PA Interior/OS-27 YCC Enrollee Medical Records

PA_Interior_OS_27.doc

Youth Conservation Corps Application and Medical History

PA Interior/OS-27 YCC Enrollee Medical Records

OMB: 0596-0084

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[DOCID:interior_000-26]                         

DEPARTMENT OF THE INTERIOR

INTERIOR/OS-27

Federal Register:  Vol. 41, No. 184, page 41228, September 21, 1976
Federal Register:  Vol. 42, No. 57, March 24, 1977
Federal Register:  Vol. 42, No. 69, page 18968, April 11, 1977


System name: Youth Conservation Corps (YCC) Enrollee Medical 
      Records--Interior, Office of the Secretary--27.

     System location: 
       (a) U.S. Department of the Interior, Bureau of Reclamation, 
   Administrative Service Center, Academy Place 1, 7333 West Jefferson, 
   Denver, Colorado 80235.
       (b) Participating Field Stations of the U.S. Department of the 
   Interior, U.S. Fish & Wildlife Service. A listing of field offices 
   may be obtained from the System Manager listed below.
     Categories of individuals covered by the system: 
       Enrollees of past Interior Federal YCC program.
     Categories of records in the system: 
       (1) U.S.C.I. Medical History Forms. (2) Accident, injury and 
   treatment forms. (3) Parental permission portion of the U.S.D.I. 
   Application forms for YCC enrollees.
     Authority for maintenance of the system: 
       Pub. L. 93-408.
     Routine uses of records maintained in the system, including 
   categories of users and the purposes of such uses: 
       The primary uses of the records are (a) for the adjudication of 
   FERC medical claims, and (b) the adjudication of tort claims. 
   Disclosures outside the Department of the Interior may be made (1) to 
   the U.S. Department of Agriculture in connection with joint 
   administration of the YCC program; (2) to the U.S. Department of 
   Justice or in a proceeding before a court or adjudicative body when 
   (a) the United States, the Department of the Interior, a component of 
   the Department, or, when represented by the government, an employee 
   of the Department is a party to litigation or anticipated litigation 
   or has an interest in such litigation, and (b) the Department of the 
   Interior determines that the disclosure is relevant or necessary to 
   the litigation and is compatible with the purpose for which the 
   records were complied; (3) of information indicating a violation or 
   potential violation of a statute, regulation, rule, order or license 
   to appropriate Federal, State, local, or foreign agencies responsible 
   for investigating or prosecuting the violation or for enforcing or 
   implementing the statute, rule, regulation, or license; (4) to a 
   congressional office from the record of an individual in response to 
   an inquiry the individual has made to the congressional office; (5) 
   to a Federal agency which has requested information relevant or 
   necessary to its hiring or retention of an employee, or issuance of a 
   security clearance, license, contract, grant or other benefit.
     Policies and practices for storing, retrieving, accessing, 
   retaining, and disposing of records in the system: 
     Storage: 
       Manual records.
     Retrievability: 
       By individual name.
     Safeguards: 
       In accordance with National Archives and Records Administration 
   Regulations (36 CFR 1228.150, et seq.).
     Retention and disposal: 
       In accordance with Interior Department, Office of the Secretary 
   Records Schedule NC1-46-82-1.
     System manager(s) and address: 
       (a) Youth Program Officer, U.S. Department of the Interior, 
   National Park Service, PO Box 37127, 1100 L Street NW, room 4415, 
   Washington, DC 20013-7127.
       (b) Chief, Division of Refuges, U.S. Department of the Interior, 
   U.S. Fish & Wildlife Service, 1849 C Street NW, Washington, DC 20240
     Notification procedure: 
       Inquiries regarding the existence of records should be addressed 
   to System Manager. A written signed request stating that the 
   requester seeks information concerning records pertaining to him is 
   required. See 43 CFR 2.60.
     Record access procedure:
       A request for access may be addressed to the System Manager. The 
   request must be in writing and be signed by the requester. The 
   request must meet the content requirements of 43 CFR 2.63.
     Contesting record procedures: 
       A petition for amendment should be addressed to the System 
   Manager and must meet the content requirements of 43 CFR 2.71.
     Record source categories: 
       Individual on whom the record is maintained, medical doctor, and 
   camp official compiling accident of medical treatment information.


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