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

Yes O No

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

The Web site form that collects the data contains a Privacy Act Statement as required by 5 U.S.C.552a(e)(3),
allowing the individual to make an informed decision about providing the data or participating in the program.
The statement advises that participation is voluntary, and that failure to provide all of the requested data may
impede, delay, or prevent further processing of their request.

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

‘

J. Do individuals have the opportunity to consent to the specific uses of their Pll?

Yes No

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

‘The Web site form that collects the data contains a Privacy Act Statement as required by 5 U.S.C.552a(e)(3),
jallowing the individual to make an informed decision about providing the data or participating in the program.
The statement advises that participation is voluntary, and that failure to provide all of the requested data may
impede, delay, or prevent further processing of their request. .

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

* DD FORM 2930 NOV 2008 Page 5 of 15


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.

Defense Logistics Agency's (DLA) Account Management Provisioning System (AMPS) controls, tracks, and
routes for approval and action requests for access to DLA's networks, computer systems, and databases
that have their access requests managed by AMPS.

Personal Information Collection are: Name, Citizenship Status, and if "U.S." is selected under Citizenship
Status, then SSN.

(2) Briefly describe the privacy risks associated with the Pll collected and how these risks are
addressed to safeguard privacy.

The risk associated with this collection is the same as those for other systems collecting Social Security
Number (SSN) -- being used for other than "For Official Use Only" purposes. This has been minimized
through encryption and only displaying SSN in plain text to security officer(s) assigned to manage the
specific request. The security office role/access in AMPS is only granted to individuals that hold a security
officer position. As DLA employees, under the requirements of the DoD Privacy Program, are made aware
lof the restrictions on secondary uses of the data records by initial and refresher Information Assurance and
Privacy training. Security risks associated with maintaining data in an electronic environment have been
mitigated through administrative, technical, and physical safeguards. The safeguards are commensurate
with the risk and magnitude of harm that could result from the loss, misuse, or unauthorized access to or
modification of the data.

h. With whom will the Pll 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.

KX Within the DoD Component.

Specify. DLA Security Officers and Law Enforcement personnel
(Other DoD Components.

Specify.
[Other Federal Agencies.

Specify.
[1 State and Local Agencies.

Specify.

{] Contractor (Enter name and describe the language in the contract that safeguards PI.)

Specify. [-

[]_ Other (e.g., commercial providers, colleges).

Specify.

DD FORM 2930 NOV 2008 Page 4 of 15



k. What information is provided to an individual when asked to provide Pll data? Indicate all that

apply.

Privacy Act Statement | Privacy Advisory

[j_ Other o None

Describe |Authority: 5 U.S.C. 301, Departmental regulations; 10 U.S.C. 133, Under Secretary of Defense for

each Acquisition and Technology; 18 U.S.C. 1029, Access device fraud; E.O, 10450 Security

applicable jRequirements for Government Employees, as amended; and E.0. 9397 (SSN), as amended.

format.
Principle Purpose(s): Information is used to validate a user's request for access into a DLA system,
database or network that has its access requests managed by AMPS,
Routine Uses: Data may be provided under any of the DoD “Blanket Routine Uses” published at
http://dpclo:defense-gov/privacy/SORNs/blanket_routine_usés. html.
Disclosure: Disclosure is voluntary; however, if you fail to supply all the requested information you
will not gain access to the DLA - Account Management and Provisioning System (AMPS) database.
Your identity / security clearance must be verified prior to gaining access to the AMPS database, and
without the requested information, verification cannot be accomplished.
Rules of Use: Rules for collecting, using, retaining, and safeguarding this information are contained in
DLA Privacy Act System Notice $500.55, entitled “Information Technology Access and Control
Records” available at http://dpclo.defense. gov/privacy/SORNs/component/dla/index.htm!

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.

DD FORM 2930 NOV 2008, Page 6 of 15



PRIVACY IMPACT ASSESSMENT (PIA)
For the

Account Management Provisioning System (AMPS)

Defense Logistics Agency

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 Pll 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 (1) Yes, from members of the general public.
[1 (2) Yes, from Federal personnel* and/or Federal contractors.

[x] (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.

DD FORM 2930 NOV 2008 Page 1 of 15


SECTION 2: PIA SUMMARY INFORMATION

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

[1 New DoD Information System oO New Electronic Collection

X] Existing DoD Information System Oo Existing Electronic Collection

Oo 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 [10110

o Yes, SIPRNET Enter SIPRNET Identification Number

Oo 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?

o 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.

Ri Yes [ No

if "Yes," enter Privacy Act SORN Identifier S500.55- Information Technology Access and Control Records

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:/Avww.defenselink.mil/privacy/notices/

or

Date of submission for approval to Defense Privacy Office
Consult the Component Privacy Office for this date.

DD FORM 2930 NOV 2008 Page 2 of 15


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.

4) Yes

Enter OMB Control Number _{ Published in FR on December 5, 2012

Enter Expiration Date

o 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 Pll. (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 Pll.

() 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; 10 U.S.C. 133, Under Secretary of Defense for Acquisition,
Technology, and Logistics, 18 U.S.C. 1029, Access Device Fraud; E.O. 10450, Security Requirements
for Government Employees as amended; and E.0. 9397(SSN), as amended.

DD FORM 2930 NOV 2008 Page 3 of 15