51568 Federal Register / Vol. 74, No. 193 / Wednesday, October 7, 2009 / Notices 

address, home mailing address of 

individuals submitting material for 

security review, and title/subject of 

submitted document. 

AUTHORITY FOR MAINTENANCE OF THE SYSTEM: 

DoD Directive 5230.9, Clearance of 

DoD Information for Public Release; 

DoD Instruction 5230.29, Security and 

Policy Review of DoD Information for 

Public Release; 5 U.S.C. 301, 

Departmental Regulations. 

PURPOSE(S): 

To manage the security review 

process for documents or materials 

before they are released outside of the 

DoD. The documents and materials of 

completed security reviews are 

maintained for historical reference to 

ensure subsequent reviews, which may 

be similar in content, are handled 

consistently. 

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, these 

records 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’ set 

forth at the beginning of OSD’s 

compilation of systems of records 

notices apply to this system. 

POLICIES AND PRACTICES FOR STORING, 

RETRIEVING, ACCESSING, RETAINING, AND

DISPOSING OF RECORDS IN THE SYSTEM: 

STORAGE: 

Paper records and electronic storage 

media. 

RETRIEVEABILITY: 

By name and title/subject of 

submitted document. 

SAFEGUARDS: 

Paper records are accessed only by 

officials with need to know and 

appropriate security clearance in 

accordance with assigned duties. 

Electronic records require Common 

Access Card to access and are further 

password protected with access limited 

to those individuals who have a needto-know. 

RETENTION AND DISPOSAL: 

Records are destroyed 2 years after 

clearance without amendment; 

destroyed 6 years after record was 

cleared with amendment, or denied 

clearance. Security review appeal files 

which are cleared are destroyed 2 years 

after clearance; and destroyed 6 years 

after record was cleared with 

amendment or denied. Records are 

destroyed by burn bag. 

SYSTEM MANAGER(S) AND ADDRESS: 

Chief, Office of Security Review, 

Executive Services Directorate, 

Washington Headquarters Services, 

1155 Defense Pentagon, Washington, DC 

20301–1155. 

NOTIFICATION PROCEDURE: 

Individuals seeking to determine 

whether information about themselves 

is contained in this system of records 

should address written inquiries to 

Office of Security Review, Executive 

Services Directorate, Washington 

Headquarters Services, 1155 Defense 

Pentagon, Washington, DC 20301–1155. 

Written requests should include the 

individual’s name and title/subject of 

document submitted. 

RECORD ACCESS PROCEDURES: 

Individuals seeking access to 

information about themselves contained 

in this system of records should address 

written inquiries to Office of the 

Secretary of Defense/Joint Staff, 

Freedom of Information Requester 

Service Center, Office of Freedom of 

Information, Executive Services 

Directorate, Washington Headquarters 

Service, 1155 Defense Pentagon, 

Washington, DC 20301–1155. 

Written requests should include the 

name and number of this system of 

records notice, the individual’s name, 

title/subject of submitted document, 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: 

From the individual. 

EXEMPTIONS CLAIMED FOR THE SYSTEM: 

None. 

[FR Doc. E9–24129 Filed 10–6–09; 8:45 am] 

BILLING CODE 5001–06–P 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

[Docket ID DOD–2009–OS–0142] 

Privacy Act of 1974; System of 

Records 

AGENCY: Office of the Secretary, DoD. 

ACTION: Notice to alter a system of 

records. 

SUMMARY: The Office of the Secretary of 

Defense is proposing to alter a system of 

records notice in its existing inventory 

of record systems subject to the Privacy 

Act of 1974, (5 U.S.C. 552a), as 

amended. 

DATES: This proposed action will be 

effective without further notice on 

November 6, 2009 unless comments are 

received which result in a contrary 

determination. 

ADDRESSES: Send comments to the 

Office of the Secretary of Defense, 

Privacy Act Coordinator, Records 

Management Section, Washington 

Headquarters Services, 1155 Defense 

Pentagon, Washington, DC 20301–1155. 

FOR FURTHER INFORMATION CONTACT: Ms. 

Cindy Allard at (703) 588–2386. 

SUPPLEMENTARY INFORMATION: The Office 

of the Secretary of Defense 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 proposed system report, as 

required by 5 U.S.C. 552a(r), of the 

Privacy Act of 1974, as amended, was 

submitted on September 25, 2009, 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: September 25, 2009. 

Patricia L. Toppings, 

OSD Federal Register Liaison Officer, 

Department of Defense. 

DTMA 02 

SYSTEM NAME: 

Medical/Dental Care and Claims 

Inquiry Files (March 29, 2006, 71 FR 

15707). 

CHANGES: 

* * * * * 

CATEGORIES OF RECORDS IN THE SYSTEM: 

Delete entry and replace with 

‘‘Inquiries received from private 

individuals for information on 

TRICARE/CHAMPUS and CHAMPVA, 

and replies thereto; congressional 

inquiries on behalf of constituents and 

replies thereto; and files notifying 

personnel of eligibility or termination of 

benefits. Information may include: 

Name; Social Security Number (SSN); 

date of birth; case number; dates of 


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Federal Register / Vol. 74, No. 193 / Wednesday, October 7, 2009 / Notices 51569 

treatment; medical diagnosis; Defense 

Enrollment Eligibility Reporting System 

(DEERS) data; address; telephone 

number; marital status; adoption 

information; and sponsor name.’’ 

AUTHORITIES FOR MAINTENANCE OF THE SYSTEM: 

Delete entry and replace with ‘‘41 

CFR 101–11.000, Federal Records and 

Standard and Optional Forms; 10 U.S.C. 

55, Medical and Dental Care; 38 U.S.C. 

1781, Medical Care for survivors and 

dependents of certain veterans, and E.O. 

9397 (SSN), as amended.’’ 

* * * * * 

STORAGE: 

Delete entry and replace with ‘‘Paper 

records and electronic storage media.’’ 

* * * * * 

RETENTION AND DISPOSAL: 

Delete entry and replace with ‘‘Paper 

records are retained in active files until 

end of calendar year in which they are 

received, then closed out and held 1 

additional year. Then transferred to the 

Federal Records Center (FRC), the FRC 

shall destroy after an additional 5 years. 

Paper copy records that have been 

converted to electronic, microfilm, 

imaging or optical formats, the paper 

copy is destroyed after verification of 

data, and the electronic, microfilm, 

imaging, or optical format are kept by 

the contractor for 6 years after the claim 

is processed to completion, and then 

destroyed by cross shredding, 

macerating, degaussing or by a 

commercially bonded or insured vendor 

who must provide a certificate of 

destruction. The destruction of the 

records must be witnessed. Destruction 

of the records is dependent on any 

records preservation orders that may be 

in effect.’’ 

SYSTEM MANAGER(S) AND ADDRESS: 

Delete entry and replace with 

‘‘TRICARE Management Activity, 

Department of Defense, 

Communications and Customer Service 

Division, Skyline 5, 5111 Leesburg Pike, 

Falls Church, VA 22041–3206.’’ 

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 

TRICARE Management Activity, 

Department of Defense, ATTN: 

Communications and Customer Service 

Division, Skyline 5, 5111 Leesburg Pike, 

Falls Church, VA 22041–3206; or 

TRICARE Management Activity Privacy 

Office, Skyline 5, Suite 810, 5111 

Leesburg Pike, Falls Church, VA 22041– 

3201. 

Written requests should include 

name, Social Security Number (SSN) 

and dates treatment received.’’ 

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 OSD/JS FOIA Requester 

Service Center, 1155 Defense Pentagon, 

Washington, DC 20301–1155. 

Written requests should include 

name, Social Security Number (SSN) 

and dates treatment received.’’ 

* * * * * 

DTMA 02 

SYSTEM NAME: 

Medical/Dental Care and Claims 

Inquiry Files. 

SYSTEM LOCATION: 

TRICARE Management Activity, 

Department of Defense, 16401 East 

Centretech Parkway, Aurora, CO 80011– 

9066, and contractors under contract to 

TRICARE. A listing of TRICARE 

contractors maintaining these records is 

available from the system manager. 

CATEGORIES OF INDIVIDUALS COVERED BY THE

SYSTEM: 

All individuals who seek information 

concerning health care (medical and 

dental) under TRICARE/CHAMPUS and 

CHAMPVA. 

CATEGORIES OF RECORDS IN THE SYSTEM: 

Inquiries received from private 

individuals for information on 

TRICARE/CHAMPUS and CHAMPVA, 

and replies thereto; congressional 

inquiries on behalf of constituents and 

replies thereto; and files notifying 

personnel of eligibility or termination of 

benefits. Information may include: 

Name; Social Security Number (SSN); 

date of birth; case number; dates of 

treatment; medical diagnosis; Defense 

Enrollment Eligibility Reporting System 

(DEERS) data; address; telephone 

number; marital status; adoption 

information; and sponsor name. 

AUTHORITY FOR MAINTENANCE OF THE SYSTEM: 

41 CFR 101–11.000, Federal Records 

and Standard and Optional Forms; 10 

U.S.C. 55, Medical and Dental Care; 38 

U.S.C. 1781, Medical Care for survivors 

and dependents of certain veterans and 

E.O. 9397 (SSN), as amended. 

PURPOSE(S): 

To maintain and control records 

pertaining to requests for information 

concerning an individual’s TRICARE/ 

CHAMPUS eligibility status, the 

benefits provided under programs of 

TRICARE/CHAMPUS and CHAMPVA 

and the processing of individual 

TRICARE/CHAMPUS and CHAMPVA 

claims. 

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, 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: 

To the Department of Health and 

Human Services and/or the Department 

of Veterans Affairs consistent with their 

statutory administrative responsibilities 

under TRICARE/CHAMPUS and 

CHAMPVA pursuant to chapter 55, 10 

U.S.C. and section 613, chapter 17, 38 

U.S.C. 

To Federal, state, local, or foreign 

governmental agencies, and to private 

business entities, including individual 

providers of care (participating and nonparticipating), on matters relating to 

eligibility, claims pricing and payment, 

fraud, program abuse, utilization 

review, quality assurance, peer review, 

program integrity, third-party liability, 

coordination of benefits, and civil or 

criminal litigation related to the 

operation of TRICARE/CHAMPUS. 

To third-party contacts in situations 

where the party to be contacted has, or 

is expected to have, information 

necessary to establish the validity of 

evidence or to verify the accuracy of 

information presented by 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’ set 

forth at the beginning of OSD’s 

compilation of systems of records 

notices apply to this system. 

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 and electronic storage 

media. 


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51570 Federal Register / Vol. 74, No. 193 / Wednesday, October 7, 2009 / Notices 

RETRIEVABILITY: 

Information is retrieved by case 

number, sponsor name and/or Social 

Security Number (SSN) and inquirer 

name. 

SAFEGUARDS: 

Records are maintained in areas 

accessible only to authorized personnel 

who are properly screened, cleared, and 

trained. Automated segments are 

accessible only by authorized persons 

possessing user identification codes. 

Security systems and/or security guards 

protect buildings where records are 

maintained. 

RETENTION AND DISPOSAL: 

Paper records are retained in active 

files until end of calendar year in which 

they are received, then closed out and 

held 1 additional year. Then transferred 

to the Federal Records Center (FRC), the 

FRC shall destroy after an additional 5 

years. Paper copy records that have been 

converted to electronic, microfilm, 

imaging or optical formats, the paper 

copy is destroyed after verification of 

data, and the electronic, microfilm, 

imaging, or optical format are kept by 

the contractor for 6 years after the claim 

is processed to completion, and then 

destroyed by cross shredding, 

macerating, degaussing or by a 

commercially bonded or insure vendor 

who must provide a certificate of 

destruction. The destruction of the 

records must be witnessed. Destruction 

of the records is dependent on any 

records preservation orders that may be 

in effect. 

SYSTEM MANAGER(S) AND ADDRESS: 

TRICARE Management Activity, 

Department of Defense, 

Communications and Customer Service 

Division, Skyline 5, 5111 Leesburg Pike, 

Falls Church, VA 22041–3206. 

NOTIFICATION PROCEDURE: 

Individuals seeking to determine 

whether information about themselves 

is contained in this system should 

address written inquiries to the 

TRICARE Management Activity, 

Department of Defense, ATTN: 

Communications and Customer Service 

Division, Skyline 5, 5111 Leesburg Pike, 

Falls Church, VA 22041–3206; or 

TRICARE Management Activity Privacy 

Office, Skyline 5, Suite 810, 5111 

Leesburg Pike, Falls Church, VA 22041– 

3201. 

Written requests should include 

name, Social Security Number (SSN) 

and dates treatment received. 

RECORD ACCESS PROCEDURES: 

Individuals seeking access to 

information about themselves contained 

in this system should address written 

inquiries to the OSD/JS FOIA Requester 

Service Center, 1155 Defense Pentagon, 

Washington, DC 20301–1155. 

Written requests should include 

name, Social Security Number (SSN) 

and dates treatment received. 

If it is determined that the release of 

medical information to the requester 

could have an adverse effect upon the 

individual’s physical or mental health, 

the requester should be prepared to 

provide the name and address of a 

physician who would be willing to 

receive the medical record, and at the 

physician’s discretion, inform the 

individual covered by the system of the 

contents of that record. In the event the 

physician does not agree to convey the 

information contained within the record 

to the individual, TRICARE 

Management Activity will take positive 

measures to ensure the individual is 

provided the requested information. 

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: 

Contractors, congressional offices, 

Health Benefits Advisors, all branches 

of the Uniformed Service, congressional 

offices, providers of care, consultants, 

and individuals. 

EXEMPTIONS CLAIMED FOR THE SYSTEM: 

None. 

[FR Doc. E9–24130 Filed 10–6–09; 8:45 am] 

BILLING CODE 5001–06–P 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

Senior Executive Service Performance 

Review Board 

AGENCY: Office of Inspector General, 

DoD. 

ACTION: Notice. 

SUMMARY: This notice announces the 

appointment of the members of the 

Senior Executive Service (SES) 

Performance Review Board (PRB) for the 

Department of Defense Office of 

Inspector General (DoD OIG), as 

required by 5 U.S.C. 4314(c)(4). The 

PRB provides fair and impartial review 

of SES performance appraisals and 

makes recommendations regarding 

performance ratings and performance 

awards to the Inspector General. 

DATES: Effective October 1, 2009. 

FOR FURTHER INFORMATION CONTACT: Ms. 

Phyllis Hughes, Director, Human 

Capital Advisory Services, 

Administration and Management, DoD 

OIG, 400 Army Navy Drive, Arlington, 

VA 22202, (703) 602–4516. 

SUPPLEMENTARY INFORMATION: In 

accordance with 5 U.S.C. 4314(c)(4), the 

following executives are appointed to 

the DoD OIG, PRB: 

Charles 

Coe, 

Jr.

Assistant Inspector General for Information Technology Audits and 

Computer Crime Investigations, 

Department of Education. 

Karen 

Ellis.

Assistant Inspector General for Investigations, Department of Agriculture. 

Marla 

Freedman.

Assistant Inspector General for 

Audit, Department of Treasury. 

Lisa 

Martin.

General Counsel, United States 

Postal Service, Office of Inspector General. 

Linda 

Snider.

Assistant Inspector General for 

Resource Management, Department of Energy. 

Dated: September 28, 2009. 

Patricia L. Toppings, 

OSD Federal Register Liaison Officer, 

Department of Defense. 

[FR Doc. E9–24128 Filed 10–6–09; 8:45 am] 

BILLING CODE 5001–06–P 

DEPARTMENT OF DEFENSE 

Department of Air Force 

[Docket No. USAF–2009–0058] 

Privacy Act of 1974; System of 

Records 

AGENCY: Department of Air Force, DoD. 

ACTION: Notice to amend a system of 

records. 

SUMMARY: The Department of Air Force 

proposes to amend a system of records 

in its inventory of record systems 

subject to the Privacy Act of 1974 (5 

U.S.C. 552a), as amended. 

DATES: The changes will be effective on 

November 6, 2009 unless comments are 

received that would result in a contrary 

determination. 

ADDRESSES: Send comments to the Air 

Force Privacy Act Officer, Office of 

Warfighting Integration and Chief 

Information Officer, SAF/XCPPI, 1800 

Air Force Pentagon, Washington, DC 

20330–1800. 

FOR FURTHER INFORMATION CONTACT: Mr. 

Ben Swilley at (703) 696–6172. 

SUPPLEMENTARY INFORMATION: The 

Department of the Air Force systems of 

records notices subject to the Privacy 

Act of 1974, (5 U.S.C. 552a), as 


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