Home > 1997 Privacy Act Documents > Privacy Act: [F044 AFSG C]...Privacy Act: [F044 AFSG C]...
Categories of individuals covered by the system:
All active duty and retired or separated medical service corps
officers.
Categories of records in the system:
File contains personnel correspondence to and from individual
medical service corps officers and forms relating to assignment,
extension, Air Force Specialty Code, and other selected documents.
Authority for maintenance of the system:
10 U.S.C. 8013, Secretary of the Air Force: Powers and duties;
delegation by; and 8067(d), Designation: Officers to perform certain
professional functions.
Purpose(s):
Information is used solely for the purpose of recommending
individual for assignment, extension, statistical data, promotion or
advanced training.
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:
The `Blanket Routine Uses' published at the beginning of the Air
Force's compilation of systems of records notices apply to this
system.
Policies and practices for storing, retrieving, accessing,
retaining, and disposing of records in the system:
Storage:
Maintained in file folders.
Retrievability:
Retrieved by name.
Safeguards:
Records are stored in locked cabinets or rooms.
Retention and disposal:
Records are retained in active file as long as officer is on
active duty, in inactive file one year from date of retirement,
resignation, or separation, and are then destroyed by tearing into
pieces, shredding, pulping, macerating or burning.
System manager(s) and address:
The Surgeon General, Headquarters United States Air Force,
Washington, DC 20332.
Notification procedure:
Individuals seeking to determine whether information about
themselves is contained in this system should address written
inquiries to or visit The Surgeon General, Headquarters United States
Air Force, Washington, DC 20332.
Record access procedures:
Individuals seeking access to information about themselves
contained in this system should address written inquiries to or visit
The Surgeon General, Headquarters United States Air Force,
Washington, DC 20332.
Contesting record procedures:
The Air Force rules for accessing records, and for contesting
contents and appealing initial agency determinations are published in
Air Force Instruction 37-132; 32 CFR part 806b; or may be obtained
from the system manager.
Record source categories:
Information obtained from educational institutions, from Senior
Medical Service Corps officers, and from the Air Force Manpower and
Personnel Center.
Exemptions claimed for the system:
None.
#..F044 AFSG F
#....System name:
Veterinary Personnel Files.
System location:
Headquarters, Air Force Medical Service Center/SGPA and United
States Air Force SAM/US, Brooks Air Force Base, TX 78232.
Categories of individuals covered by the system:
All active duty and retired or separated veterinary officers.
Categories of records in the system:
File contains personal correspondence to and from individual
veterinary officer and forms relating to assignment, extension, Air
Force Specialty Code, promotion, and other selected documents.
Authority for maintenance of the system:
10 U.S.C. 8013, Secretary of the Air Force: Powers and duties;
delegation by; and 8067(k) Designation: Officers to perform certain
professional functions.
Purpose(s):
Information is used solely for the purpose of recommending
individual for assignment, extension or advanced training.
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:
The `Blanket Routine Uses' published at the beginning of the Air
Force's compilation of systems of records notices apply to this
system.
Policies and practices for storing, retrieving, accessing,
retaining, and disposing of records in the system:
Storage:
Maintained in file folders.
Retrievability:
Retrieved by name.
Safeguards:
Records are accessed by authorized personnel who are properly
screened and cleared for need-to-know. Records are stored in locked
cabinets or rooms.
Retention and disposal:
Retained in active file as long as officer is on active duty and
in inactive file one year from date of retirement, resignation, or
separation. Then they are destroyed by tearing into pieces,
shredding, pulping, macerating or burning.
System manager(s) and address:
The Surgeon General, Headquarters United States Air Force,
Washington, DC 20330.
Notification procedure:
Individuals seeking to determine whether information about
themselves is contained in this system should address written
inquiries to or visit The Surgeon General, Headquarters United States
Air Force, Washington, DC 20330.
Record access procedures:
Individuals seeking access to information about themselves
contained in this system should address written inquiries to or visit
The Surgeon General, Headquarters United States Air Force,
Washington, DC 20330.
Contesting record procedures:
The Air Force rules for accessing records, and for contesting
contents and appealing initial agency determinations are published in
Air Force Instruction 37-132; 32 CFR part 806b; or may be obtained
from the system manager.
Record source categories:
Information obtained from educational institutions, from Command,
Air Force Veterinarians and Air Force Manpower and Personnel Center
Records.
Exemptions claimed for the system:
None.
#..F044 AFSG G
#....System name:
Aircrew Standards Case File.
System location:
Headquarters, Air Force Medical Service Center/SGPA, Brooks Air
Force Base, TX 78235.
Categories of individuals covered by the system:
This record system is maintained on all Air Force members who
have been considered for medical waiver for flying duty due to
conditions defined as serious illness or for waiver for flying
training.
Categories of records in the system:
The record system contains members' Report of Medical
Examination, Report of Medical History, Narrative Summary,
Aeromedical Evaluation, Electrocardiographic Record, Clinical Record
Consultation Sheet, and USAF School of Aerospace Medicine Evaluation
Report (if accomplished).
Authority for maintenance of the system:
10 U.S.C. 8013, Secretary of the Air Force: Powers and duties;
delegation by, as implemented by Air Force Regulation 160-43, Medical
Examination and Medical Standards.
Purpose(s):
Used to determine if a previous action has been taken, if a
precedent exists for granting a waiver for a specific medical
condition, and to provide a scientific basis to justify and improve
waiver policies.
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:
The `Blanket Routine Uses' published at the beginning of the Air
Force's compilation of systems of records notices apply to this
system.
Policies and practices for storing, retrieving, accessing,
retaining, and disposing of records in the system:
Storage:
Maintained in microform and on computer.
Retrievability:
Retrieved by name.
Safeguards:
Records are accessed by custodian of the record system and by
persons responsible for servicing the record system in performance of
their official duties.
Retention and disposal:
Retained in office files until superseded, obsolete, no longer
needed for reference, or on inactivation, then destroyed by tearing
into pieces, shredding, pulping, macerating, or burning.
System manager(s) and address:
HQ AFMSC/SGPA, Brooks Air Force Base, TX 78235.
Notification procedure:
Individuals seeking to determine whether information about
themselves is contained in this system should address written
inquiries to or visit the HQ AFMSC/SGPA, Brooks Air Force Base, TX
78235.
Record access procedures:
Individuals seeking access to information about themselves
contained in this system should address written inquiries to or visit
the HQ AFMSC/SGPA, Brooks Air Force Base, TX 78235.
Contesting record procedures:
The Air Force rules for accessing records, and for contesting
contents and appealing initial agency determinations are published in
Air Force Instruction 37-132; 32 CFR part 806b; or may be obtained
from the system manager.
Record source categories:
Information obtained from medical institutions.
Exemptions claimed for the system:
None.
#..F044 AF SG A
#....System name:
United States Air Force Hearing Conservation Record System.
System location:
Air Force hospitals, medical centers and clinics; USAF
Occupational and Environmental Health Laboratory (OEHL), Brooks Air
Force Base, TX 78235.
Categories of individuals covered by the system:
All Air Force military or civilian employees who are entered in
the Hearing Conservation Program due to working in noise hazard
areas.
Categories of records in the system:
DD Forms 2215 and 2216 which documents name; Social Security
Number; military grade or rank, or Civil Service grade; date of
birth; sex; USAF specialty or job code; the organization to which the
individual is assigned complete with address and duty phone number;
whether military or civilian; time, day of week, date of audiometric
test; hours since last noise exposure; whether hearing protection was
used during last noise exposures, whether ear problem existed at time
of test, type of audiometer used, i.e., manual or automatic, date of
last audiometer calibration, hearing threshold levels for 500, 1000,
2000, 3000, 4000 and 6000Hz frequencies in each ear including results
of current audiometric examination, his reference or initial
examination and any shift between these two examinations in each ear;
whether or not earplugs were issued at time of audiometric
examination or have been previously issued; type of earplug and size
for each ear; if noise ear muff issued; if individual wears glasses;
any pertinent remarks relative to the individual, noise exposure,
hearing, etc.; and the audiometric examiner's name, Air Force
Specialty Code, Social Security Number, and office symbol. File also
contains information on AF Form 1621, Evaluation of Individual Noise
Exposure, which is used to document data and observations relating to
an individual's exposure to occupational noise and an AF Form 1672,
Hearing Conservation Diagnostic Center Referral, which contains
follow-up audiometric examination data similar to that in DD Forms
2215 and 2216.
Authority for maintenance of the system:
29 CFR 1910.95, Occupational Safety and Health Standards, Pub. L.
91-596, The Occupational Safety and Health Act; E.O. 12196, the
Occupational Safety and Health Program for Federal Employees, as
implemented by Air Force Regulation 161-35, Hazardous Noise Exposure.
Purpose(s):
Used by USAF Occupational and Environmental Health Laboratory
(OEHL) to provide continuing review of the Air Force Hearing
Conservation Program by updating damage-risk criteria, modifying
monitoring audiometry program procedures, validating personnel
disposition procedures relating to occupationally induced hearing
losses, evaluating hearing protective devices and procedures, at the
specific request of a USAF Medical Facility to provide an historical
record of the results of an individual's monitoring audiometric test
results.
Also used by USAF School of Aerospace Medicine for Research
Associated with noise induced hearing losses.
Used by base Medical Personnel to monitor employees health status
for occupational health programs, to use in formulating
recommendations to supervisors on requirements to remove individual
from further exposure, to determine need for investigation of
workplace environment for abnormal exposure conditions.
Used by supervisors to determine whether employee can continue to
work in the exposure situation, to determine relative risk of various
work tasks, to improve safety of noise exposure procedures.
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:
Used by Bureau of Employees Compensation for Information relating
to individuals' claims relating to occupationally induced hearing
losses.
The `Blanket Routine Uses' published at the beginning of the Air
Force's compilation of systems of records notices apply to this
system.
Policies and practices for storing, retrieving, accessing,
retaining, and disposing of records in the system:
Storage:
Maintained in file folders and on computer magnetic tapes.
Retrievability:
Retrieved by name, Social Security Number, date of birth, and Air
Force Specialty Code/Job Code.
Safeguards:
Records are accessed by commanders of medical centers and
hospitals, by custodian of the record system, and by person(s)
responsible for servicing the record system in performance of their
official duties who are properly screened and cleared for need-to-
know. Records are controlled by computer system software.
Retention and disposal:
At Occupational and Environmental Health Laboratory (OEHL),
retained in computer until no longer needed; at bases, retained as
part of medical record for fifty years after date of latest document,
then destroyed.
System manager(s) and address:
Air Force Medical Service Center, Aerospace Medical Consultants
Division, Directorate of Professional Services (HQ AFMSC/SGPA),
Other Popular 1997 Privacy Act Documents Documents:
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