Office of the Provost
Marshal General
Army
Provost Marshal Office Sex Offender Registration Information
(Read
Agency Disclosure Notice, Privacy Act Statement, and Instructions
before completing form.)
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OMB NO. 0702-0128
OMB
approval expires
MMM DD, YYYY
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AGENCY
DISCLSOURE NOTICE
The
public reporting burden for this collection of information is
estimated to average 20 minutes per response, including the time
for the collector to review and gather the information from the
respondent and complete the report in the Army Law Enforcement
Reporting System. Send comments regarding this burden estimate or
any other aspect of this collection of information, including
suggestions for reducing the burden, to the Department of Defense,
Washington Headquarters Services, Executive Services Directorate,
Directives Division, 4800 Mark Center Drive, East Tower, Suite
02G09, Alexandria, VA 22350-3100 [0702-0128]. Respondents should
be aware that notwithstanding any other provision of law, no
person shall be subject to any penalty for failing to comply with
a collection of information if it does not display a currently
valid OMB control number.
PLEASE
DO NOT RETURN YOUR RESPONSE TO THE ABOVE ADDRESS.
Responses
should be sent to the Office of the Provost Marshal General 2800
Army Pentagon, Washington D.C. 20310-2800 or your local Provost
Marshal Office.
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PRIVACY
ACT STATEMENT
AUTHORITY:
Title 10 USC Section 301; title 5 USC Section 2951; E.O. 9397
dated November 22, 194 (SSN).
PRINCIPLE
PURPOSE:
To provide commanders and law enforcement officials with means by
which information may be accurately identified.
ROUTINE
USES:
Your social security number is used as an additional/alternate
means of identification to facilitate filing and retrieval.
DISCLOSURE:
Disclosure of your social security number is voluntary.
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INSTRUCTIONS
The
sex offender
produces either evidence of the qualifying conviction or the
court ordered sex offender registration paperwork with the state
in which the sex offender was convicted, date of conviction, and
results of
conviction, to include length of time required to register and
any specific court ordered restrictions to the Installation
Provost Marshal Office.
Details
of the court case, to include victim information, is not
collected. The sex offender does not fill out a form or any
paperwork to register as a sex offender on the installation, they
must provide the court order or evidence of qualifying conviction
to the Provost Marshal Office on the installation and the Army
Law Enforcement Officer will use the supplied documentation to
fill in and complete the Raw Data File completing the sex
offender registration.
The Raw Data File
requires sex offenders to provide, among other things, certain
personal information, such as name, grade/rank, address, date of
birth, and SSN, which would be used in the course of a inputting
their identifying information into ALERTS to assist in confirming
the true identity of the individual. Justification for retention
of the SSN is based on the Law Enforcement Use Case from DTM
07-015-USD(R&R).
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