DBIDS Privacy Act Statement

Defense Biometric Identification System (DBIDS)

PRIVACY ACT STATEMENT

AUTHORITY: Executive Order 9397; The Privacy Act of 1974, 5 U. S. C. 552a; DODD 8500.01E

PRINCIPAL PURPOSE(S): To provide necessary information to DoD installations to determine if applicant meets access control requirements. Use of SSN is necessary to make positive identification of an applicant. Records in the DBIDS system are maintained to support Department of Defense physical security and information assurance programs and are used for identity verification purposes, to record personal property registered with the DoD, and for producing facility management reports. Used by security offices to monitor individuals accessing DoD installations and/or facilities. SSN, Drivers License Number, or other acceptable identification will be used to distinguish individuals who request entry to DoD installations and/or facilities.

ROUTINE USE(S): The "DoD Blanket Routine Uses" are set forth at the beginning of the DoD compilation of systems of records notices.

DISCLOSURE: Voluntary. However, failure to provide the requested information will result in denial of a DBIDS card or visitors pass and denial of entry to DoD installations and/or facilities.

I have read the Privacy Act Statement for DBIDS and I agree provide the requested information.

Signed: _____________________________________ Date: ________________________________

Print Name: __________________________________