PRIVACY IMPACT ASSESSMENT (PIA)

For the

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.

DDFORM2930NOV 2008 Page1 of 15

Defense Logistics Agency (DLA) Action Item Tickler Report (DAITR)

Defense Logistics Agency (DLA)
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.

DDFORM2930NOV 2008 Page2 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.

Yes

Enter OMB Control Number

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.)

OPM/GOVT-1-GeneralPersonnelRecordsand DPR34,"Defense
(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.

DDFORM2930NOV 2008 Page3 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.

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

addressed to safeguard privacy.

OPM/GOVT-1: 5 U.S.C. 1302, 2951, 3301, 3372, 4118, 8347, and Executive Orders 9397, 9830, and

12107

DPR 34: 5 U.S.C. 301, Departmental Regulations; 5 U.S.C. Chapters 11, 13, 29, 31, 33, 41, 43, 51, 53,

55, 61, 63, 72, 75, 83, 99; 5 U.S.C. 7201, Anti discrimination Policy; 10 U.S.C. 136, Under Secretary of 

Defense for Personnel and Readiness; Executive Order 9830, Amending the Civil Service Rules and 

Providing for Federal Personnel Administration, as amended; Executive Order 9397 (SSN); and CFR 

1614.601, EEO Group Statistics.

DLA Action Item Tickler Report (DAITR) is used by Human Resources personnel and provides the ability to 

generate staffing reports and statistics. NOTE: This application is slated for replacement sometime in CY 

2015, predicated on the deployment of a standard HR reporting tool that will NOT rely on SSN data, but 

rather the DoD ID Number (EDIPI).

Personal information collected by the system includes: Name and Social Security Number (SSN).
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.

Other DoD Components.

Specify.

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).

The risks are minimized by physical,technical,and administrative controls. Data is available to only those 

whose job performances require access. System access is controlled by use of smart cards and role-based 

security which ensures access to the information in the system is limited by job requirement and 

authorization to view the data. Users sign a Privacy Act Information Acknowledgment Form and agree to 

maintain the confidentiality of information in accordance with DLAR 5400.21, DLA Privacy Act Program, and 

DoD 5500.7-R, Joint Ethics Regulations.

DLA Human Resources Services personnel
Specify.

DDFORM2930NOV 2008 Page4 of 15

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.

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.

The information is needed by DLA Human Resources Services to perform personnel management functions 

and is provided through the database feeds via Defense Civilian Personnel Data System (DCPDS).
(2) If "No," state the reason why individuals cannot give or withhold their consent.

DDFORM2930NOV 2008 Page5 of 15

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.

The information collected is needed to perform Human Resources support functions and is used for the 

specific purposes of fulfilling personnel reporting requirements.
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.

DDFORM2930NOV 2008 Page6 of 15

Individuals are presented Privacy Act statements when the information is collected via 

Defense

 

Note: Information created and stored within the DCPDS is UNCLASSIFIED FOR OFFICIAL USE

ONLY and is subject to the Privacy Act of 1974. Every user of the DCPDS must adhere to the Privacy 

Act when working with any information that relates to the data contained in the DCPDS.