Home > 1997 Privacy Act Documents > Privacy Act: [A0040-905 DASG]...Privacy Act: [A0040-905 DASG]...
To ensure individual qualifications to handle radioactive
materials and/or to work under management identified stressful
conditions; to monitor, evaluate, and control the risks of individual
exposure to ionizing radiation or radioactive materials by comparison
of short and long term exposures; to conduct investigations of
occupational health hazards and relevant management studies; to
determine safety standards.
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, these records or information
contained therein may specifically be disclosed outside the DoD as a
routine use pursuant to 5 U.S.C. 552a(b)(3) as follows:
Information from this system of records may be disclosed to
Federal agencies, academic institutions, and non-governmental
agencies such as the National Council on Radiation Protection and
Measurement, and the National Research Council which are authorized
to conduct research, evaluation, and monitorship.
The `Blanket Routine Uses' set forth at the beginning of the
Army's compilation of systems of records notices also apply to this
system.
Policies and practices for storing, retrieving, accessing,
retaining, and disposing of records in the system:
Storage:
Papers in file folders, film packets, magnetic/tapes/discs.
Retrievability:
By individual's name and/or Social Security Number.
Safeguards:
Access to all records is restricted to designated individuals
having official need therefor in the performance of assigned duties.
In addition, access to automated records is controlled by Card Key
System, which requires positive identification and authorization.
Retention and disposal:
Personnel dosimetry and bioassay records are permanent.
Investigative reports of harmful chemical, biological, and
radiological exposures are retained for 30 years. Processed film
showing individual exposure is retained 5 years after evaluation and
recorded on permanent records. Medical test results are transferred
to military members medical records or, in the case of civilians, to
their civilian personnel records on reassignments, transfer, or
separation.
System manager(s) and address:
Chief Information Officer, Office of the Surgeon General, U.S.
Army Medical Command, ATTN: MCIM, 2050 Worth Road, Suite 13, Fort Sam
Houston, TX 78234-6013.
Notification procedure:
Individuals seeking to determine whether information about
themselves is contained in this system should address written
inquiries to Chief Information Officer, Office of the Surgeon
General, U.S. Army Medical Command, ATTN: MCIM, 2050 Worth Road,
Suite 13, Fort Sam Houston, TX 78234-6013.
Individual must furnish full name, Social Security Number, dates
and locations at which exposed to radiation or radioactive materials,
etc., and signature.
Record access procedures:
Individuals seeking access to information about themselves
contained in this system should address written inquiries to Chief
Information Officer, Office of the Surgeon General, U.S. Army Medical
Command, ATTN: MCIM, 2050 Worth Road, Suite 13, Fort Sam Houston, TX
78234-6013.
Individual must furnish full name, Social Security Number, dates
and locations at which exposed to radiation or radioactive materials,
etc., and signature.
Contesting record procedures:
The Army's rules for accessing records, and for contesting
contents and appealing initial agency determinations are contained in
Army Regulation 340-21; 32 CFR part 505; or may be obtained from the
system manager.
Record source categories:
From the individual, dosimetry film, Army and/or DoD records and
reports.
Exemptions claimed for the system:
None.
#..A0040-31a DASG
#....System name:
Pathology Consultation Record Files.
System location:
Armed Forces Institute of Pathology, Walter Reed Army Medical
Center, Washington, DC 20307-5001.
Categories of individuals covered by the system:
Individuals treated in military or civilian medical facilities
whose cases were reviewed on a consultative basis by members of the
staff of the Armed Forces Institute of Pathology.
Categories of records in the system:
Documents, tissue blocks, microscopic slides, X-rays and
photographs reflecting outpatient or inpatient treatment or
observation of all individuals on whose cases consultation has been
requested.
Authority for maintenance of the system:
5 U.S.C. 301, Departmental Regulations; 10 U.S.C., Chapter 55;
and E.O. 9397 (SSN).
Purpose(s):
To ensure complete medical data are available to pathologist
providing consultative diagnosis to requesting physician in order to
improve quality of care provided to individuals; to provide a data
base for education of medical personnel; to provide a data base for
medical research and statistical purposes and when required by law or
for official purposes.
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, these records or information
contained therein may specifically be disclosed outside the DoD as a
routine use pursuant to 5 U.S.C. 552a(b)(3) as follows:
Individual records may be released to referring physician, to
physicians treating the individual, to qualified medical researchers
and students, and to other Federal agencies and law enforcement
personnel when requested for official purposes involving criminal
prosecution, civil court action or regulatory orders.
The `Blanket Routine Uses' set forth at the beginning of the
Army's compilation of systems of records notices also apply to this
system.
Policies and practices for storing, retrieving, accessing,
retaining, and disposing of records in the system:
Storage:
Paper records, X-rays, photographs in paper file folders,
microfiche, magnetic tape, printout; tissue blocks in appropriate
storage containers; and microscopic slides in cardboard file folders.
Retrievability:
By last name or terminal digit number (Social Security Number) or
accession number assigned when case is received for consultation.
Safeguards:
Access to the Armed Forces Institute of Pathology is controlled.
Records are maintained in areas accessible only to authorized
personnel who are properly screened and trained.
Retention and disposal:
Retained as long as case material has value for medical research
or education. Individual cases are reviewed periodically and
materials no longer of value to the Institute are destroyed.
System manager(s) and address:
Chief Information Officer, Office of the Surgeon General, U.S.
Army Medical Command, ATTN: MCIM, 2050 Worth Road, Suite 13, Fort Sam
Houston, TX 78234-6013.
Notification procedure:
Individuals seeking to determine whether information about
themselves is contained in this system should address written
inquiries to the Chief, Patient Records and Tissue Repository
Division, Armed Forces Institute of Pathology, Walter Reed Army
Medical Center, Washington, DC 20307-5001.
Requesting individual must submit full name, name, Social
Security Number or service number of military sponsor and branch of
military service, if applicable, or accession number assigned by the
Armed Forces Institute of Pathology, if known. For requests made in
person, identification such as military ID card or valid driver's
license is required.
Record access procedures:
Individuals seeking access to information about themselves
contained in this system should address written inquiries to the
Chief, Patient Records and Tissue Repository Division, Armed Forces
Institute of Pathology, Walter Reed Army medical Center, Washington,
DC 20307-5001.
Requesting individual must submit full name, name, Social
Security Number or service number of military sponsor and branch of
military service, if applicable, or accession number assigned by the
Armed Forces Institute of Pathology, if known. For requests made in
person, identification such as military ID card or valid driver's
license is required.
Contesting record procedures:
The Army's rules for accessing records, and for contesting
contents and appealing initial agency determinations are contained in
Army Regulation 340-21; 32 CFR part 505; or may be obtained from the
system manager.
Record source categories:
Interview, diagnostic test, other available administrative or
medical records obtained from civilian or military sources.
Exemptions claimed for the system:
None.
#..A0040-31b DASG
#....System name:
Research and Experimental Case Files.
System location:
U.S. Army Medical Research Institute of Chemical Defense,
Aberdeen Proving Ground, MD 21010-5425.
Individual research/test/medical documents (paper records) are
contained in individual's health record which, for reserve and
retired military members, is at the U.S. Army Reserve Components
Personnel and Administration Center, St. Louis, MO; for other
separated military members, is at the National Personnel Records
Center, 9700 Page Boulevard, St. Louis, MO 63132-5200; for military
members on active duty, is at the servicing medical facility/center;
for civilians (both Federal employees and prisoners) is in a special
file at the National Personnel Records Center.
As paper records are converted to microfiche, the original
(silver halide) and 1 copy of the microfiche will be located at the
Washington National Records Center; 1 copy will be located at Chief
Information Officer, Office of the Surgeon General, U.S. Army Medical
Command, ATTN: MCIM, 2050 Worth Road, Suite 13, Fort Sam Houston, TX
78234-6013; 1 copy will reside with the Army contractor-the National
Academy of Sciences; and 1 copy retained at the U.S. Army Medical
Research Institute of Chemical Defense.
Historical 16mm film and audio visual tapes are at Norton Air
Force Base, CA.
Categories of individuals covered by the system:
Volunteers (military members, Federal civilian employees, state
prisoners) who participated in Army tests of potential chemical
agents and/or antidotes from the early 1950's until the program ended
in 1975.
Categories of records in the system:
Individual pre-test physical examination records and test records
of performance and biomedical parameters measured during and after
test exposure.
Authority for maintenance of the system:
10 U.S.C. 3013; Pub.L. 103-160; and E.O. 9397 (SSN).
Purpose(s):
To follow up on individuals who voluntarily participated in Army
chemical/biological agent research projects for the purpose of
assessing risks/hazards to them, and for retrospective medical/
scientific evaluation and future scientific and legal significance.
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, these records or information
contained therein may specifically be disclosed outside the DoD as a
routine use pursuant to 5 U.S.C. 552a(b)(3) as follows:
Information may be disclosed to the Department of Veterans
Affairs in connection with benefits determinations.
The `Blanket Routine Uses' set forth at the beginning of the
Army's compilation of systems of records notices also apply to this
system.
Policies and practices for storing, retrieving, accessing,
retaining, and disposing of records in the system:
Storage:
Paper records in individual's medical file folders; see `system
location' above for storage of microfiche, computer magnetic tapes
and paper printouts, video tapes and 16mm film.
Retrievability:
Paper records in individual's health record are retrieved by
surname and/or service number/Social Security Number. Microfiche are
retrieved by individual's surname. Film/video tape is accessed by
case number and/or volunteer's number. Automated records are accessed
by volunteer's number or case number.
Safeguards:
Paper records and microfiche are kept in locked rooms/
compartments with access limited to authorized personnel. Access to
computerized data is by use of a valid site ID number assigned to the
individual terminal and by a valid user ID and password code assigned
to authorized user, changed periodically to avoid compromise. Data
entry is on-line using a dial-up terminal. Computer files are
controlled by keys known only to U.S. Army Medical Research Institute
of chemical Defense personnel assigned to work on the data base. Data
base output is available only to designated computer operators at the
Institute. Computer facility has double barrier physical protection.
The remote terminal is in a room which is locked when vacated and the
building is secured when unoccupied. The contractor (National Academy
of Sciences) employs equal safeguards which meet Army standards for
Privacy Act data.
Retention and disposal:
Records stored in the computer and on microfiche are retained
indefinitely at the sites identified under `system location'. Paper
medical records in an individual's health record are retained
permanently.
System manager(s) and address:
Chief Information Officer, Office of the Surgeon General, U.S.
Army Medical Command, ATTN: MCIM, 2050 Worth Road, Suite 13, Fort Sam
Houston, TX 78234-6013.
Notification procedure:
Individuals seeking to determine whether information about
themselves is contained in this system should address written
inquiries to the Commander, U.S. Army Medical Research Institute of
Chemical Defense, Aberdeen Proving Ground, MD 21010-5425.
Individual should provide full name, Social Security Number,
current address and telephone number of the requester.
For personal visits, the individual should be able to provide
acceptable identification such as valid driver's license, employer or
other individually identifying number, building pass, etc.
Record access procedures:
Individuals seeking access to information about themselves
contained in this system should address written inquiries to the
Commander, U.S. Army Medical Research Institute of Chemical Defense,
Aberdeen Proving Ground, MD 21010-5425.
Individual should provide full name, Social Security Number,
current address and telephone number of the requester.
For personal visits, the individual should be able to provide
acceptable identification such as valid driver's license, employer or
other individually identifying number, building pass, etc.
Contesting record procedures:
The Army's rules for accessing records, and for contesting
contents and appealing initial agency determinations are contained in
Army Regulation 340-21; 32 CFR part 505; or may be obtained from the
system manager.
Record source categories:
From the individual through test/questionnaire forms completed at
test location; from medical authorities/sources by evaluation of data
collected previous to, during, and following tests while individual
was in this research program.
Exemptions claimed for the system:
None.
#..A0040-57a DASG
#....System name:
Armed Forces Repository of Specimen Samples for the
Identification of Remains.
Other Popular 1997 Privacy Act Documents Documents:
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