Army & Air Force
Exchange Service
Exchange
Driver’s Supplemental Information
(Read
Agency Disclosure Notice, Privacy Act Statement, and Instructions
before completing form.)
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OMB NO. 0702-
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 45 minutes per response, including the time
for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing and
reviewing the collection of information. 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, Information Management Division, 4800 Mark
Center Drive, East Tower, Suite 02G09, Alexandria, VA 22350-3100
(0702-XXXX). 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 Exchange Human Resources Support Office at
3911 South Walton Walker Blvd., Dallas, TX 75236-1598 or your
local Exchange Human Resource office.
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PRIVACY
ACT STATEMENT
AUTHORITY:
Title 10 U.S.C. §3013,
“Secretary of the Army”; Title 10 U.S.C. §8013,
“Secretary of the Air Force”; Army Regulation 215-3,
“Non-appropriated Funds Personnel Policy”; Army
Regulation 215-8/AFI 34-211(I), “Army and Air Force Exchange
Service Operations”; and Executive Order 9397 (SSN).
PRINCIPAL
PURPOSES(S):
This form collects information necessary to process motor vehicle
operator applications for employment with the Army and Air Force
Exchange Service within the continental United States of America.
ROUTINE
USE(S): Records
may be disclosed outside of DoD pursuant to Title 5 U.S.C.
§552a(b)(3)
regarding DoD “Blanket Routine Uses” published at
http://dpcld.defense.gov/Privacy/SORNsIndex/BlanketRoutineUses.aspx.
This includes disclosure to Federal agencies, and state, local
and territorial governments. Application data may be verified by
LexisNexis Risk Solutions or other approved organization approved
by the Exchange to complete an applicant’s background
investigation.
DISCLOSURE:
Voluntary, however, failure to provide all the requested
information may result in the denial of your application for
inadequate data.
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