevard, Suite
5101, Falls Church, VA 22042–5101, or
by phone at (703) 275–6363.
The
Defense Health Agency 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 at the Defense Privacy and
Civil Liberties Division Web site at
https://dpcld.defense.gov/. The proposed
system report, as required by 5 U.S.C.
552a(r) of the Privacy Act of 1974, as
amended, was submitted on April 1,
2016, 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).
SUPPLEMENTARY INFORMATION:
Dated: April 12, 2016.
Aaron Siegel,
Alternate OSD Federal Register Liaison
Officer, Department of Defense.
DHA 20 DoD
SYSTEM NAME:
Department of Defense Suicide Event
Report (DoDSER) System (May 6, 2010,
75 FR 24928)
CHANGES:
*
*
*
*
*
SYSTEM IDENTIFIER:
Delete entry and replace with ‘‘EDHA
20 DoD.’’
*
*
*
*
*
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15APN1
Federal Register / Vol. 81, No. 73 / Friday, April 15, 2016 / Notices
CATEGORIES OF INDIVIDUALS COVERED BY THE
SYSTEM:
Delete entry and replace with
‘‘Individuals who are Active Duty,
Reserve, and National Guard
Component personnel serving in the Air
Force, Army, Navy, and/or Marines,
with reportable suicide or self-directed
violence (to include self-harm
behaviors, suicide attempts, and
suicidal ideation) while on active duty
or serving as a member of the Reserves
(Reportable Event).’’
CATEGORIES OF RECORDS IN THE SYSTEM:
Delete entry and replace with
‘‘Demographic records: Name, Social
Security Number (SSN) and/or DoD
Identification (DoD ID) number, date of
birth, gender, race/ethnic group, marital
status, rank/pay grade, religious
preference, military service, military
status, job title, service duty specialty
code, duty environment/status, Unit
Identification Code, permanent duty
station, the major command of the
permanent duty station, temporary duty
station (if applicable), home address,
home phone number, and deployment
history.
REPORTABLE EVENT RECORDS:
Reportable Event type or description;
individual’s residence at time of event;
circumstances of event; potential
precipitating factors and psychological
stressors at the time of the event; postintervention activities, and, if
applicable, medical facility, unit or
military treatment facility where
Reportable Event occurred.
OTHER RECORDS:
Individual’s use of military and
community helping services, past
military experience, medical treatment,
psychological, and legal records; social
history; medical history; event details,
including prior suicidal behaviors;
behavioral, developmental, and
economic, education/training history;
form completer information (name,
rank/grade, and contact information);
and data sources used to compile
records.’’
asabaliauskas on DSK3SPTVN1PROD with NOTICES
AUTHORITY FOR MAINTENANCE OF THE SYSTEM:
Delete entry and replace with ‘‘10
U.S.C. 136, Under Secretary of Defense
for Personnel and Readiness; 10 U.S.C.
3013, Secretary of the Army; 10 U.S.C.
5013, Secretary of the Navy; 10 U.S.C.
8013, Secretary of the Air Force; 10
U.S.C. Chapter 55, Medical and Dental
Care; DoD Directive (DoDD) 5124.02,
Under Secretary of Defense for
Personnel and Readiness (USD(P&R));
DoDD 5136.01, Assistant Secretary of
Defense for Health Affairs (ASD(HA));
VerDate Sep<11>2014
17:27 Apr 14, 2016
Jkt 238001
DoDD 6490.02E, Comprehensive Health
Surveillance; DoDD 6490.14, Defense
Suicide Prevention Program; Army
Regulation 600–63, Army Health
Promotion; OPNAV Instruction
1720.4A, Suicide Prevention Program;
Air Force Instruction 90–505, Suicide
Prevention Program; and E.O. 9397
(SSN), as amended.’’
PURPOSE(S):
Delete entry and replace with ‘‘To
establish, collect, and maintain
integrated DoD enterprise and survey
data to be used for direct reporting of
Reportable Events involving individuals
on Active Duty or serving in the
Reserves, supporting ongoing
population-based health surveillance
activities and public health within DoD,
and for analysis. Surveillance activities
include the systematic collection,
analysis, interpretation, and reporting of
outcome-specific data for use in
planning and development of best
practices, education, public health
within DoD, and training on protocols
for identifying, responding to, and
managing individuals at increased risk
of suicide; and implementation,
evaluation, and prevention of suicide
behaviors and Reportable Events within
the DoD.
Records in this system may be made
available to the Military Services to
provide Service level integrated
enterprise and analysis data for Service
level direct reporting requirements; to
provide the Services with data for
planning, implementation, evaluation,
and prevention of suicide behaviors; to
support Service-level population-based
health surveillance activities; to
facilitate Service-level behavioral health
and medical care and treatment
programs; and, to the extent the
information provided does not include
personally identifiable information, to
provide or permit compilation of
command level reports and/or trend
reporting at a military installation level.
Records in this system may be made
available to DoD components that are
designated as public health authorities
within DoD to support DoD suicide
prevention and resilience programs,
provide DoD-wide comprehensive
strategic approaches for suicide
prevention, postvention, and
surveillance; assist the Military Services
to reduce the impact of suicidal selfdirected violence on the readiness of the
Military Services; fuse, analyze, and
assess DoD-wide surveillance and
research activities related to suicidal
self-direct violence and other high risk
activities to identify risk factors and key
outcomes to inform suicide prevention
policies and programs; and otherwise
PO 00000
Frm 00034
Fmt 4703
Sfmt 4703
22241
fulfill such DoD public health
authority’s responsibilities.’’
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, the
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:
Statistical summary data with no
personally identifiable information may
be provided to public health authorities
and to federal, state, and local
governments not a part of DoD for
health surveillance and research.
Records in this system of records that
are part of an individual’s Service
Treatment Record (STR) as defined in
DoD Instruction 6040.45, November 16,
2015 (USD(P&R)), and in any successor
DoD issuances, and may be provided to
the Veterans Administration (VA) in
connection with the individual’s
separation from Service. Such STRrelated records in this system may be
provided directly to the VA or collected
with STR-related records not part of this
system and made available to VA.
Except as stipulated in NOTE 1 and
NOTE 2 below, the DoD Blanket Routine
Uses set forth at the beginning of the
Defense Privacy and Civil Liberties
Division compilation of systems of
records notices may apply to this
system. The complete list of DoD
Blanket Routine Uses can be found
online at: https://dpcld.defense.gov/
Privacy/SORNsIndex/
BlanketRoutineUses.aspx.
NOTE 1: This system of records may
contain 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: Records of identity,
diagnosis, prognosis or treatment
information of any patient maintained
in connection with the performance of
any program or activity relating to
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15APN1
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Federal Register / Vol. 81, No. 73 / Friday, April 15, 2016 / Notices
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, will be treated as confidential
and disclosed only for the purposes and
under the circumstances expressly
authorized in 42 U.S.C. 290d–2.’’
*
*
*
*
*
RETRIEVABILITY:
Delete entry and replace with ‘‘By
individual’s name and SSN or DoD ID
number.’’
SAFEGUARDS:
Delete entry and replace with
‘‘Physical access to the system is
restricted by the use of locks, access
controls, and is accessible only to
authorized personnel. Each system end
user device is protected within a locked
storage container, room, or building
outside of normal business hours. All
visitors or other persons without
authorized access to server and/or
network facilities are escorted by
appropriately screened/cleared
personnel at all times. The system is
restricted by two-factor authentication
including Common Access Card (CAC)
and personal identification number. All
personnel with authorized access to the
system must have appropriate and
applicable Information Assurance,
Privacy Act, and HIPAA training. All
access to records is tracked by electronic
audit logs. Audit logs are always on and
are archived for historical review and
tracking.’’
RETENTION AND DISPOSAL:
Delete entry and replace with
‘‘DoDSER System Master File: Cutoff
annually upon separation or retirement
of service member. Transfer to inactive
storage when 25 years old. Destroy
when 75 years old. DoDSER System
Annual Reports: Cutoff annually after
report is published. Transfer to NARA 3
years after cutoff.’’
asabaliauskas on DSK3SPTVN1PROD with NOTICES
SYSTEM MANAGER(S) AND ADDRESS:
Delete entry and replace with
‘‘Director, National Center for
Telehealth & Technology (T2) Defense
Centers of Excellence, 9933 West Hayes
Street, Madigan Army Medical Center,
Joint Base Lewis-McChord, Tacoma, WA
98431–1100.’’
NOTIFICATION PROCEDURES:
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 the
Chief, Freedom of Information Act
VerDate Sep<11>2014
17:27 Apr 14, 2016
Jkt 238001
(FOIA) Service Center, Defense Health
Agency Privacy and Civil Liberties
Office, 7700 Arlington Boulevard, Suite
5101, Falls Church, VA 22042–5101.
Written requests should contain the
individual’s full name, home address,
home phone number, and SSN/DoD ID
number, the identifier of this system of
records notice, and 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)’.’’
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.
Written requests should contain the
individual’s full name, home address,
home phone number, and SSN/DoD ID
number, the identifier of this system of
records notice, and 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)’.’’
CONTESTING RECORD PROCEDURES:
Delete entry and replace with ‘‘The
Office of the Secretary of Defense (OSD)
rules for accessing records, for
PO 00000
Frm 00035
Fmt 4703
Sfmt 4703
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
‘‘Medical and behavioral health records;
military personnel records; investigative
agency records, pre and post
deployment screening records, family
advocacy records; court martial records;
records related to manner of death such
as casualty reports, toxicology/lab
reports, and pathology/autopsy reports;
and suicide notes. Record sources also
include interviews with an individual’s
coworkers/supervisors, responsible
investigative agencies, involved
professionals such as physicians,
behavioral health counselors, chaplains,
military police, family service
personnel, family members, and, in the
case of non-fatal self-directed violence,
the individual involved in that
Reportable Event.
Records included in this system of
records also may be obtained from the
Defense Eligibility and Enrollment
Reporting System, Armed Forces Health
Longitudinal Technology Application,
Composite Health Care System,
information systems maintained by a
Service, and DoD enterprise data
systems.’’
*
*
*
*
*
[FR Doc. 2016–08707 Filed 4–14–16; 8:45 am]
BILLING CODE 5001–06–P
DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket ID DOD–2016–OS–0041]
Privacy Act of 1974; System of
Records
Office of the Secretary of
Defense, DoD.
ACTION: Notice to alter a system of
records.
AGENCY:
The Office of the Secretary of
Defense proposes to alter a system of
records, DMDC 04, entitled ‘‘Emergency
Evacuation Tracking and Repatriation.’’
Repatriation centers will use this
information to track and account for
individuals evacuated from emergency
situations due to military operations,
political situations, natural disasters, or
other potentially dangerous
circumstances. Repatriation centers
assist evacuees in securing requested
relocation services, and recording and
recovering relocation costs.
SUMMARY:
E:\FR\FM\15APN1.SGM
15APN1
Agencies
[Federal Register Volume 81, Number 73 (Friday, April 15, 2016)]
[Notices]
[Pages 22240-22242]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-08707]
-----------------------------------------------------------------------
DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket ID: DOD-2016-HA-0042]
Privacy Act of 1974; System of Records
AGENCY: Defense Health Agency, DoD.
ACTION: Notice to alter a System of Records.
-----------------------------------------------------------------------
SUMMARY: Consistent with the Defense Health Agency's creation on
October 1, 2013, the existing system of records, DHA 20 DoD, entitled
``Department of Defense Suicide Event Report (DoDSER) System,'' is
being realigned to the Defense Health Agency's compilation of Privacy
Act System of Records Notices (SORNs). The realignment of this system
requires a change in its system identifier to reflect the numbering
system used by the Defense Health Agency.
The Defense Health Agency also proposes to alter this system of
records. This system establishes, collects, and maintains integrated
DoD enterprise and survey data to be used for direct reporting of
Reportable Events involving individuals on active duty or serving in
the Reserves, supporting ongoing population-based health surveillance
activities and public health within DoD, and for analysis. Surveillance
activities include the systematic collection, analysis, interpretation,
and reporting of outcome-specific data for use in planning and
development of best practices, education, public health within DoD, and
training on protocols for identifying, responding to, and managing
individuals at increased risk of suicide; and implementation,
evaluation, and prevention of suicide behaviors and Reportable Events
within the DoD.
DATES: Comments will be accepted on or before May 16, 2016. This
proposed action will be effective the date 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: https://www.regulations.gov. Follow the
instructions for submitting comments.
* Mail: ODCMO, Directorate for Oversight and Compliance, 4800 Mark
Center Drive, Attn: Mailbox 24, Alexandria, VA 22350-1700.
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. Linda S. Thomas, Chief, Defense
Health Agency Privacy and Civil Liberties Office, 7700 Arlington
Boulevard, Suite 5101, Falls Church, VA 22042-5101, or by phone at
(703) 275-6363.
SUPPLEMENTARY INFORMATION: The Defense Health Agency 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 at the
Defense Privacy and Civil Liberties Division Web site at https://dpcld.defense.gov/. The proposed system report, as required by 5 U.S.C.
552a(r) of the Privacy Act of 1974, as amended, was submitted on April
1, 2016, 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: April 12, 2016.
Aaron Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
DHA 20 DoD
System Name:
Department of Defense Suicide Event Report (DoDSER) System (May 6,
2010, 75 FR 24928)
Changes:
* * * * *
System identifier:
Delete entry and replace with ``EDHA 20 DoD.''
* * * * *
[[Page 22241]]
Categories of individuals covered by the system:
Delete entry and replace with ``Individuals who are Active Duty,
Reserve, and National Guard Component personnel serving in the Air
Force, Army, Navy, and/or Marines, with reportable suicide or self-
directed violence (to include self-harm behaviors, suicide attempts,
and suicidal ideation) while on active duty or serving as a member of
the Reserves (Reportable Event).''
Categories of records in the system:
Delete entry and replace with ``Demographic records: Name, Social
Security Number (SSN) and/or DoD Identification (DoD ID) number, date
of birth, gender, race/ethnic group, marital status, rank/pay grade,
religious preference, military service, military status, job title,
service duty specialty code, duty environment/status, Unit
Identification Code, permanent duty station, the major command of the
permanent duty station, temporary duty station (if applicable), home
address, home phone number, and deployment history.
Reportable Event records:
Reportable Event type or description; individual's residence at
time of event; circumstances of event; potential precipitating factors
and psychological stressors at the time of the event; post-intervention
activities, and, if applicable, medical facility, unit or military
treatment facility where Reportable Event occurred.
Other records:
Individual's use of military and community helping services, past
military experience, medical treatment, psychological, and legal
records; social history; medical history; event details, including
prior suicidal behaviors; behavioral, developmental, and economic,
education/training history; form completer information (name, rank/
grade, and contact information); and data sources used to compile
records.''
Authority for maintenance of the system:
Delete entry and replace with ``10 U.S.C. 136, Under Secretary of
Defense for Personnel and Readiness; 10 U.S.C. 3013, Secretary of the
Army; 10 U.S.C. 5013, Secretary of the Navy; 10 U.S.C. 8013, Secretary
of the Air Force; 10 U.S.C. Chapter 55, Medical and Dental Care; DoD
Directive (DoDD) 5124.02, Under Secretary of Defense for Personnel and
Readiness (USD(P&R)); DoDD 5136.01, Assistant Secretary of Defense for
Health Affairs (ASD(HA)); DoDD 6490.02E, Comprehensive Health
Surveillance; DoDD 6490.14, Defense Suicide Prevention Program; Army
Regulation 600-63, Army Health Promotion; OPNAV Instruction 1720.4A,
Suicide Prevention Program; Air Force Instruction 90-505, Suicide
Prevention Program; and E.O. 9397 (SSN), as amended.''
Purpose(s):
Delete entry and replace with ``To establish, collect, and maintain
integrated DoD enterprise and survey data to be used for direct
reporting of Reportable Events involving individuals on Active Duty or
serving in the Reserves, supporting ongoing population-based health
surveillance activities and public health within DoD, and for analysis.
Surveillance activities include the systematic collection, analysis,
interpretation, and reporting of outcome-specific data for use in
planning and development of best practices, education, public health
within DoD, and training on protocols for identifying, responding to,
and managing individuals at increased risk of suicide; and
implementation, evaluation, and prevention of suicide behaviors and
Reportable Events within the DoD.
Records in this system may be made available to the Military
Services to provide Service level integrated enterprise and analysis
data for Service level direct reporting requirements; to provide the
Services with data for planning, implementation, evaluation, and
prevention of suicide behaviors; to support Service-level population-
based health surveillance activities; to facilitate Service-level
behavioral health and medical care and treatment programs; and, to the
extent the information provided does not include personally
identifiable information, to provide or permit compilation of command
level reports and/or trend reporting at a military installation level.
Records in this system may be made available to DoD components that
are designated as public health authorities within DoD to support DoD
suicide prevention and resilience programs, provide DoD-wide
comprehensive strategic approaches for suicide prevention, postvention,
and surveillance; assist the Military Services to reduce the impact of
suicidal self-directed violence on the readiness of the Military
Services; fuse, analyze, and assess DoD-wide surveillance and research
activities related to suicidal self-direct violence and other high risk
activities to identify risk factors and key outcomes to inform suicide
prevention policies and programs; and otherwise fulfill such DoD public
health authority's responsibilities.''
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, the 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:
Statistical summary data with no personally identifiable
information may be provided to public health authorities and to
federal, state, and local governments not a part of DoD for health
surveillance and research.
Records in this system of records that are part of an individual's
Service Treatment Record (STR) as defined in DoD Instruction 6040.45,
November 16, 2015 (USD(P&R)), and in any successor DoD issuances, and
may be provided to the Veterans Administration (VA) in connection with
the individual's separation from Service. Such STR-related records in
this system may be provided directly to the VA or collected with STR-
related records not part of this system and made available to VA.
Except as stipulated in NOTE 1 and NOTE 2 below, the DoD Blanket
Routine Uses set forth at the beginning of the Defense Privacy and
Civil Liberties Division compilation of systems of records notices may
apply to this system. The complete list of DoD Blanket Routine Uses can
be found online at: https://dpcld.defense.gov/Privacy/SORNsIndex/BlanketRoutineUses.aspx.
NOTE 1: This system of records may contain 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: Records of identity, diagnosis, prognosis or treatment
information of any patient maintained in connection with the
performance of any program or activity relating to
[[Page 22242]]
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, will be treated as confidential and disclosed only for the
purposes and under the circumstances expressly authorized in 42 U.S.C.
290d-2.''
* * * * *
Retrievability:
Delete entry and replace with ``By individual's name and SSN or DoD
ID number.''
Safeguards:
Delete entry and replace with ``Physical access to the system is
restricted by the use of locks, access controls, and is accessible only
to authorized personnel. Each system end user device is protected
within a locked storage container, room, or building outside of normal
business hours. All visitors or other persons without authorized access
to server and/or network facilities are escorted by appropriately
screened/cleared personnel at all times. The system is restricted by
two-factor authentication including Common Access Card (CAC) and
personal identification number. All personnel with authorized access to
the system must have appropriate and applicable Information Assurance,
Privacy Act, and HIPAA training. All access to records is tracked by
electronic audit logs. Audit logs are always on and are archived for
historical review and tracking.''
Retention and disposal:
Delete entry and replace with ``DoDSER System Master File: Cutoff
annually upon separation or retirement of service member. Transfer to
inactive storage when 25 years old. Destroy when 75 years old. DoDSER
System Annual Reports: Cutoff annually after report is published.
Transfer to NARA 3 years after cutoff.''
System manager(s) and address:
Delete entry and replace with ``Director, National Center for
Telehealth & Technology (T2) Defense Centers of Excellence, 9933 West
Hayes Street, Madigan Army Medical Center, Joint Base Lewis-McChord,
Tacoma, WA 98431-1100.''
Notification procedures:
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 the 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.
Written requests should contain the individual's full name, home
address, home phone number, and SSN/DoD ID number, the identifier of
this system of records notice, and 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)'.''
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.
Written requests should contain the individual's full name, home
address, home phone number, and SSN/DoD ID number, the identifier of
this system of records notice, and 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)'.''
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 ``Medical and behavioral health
records; military personnel records; investigative agency records, pre
and post deployment screening records, family advocacy records; court
martial records; records related to manner of death such as casualty
reports, toxicology/lab reports, and pathology/autopsy reports; and
suicide notes. Record sources also include interviews with an
individual's coworkers/supervisors, responsible investigative agencies,
involved professionals such as physicians, behavioral health
counselors, chaplains, military police, family service personnel,
family members, and, in the case of non-fatal self-directed violence,
the individual involved in that Reportable Event.
Records included in this system of records also may be obtained
from the Defense Eligibility and Enrollment Reporting System, Armed
Forces Health Longitudinal Technology Application, Composite Health
Care System, information systems maintained by a Service, and DoD
enterprise data systems.''
* * * * *
[FR Doc. 2016-08707 Filed 4-14-16; 8:45 am]
BILLING CODE 5001-06-P