Home > 1995 Privacy Act Documents > Privacy Act: [ 32-20-003] Unit Medical Records, ICC....Privacy Act: [ 32-20-003] Unit Medical Records, ICC....
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INTERSTATE COMMERCE COMMISSION
TABLE OF CONTENTS
32-20-001 Operating Personnel Files (Nonpermanent Records).
32-20-002 National Defense Executive Reserve Files.
32-20-003 Unit Medical Records.
32-20-004 Automated Personnel and Payroll System.
32-20-005 Case Status System (Formal Case Control).
32-20-006 Correspondence and Management Control.
32-20-007 Consumer Complaint System.
32-20-008 Preliminary Investigation Files.
32-20-009 Investigative and Enforcement Records, Cross-indexed.
32-20-010 ICC Employees Parking Permit Applications for Carpools.
32-20-011 ICC Identification System File.
32-20-012 Employer Travel Records.
32-20-013 Identification and Measurement of Minority and Female Owned
Motor Carriers.
32-20-0014 Fee Billing and Collection System.
32-20-0015 OIG Complaint and Investigative Files.
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INTERSTATE COMMERCE COMMISSION
32-20-001
System name: Operating Personnel Files (Nonpermanent Records),
ICC.
System location: ICC Headquarters Bureaus and Offices, Washington, DC,
and Regional Detached Offices (49 CFR part 1001).
Categories of individuals covered by the system: ICC employees.
Categories of records in the system: Working papers and documents
developed during the course of an individual's employment which are
not permanently retained. These will include the Standard Form 7B
(OF 4B), Employee Record Card, and nonofficial records generally
limited to information on experience, education, training, special
qualifications and skills, position descriptions, performance
appraisals and conduct. The Regional Managers' files may contain
duplicate copies of official documents (SF 171, SF 50, etc.).
Authority for maintenance of the system: Federal Personnel Manual
Supplement 293-31.
Routine uses of records maintained in the system, including categories
of users and the purposes of such uses: For the use of operating
officials as a source of data to initiate requests for personnel
actions, to plan and schedule employee training, to counsel
employees on their performance, to establish a basis for proposing
commendations or disciplinary actions, and to carry out their
personnel management responsibilities in general. In the event that
a system of records maintained by this agency to carry out its
functions indicates a violation or potential violation of law,
whether civil, criminal or regulatory in nature, and whether arising
by general statute or particular program statute, or by regulation,
rule or order issued pursuant thereto, the relevant records in the
system of records may be referred, as a routine use, to the
appropriate agency, whether Federal, state, local or foreign,
charged with the responsibility of investigating or prosecuting such
violation or charged with enforcing or implementing the statute, or
rule, regulation or order issued pursuant thereto. The information
contained in this system of records will be disclosed to the Office
of Management and Budget in connection with the review of private
relief legislation as set forth in OMB Circular No. A-19 at any
stage of the legislative coordination and clearance process as set
forth in that Circular.
Disclosure may be made to a congressional office from the record of an
individual in response to an inquiry from the congressional office
made at the request of that individual.
Policies and practices for storing, retrieving, accessing, retaining,
and disposing of records in the system:
Storage: Maintained in individual file folders.
Retrievability: Indexed by name.
Safeguards: Kept in locked file cabinets under direct control of
responsible official.
Retention and disposal: Retained until employee leaves the agency
through transfer or other separation and then forward to the
Personnel Office where it is screened to insure that it contains no
documents that should be permanently filed in the Official Personnel
Folder, and then is destroyed.
System manager(s) and address:
Administrative Officer (Assistant), ICC
Headquarters Bureaus and Officers, Washington, DC.
Regional Managers and Officer-in-charge--Detached
Offices
Notification procedure: Same as above.
Record access procedures: Same as above.
Contesting record procedures: Same as above.
Record source categories: Employees and their supervisors.
Systems exempted from certain provisions of the act: None.
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INTERSTATE COMMERCE COMMISSION
32-20-002
System name: National Defense Executive Reserve Files, ICC.
System location: Recruitment and Assignment Files Bureau of Operations,
Interstate Commerce Commission, 12th and Constitution Avenue, NW,
Washington, DC 20423. Appointment Files Personnel Office, Interstate
Commerce Commission, 12th and Constitution Avenue, NW, Washington,
DC 20423.
Categories of individuals covered by the system: Letters and/or
memorandums addressed to members of the Commission's National
Defense Executive Reserve or to staff involving recruitment of
reservists.
Categories of records in the system: Letters, Memorandum or NDER Forms
1, 2, and 3, or Form BOp D11 concerning reservists' assignments or
responsibilities in connection with the National Defense Executive
Reserve program, letters of appointment and statement of
understanding.
Authority for maintenance of the system: EO 11179 and EO 11490.
Routine uses of records maintained in the system, including categories
of users and the purposes of such uses: Maintaining management
control system of the Commission's membership and staff
responsibilities in connection therewith and of individuals selected
to participate in the National Defense Executive Reserve program.
The information in this system of records will be exchanged as a
matter of routine use with the Federal Preparedness Agency, General
Services Administration, in connection with both agencies'
responsibilities for administering the National Defense Executive
Reserve and Emergency Preparedness programs, assigned by Executive
Orders Nos. 11179, dated September 22, 1964, and 11490, dated
October 30, 1969. In the event that a system of records maintained
by this agency to carry out its functions indicates a violation or
potential violation of law, whether civil, criminal or regulatory in
nature, and whether arising by general statute or particular program
statute, or by regulations, rule or order issued pursuant thereto,
the relevant records in the system of records may be referred, as a
routine use, to the appropriate agency, whether Federal, state,
local or foreign, charged with the responsibility of investigating
or prosecuting such violation or charged with enforcing or
implementing the statute, or rule, regulation or order issued
pursuant thereto. The information contained in this system of
records will be disclosed to the Office of Management and Budget in
connection with the review of private legislation as set forth in
OMB Circular No. A-19 at any stage of the legislative coordination
and clearance process as set forth in that Circular.
Disclosure may be made to a congressional office from the record of an
individual in response to an inquiry from the congressional office
made at the request of that individual.
Policies and practices for storing, retrieving, accessing, retaining,
and disposing of records in the system:
Storage: File folders and card file, 3 inch x 5 inch cards, basic
control of quarterly computer printouts, membership listing of
National Defense Executive Reserves, listing names, addresses and
employment information about each reservist.
Retrievability: Files maintained by individual name.
Safeguards: Kept in locked file cabinets under control of responsible
official.
Retention and disposal: Permanent for card file; correspondence and
rosters, etc., three-year active file and then destroyed.
System manager(s) and address:
Recruitment and assignment files
Bureau of Operations
Assistant to the Director
Interstate Commerce Commission
12th and Constitution Avenue, NW,
Washington, DC 20423
Appointment files
Director of Personnel
Interstate Commerce Commission
12th and Constitution Avenue, NW,
Washington, DC 20423
Notification procedure: Same as above.
Record access procedures: Same as above.
Contesting record procedures: Same as above.
Record source categories: Employee.
Systems exempted from certain provisions of the act: None.
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INTERSTATE COMMERCE COMMISSION
32-20-003
System name: Unit Medical Records, ICC.
System location: Occupational Health Unit, ICC 12th and Constitution
Avenue, NW, Washington, DC 20423.
Categories of individuals covered by the system: ICC employees.
Categories of records in the system: Contains employee's name, date of
birth, address, telephone number, Bureau or Office where employed,
name of person to contact in case of emergency, name of employee's
personal physician. Nurse's Notes visits and treatment in the Health
Unit, records pertaining to blood donations and individual records
of physical examinations, laboratory test results, x-rays and other
individual health records with pertinent medical opinions.
Authority for maintenance of the system: Federal Personnel Manual
Supplement 792-1.
Routine uses of records maintained in the system, including categories
of users and the purposes of such uses: Maintained expressly for the
well-being of employees in relation to work assignments. For use of
Director of Personnel in providing counseling services to employees
and agency officials. In the event that a system of records
maintained by this agency to carry its functions indicates a
violation or potential violation of law, whether civil, criminal or
regulatory in nature, and whether arising by general statute or
particular program statute, or by regulation, rule or order issued
pursuant thereto, the relevant in the system of records may be
referred, as a routine use, to the appropriate agency, whether
Federal, state, local or foreign, charged with the responsibility of
investigating or prosecuting such violation or charged with
enforcing or implementing the statute, or rule, regulation or order
issued pursuant thereto. The information contained in the system of
records will be disclosed to the Office of Management and Budget in
connection with the review of private relief legislation as set
forth in OMB Circular No. A-19 at any stage of the legislative
coordination and clearance process as set forth in that Circular.
Disclosure may be made to a congressional office from the record of an
individual in response to an inquiry from the congressional office
made at the request of that individual.
Policies and practices for storing, retrieving, accessing, retaining,
and disposing of records in the system:
Storage: Maintained in individual file folders.
Retrievability: Indexed by name.
Safeguards: Kept in locked file, with access only by the Occupational
Health Nurse and/or Physician.
Retention and disposal: Retained unit one year after the employee leaves
the agency, and then destroyed. Upon separation, will be given to
employee at his request or to his personal physician, if so desired.
System manager(s) and address:
Occupational Health Nurse
Room 1414
Interstate Commerce Commission
12th and Constitution Avenue, NW,
Washington, DC 20423
Notification procedure: Same as above.
Record access procedures: Same as above.
Contesting record procedures: Same as above.
Record source categories: Employee.
Systems exempted from certain provisions of the act: None.
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INTERSTATE COMMERCE COMMISSION
32-20-004
System name: Automated Personnel and Payroll System, ICC.
System location: Section of Systems Development, ICC, 12th and
Constitution Avenue, NW, Washington, DC 20423.
Categories of individuals covered by the system: ICC employees.
Categories of records in the system: Contains the name, social security
number, employee number, date of birth, employment status, leave
status, pay status, tax status, insurance status, saving bond and
charity deductions, time and attendance data, and the organization
of each ICC employee.
Authority for maintenance of the system: 49 U.S.C. 12.
Routine uses of records maintained in the system, including categories
of users and the purposes of such uses: File is used for the:
Transfer of information to the Internal Revenue Service for wage,
levy and tax requirements--transfer of information to the Treasury
Department for completion of payroll processing--transfer of
information to the American Federation of Government Employees,
Graphic Arts International Union, and the Professional Association
of the ICC for the processing of union dues--transfer of information
to state and city revenue offices for tax unemployment processing--
transfer of information to the Civil Service Commission for
personnel requirements--employee separation and retirement
processing--employee time attendance accounting--employee salary
payment and deduction control--employee bond, charity and health
benefits processing--employee leave control--employee parking
assignment control--employee telephone directory--employee personnel
action processing and control--Commission budget planning,
monitoring and control--creation of internal management reports,
summaries and work files which are located throughout the agency.
In the event that a system of records maintained by this agency to
carry out its functions indicates a violation or potential violation
of law, whether civil, criminal or regulatory in nature, and whether
arising by general statute of particular program statute, or by
regulation, rule or order issued pursuant thereto, the relevant
records in the system of records may be referred, as a routine use, to
the appropriate agency, whether Federal, state, local or foreign,
charged with the responsibility of investigating or prosecuting such
violation or charged with enforcement implementing the statute, or
rule, regulation or order issued pursuant thereto.
The information contained in this system of records will be disclosed
to the Office of Management and Budget in connection with the review
of private relief legislation as set forth in OMB Circular No. A-19 at
any stage of the legislative coordination and clearance as set forth
in legislative coordination and clearance process as set forth in that
Circular.
Disclosure may be made to a congressional office from the record of an
individual in response to an inquiry from the congressional office
made at the request of that individual.
Policies and practices for storing, retrieving, accessing, retaining,
and disposing of records in the system:
Storage: Maintained on magnetic tape.
Other Popular 1995 Privacy Act Documents Documents:
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