PRIVACY IMPACT ASSESSMENT (PIA) 

For the 

Police Blotter

Defense Logistics Agency (DLA)

SECTION 1: IS A PIA REQUIRED? 

a. Will this Department of Defense (DoD) information system or electronic collection of 

information (referred to as an "electronic collection" for the purpose of this form) collect, 

maintain, use, and/or disseminate PII about members of the public, Federal personnel, 

contractors or foreign nationals employed at U.S. military facilities internationally? Choose 

one option from the choices below. (Choose (3) for foreign nationals).

(1) Yes, from members of the general public.

(2) Yes, from Federal personnel* and/or Federal contractors.

(3) Yes, from both members of the general public and Federal personnel and/or Federal contractors.

(4) No

* "Federal personnel" are referred to in the DoD IT Portfolio Repository (DITPR) as "Federal employees." 

b. If "No," ensure that DITPR or the authoritative database that updates DITPR is annotated 

for the reason(s) why a PIA is not required. If the DoD information system or electronic 

collection is not in DITPR, ensure that the reason(s) are recorded in appropriate 

documentation. 

c. If "Yes," then a PIA is required. Proceed to Section 2.
SECTION 2: PIA SUMMARY INFORMATION 

a. Why is this PIA being created or updated? Choose one:

New DoD Information System New Electronic Collection

Existing DoD Information System Existing Electronic Collection

Significantly Modified DoD Information 

System

b. Is this DoD information system registered in the DITPR or the DoD Secret Internet Protocol 

Router Network (SIPRNET) IT Registry?

Yes, DITPR Enter DITPR System Identification Number

Yes, SIPRNET Enter SIPRNET Identification Number

No

c. Does this DoD information system have an IT investment Unique Project Identifier (UPI), required 

by section 53 of Office of Management and Budget (OMB) Circular A-11?

Yes No

 If "Yes," enter UPI

 If unsure, consult the Component IT Budget Point of Contact to obtain the UPI.

d. Does this DoD information system or electronic collection require a Privacy Act System of 

Records Notice (SORN)?

A Privacy Act SORN is required if the information system or electronic collection contains information about U.S. citizens 

or lawful permanent U.S. residents that is retrieved by name or other unique identifier. PIA and Privacy Act SORN 

information should be consistent. 

 Yes No

 If "Yes," enter Privacy Act SORN Identifier

DoD Component-assigned designator, not the Federal Register number. 

Consult the Component Privacy Office for additional information or 

access DoD Privacy Act SORNs at: http://www.defenselink.mil/privacy/notices/ 

or 

Date of submission for approval to Defense Privacy Office 

 Consult the Component Privacy Office for this date.
e. Does this DoD information system or electronic collection have an OMB Control Number? 

Contact the Component Information Management Control Officer or DoD Clearance Officer for this information. 

This number indicates OMB approval to collect data from 10 or more members of the public in a 12-month period 

regardless of form or format. 

Yes 

Enter OMB Control Number Request for OMB Control Number submitted 03/30/2011

Enter Expiration Date

No

f. Authority to collect information. A Federal law, Executive Order of the President (EO), or DoD 

requirement must authorize the collection and maintenance of a system of records.

(1) If this system has a Privacy Act SORN, the authorities in this PIA and the existing Privacy Act 

SORN should be the same. 

(2) Cite the authority for this DoD information system or electronic collection to collect, use, maintain 

and/or disseminate PII. (If multiple authorities are cited, provide all that apply.) 

(a) Whenever possible, cite the specific provisions of the statute and/or EO that authorizes 

the operation of the system and the collection of PII. 

(b) If a specific statute or EO does not exist, determine if an indirect statutory authority can 

be cited. An indirect authority may be cited if the authority requires the operation or administration of 

a program, the execution of which will require the collection and maintenance of a system of records. 

(c) DoD Components can use their general statutory grants of authority (“internal 

housekeeping”) as the primary authority. The requirement, directive, or instruction implementing the 

statute within the DoD Component should be identified. 

5 U.S.C. 301, Departmental Regulations; 5 U.S.C. 303(b), Oath to Witnesses; 10 U.S.C. 133, Under 

Secretary of Defense for Acquisition and Technology; and E.O. 9397 (SSN), as amended.
g. Summary of DoD information system or electronic collection. Answers to these questions 

should be consistent with security guidelines for release of information to the public.

(1) Describe the purpose of this DoD information system or electronic collection and briefly 

describe the types of personal information about individuals collected in the system.

Records are used to log police activity associated to daily routine tasks and police, fire, emergency services 

responses. 

Personal information collected by the system includes: Name and Mailing/Home Address. 

(2) Briefly describe the privacy risks associated with the PII collected and how these risks are 

addressed to safeguard privacy. 

h. With whom will the PII be shared through data exchange, both within your DoD Component and 

outside your Component (e.g., other DoD Components, Federal Agencies)? Indicate all that apply.

Within the DoD Component.

Specify. DLA Installation Support Personnel

Other DoD Components.

Specify. DLA Land and Maritime Command and DLA-AO

Other Federal Agencies.

Specify.

State and Local Agencies.

Specify.

Contractor (Enter name and describe the language in the contract that safeguards PII.)

Specify.

Other (e.g., commercial providers, colleges).

Specify.
i. Do individuals have the opportunity to object to the collection of their PII?

Yes No

(1) If "Yes," describe method by which individuals can object to the collection of PII.

(2) If "No," state the reason why individuals cannot object.

The information collected is used for the specific purposes of site security pursuant to 32 CFR 1292.5, 

Security of DLA Activities and Resources, and to track emergency services and day-to-day security functions 

(perimeter checks, etc.). Individuals are provided a Privacy Act Statement when PII is collected.

j. Do individuals have the opportunity to consent to the specific uses of their PII?

Yes No

(1) If "Yes," describe the method by which individuals can give or withhold their consent.

(2) If "No," state the reason why individuals cannot give or withhold their consent.

The information collected is used for the specific purposes of site security pursuant to 32 CFR 1292.5, 

Security of DLA Activities and Resources, and to track emergency services and day-to-day security functions 

(perimter checks, etc.). Individuals are provided a Privacy Act Statement when PII is collected.
k. What information is provided to an individual when asked to provide PII data? Indicate all that 

apply.

Privacy Act Statement Privacy Advisory

Other None

Describe 

each 

applicable 

format.

Individuals are provided a Privacy Act Statement when PII is collected.

NOTE: 

Sections 1 and 2 above are to be posted to the Component's Web site. Posting of these 

Sections indicates that the PIA has been reviewed to ensure that appropriate safeguards are in 

place to protect privacy. 

A Component may restrict the publication of Sections 1 and/or 2 if they contain information that 

would reveal sensitive information or raise security concerns.