0704-0449 NLSC PIA - Sections 1

PRIVACY IMPACT ASSESSMENT (PIA)
PRESCRIBING AUTHORITY: DoD Instruction 5400.16, "DoD Privacy Impact Assessment (PIA) Guidance". Complete this form for Department of Defense
(DoD) information systems or electronic collections of information (referred to as an "electronic collection" for the purpose of this form) that collect, maintain, use,
and/or disseminate personally identifiable information (PII) about members of the public, Federal employees, contractors, or foreign nationals employed at U.S.
military facilities internationally. In the case where no PII is collected, the PIA will serve as a conclusive determination that privacy requirements do not apply to
system.
1. DOD INFORMATION SYSTEM/ELECTRONIC COLLECTION NAME:

National Language Service Corps (NLSC)
3. PIA APPROVAL DATE:

2. DOD COMPONENT NAME:

06/29/21

Department of Defense Human Resources Activity
Defense Language and National Security Office (DLNSEO)
SECTION 1: PII DESCRIPTION SUMMARY (FOR PUBLIC RELEASE)
a. The PII is: (Check one. Note: foreign nationals are included in general public.)
From members of the general public

From Federal employees and/or Federal contractors

From both members of the general public and Federal employees and/or
Federal contractors

Not Collected (if checked proceed to Section 4)

b. The PII is in a: (Check one)
New DoD Information System

New Electronic Collection

Existing DoD Information System

Existing Electronic Collection

Significantly Modified DoD Information System
c. Describe the purpose of this DoD information system or electronic collection and describe the types of personal information about individuals
collected in the system.

The National Language Service Corps (NLSC) Records is a web-based system enabling U.S. citizens with language and special skills to self
identify these skills for the purpose of temporary employment on an intermittent work schedule or service opportunities in support of DoD or
another department or agency of the United States. The information will be used to determine applicants' eligibility for NLSC membership,
to identify and contact NLSC members, and to facilitate travel to foreign work assignments.
The categories of information collected are: Full name, other names used, social security number, DoD ID numbers, citizenship, gender/
gender identification, race/ethnicity, home address, email address, home and mobile telephone numbers, official duty address, place
of birth, birth date, age verification of 18 years, education information, disability information, financial information, security clearance,
military discharge records, employment information (e.g., federal employee, political appointee, armed forces), foreign language(s) spoken,
foreign language proficiency levels, origin of foreign language(s) spoken, English proficiency levels, NLSC-assigned control number,
passport information, marital status, emergency contact(s), beneficiary information, photo, blood type, height, hair color, eye color,
identifying scars, marks, or tattoos, vaccination information, known medical conditions and prescriptions, anticipated separation date, and
actual separation date from service.
d. Why is the PII collected and/or what is the intended use of the PII? (e.g., verification, identification, authentication, data matching, mission-related use,
administrative use)

Mission-related; Administrative
e. Do individuals have the opportunity to object to the collection of their PII?

Yes

No

(1) If "Yes," describe the method by which individuals can object to the collection of PII.
(2) If "No," state the reason why individuals cannot object to the collection of PII.

Individuals provide information voluntarily. Privacy Act Statement is printed on DD Forms 2932, 2933, and 2934; however, failure to
provide information may result in non-enrollment in the NLSC.
f. Do individuals have the opportunity to consent to the specific uses of their PII?

Yes

No

(1) If "Yes," describe the method by which individuals can give or withhold their consent.
(2) If "No," state the reason why individuals cannot give or withhold their consent.

Individuals provide information voluntarily and the Privacy Act Statement that is printed on DD Forms 2932, 2933, and 2934 indicating the
specific uses of the information. By providing the information, the individual is consenting to the specific use outlined in the Privacy Act
Statement and SORN. An individual who does not want to consent to the use of the information does not have to provide the information,
but if they do not provide the information they may not be able to be enrolled in NLSC.
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g. When an individual is asked to provide PII, a Privacy Act Statement (PAS) and/or a Privacy Advisory must be provided. (Check as appropriate and
provide the actual wording.)
Privacy Act Statement

Privacy Advisory

Not Applicable

DD Form 2932, DD Form 2933, and DD Form 2934
AUTHORITY: 10 U.S.C. 131, Office of the Secretary of Defense; 50 U.S.C. 1913, National Language Service Corps; DoD Directive
5124.02, Under Secretary of Defense for Personnel and Readiness (USD(P&R)); and E.O. 9397 (SSN), as amended.
PRINCIPAL PURPOSE(S): Disclosure of records are generally permitted under 5 U.S.C. 522a(b) of the Privacy Act of 1974, as
amended.To allow U.S. citizens with language skills to self-identify their skills for the purpose of temporary employment on an intermittent
work schedule or service opportunities in support of DoD or another department or agency of the United States. The information will be
used to determine applicants' eligibility for NLSC membership, to identify and contact NLSC members, and to facilitate travel to foreign
work assignments.
ROUTINE USE(S): Disclosure of records are generally permitted under 5 U.S.C. 522a(b) of the Privacy Act of 1974, as amended. To
another department or agency of the United States in need of temporary short-term foreign language services, where government employees
are required or desired. For a complete list of routine uses, visit the applicable system of records notice, DHRA 07, National Language
Service Corps (NLSC) Records, at: https://dpcld.defense.gov/Portals/49/Documents/Privacy/SORNs/OSDJS/DHRA-07.pdf
DISCLOSURE: Voluntary; however, failure to provide information may result in non-enrollment in the NLSC and refusal to grant access to
member areas of the NLSC portal.
h. With whom will the PII be shared through data exchange, both within your DoD Component and outside your Component? (Check all that apply)
Within the DoD Component

Specify.

Other DoD Components

Specify.

Other Federal Agencies

State and Local Agencies

Contractor (Name of contractor and describe the language in
the contract that safeguards PII. Include whether FAR privacy
clauses, i.e., 52.224-1, Privacy Act Notification, 52.224-2,
Privacy Act, and FAR 39.105 are included in the contract.)

Other (e.g., commercial providers, colleges).

To other DoD components in need of temporary short-term
foreign language services, where government employees are
required or desired.
To another department or agency of the United States in
Specify. need of temporary short-term foreign language services,
where government employees are required or desired.
To state and local agencies in need of temporary short-term
Specify. foreign language services, where government employees are
required or desired.
Booz Allen Hamilton Inc.
Contract # GS00Q14OADU108
The Contractor and all Contractor personnel with access to
or responsibility for nonpublic Government data under this
contract shall comply with:
DoD Instruction (DoDI) 8500.1, Cybersecurity
Specify. The Privacy Act (5 U.S.C. 552a); FAR 52.224-2
DoD 5400.11-R, and DoD Directive 5400.11, DoD Privacy
Program
DoD 6025.18-R, DoD Health Information Privacy
Regulation
DoD 5200.2-R, Personnel Security Program
HSPD-12, Homeland Security Presidential Directive.
Specify.

i. Source of the PII collected is: (Check all that apply and list all information systems if applicable)
Individuals

Databases

Existing DoD Information Systems

Commercial Systems

Other Federal Information Systems

j. How will the information be collected? (Check all that apply and list all Official Form Numbers if applicable)
E-mail

Official Form (Enter Form Number(s) in the box below)

Face-to-Face Contact

Paper

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Fax

Telephone Interview

Information Sharing - System to System

Website/E-Form

Other (If Other, enter the information in the box below)

DD 2932, National Language Service Corps (NLSC) Application
DD 2933, National Language Service Corps (NLSC) Detailed Skills Slef-Assessment
DD 2934 , National Language Service Corps (NLSC) Global Skills Self-Assessment
DD 1172, Application for Identification Card/DEERS Enrollment
DD 1056, Application to Apply for a “No Fee” Passport
DD 1833, Isolated Personnel Report (ISOPREP)
DD 2569, Third Party Collection Program Medical Services Account/Other Health Insurance
DD 1351-2, Travel Voucher or Sub-voucher
DLA 1712, DoD Telephone Notice
SD 436, Conditions of Employment for Experts and Consultants
SF 144, Statement of Prior Federal Service
SF 256, Self Identification of Handicap
SF 181, Race and Ethnicity Identification
SF 1152, Designation of Beneficiary
SF 1199a, Direct Deposit Sign Up Form
DS11/DS82, U.S. Passport Application
I-9, Employment Eligibility Verification
W-4, Federal Tax Form
State Tax Form (if applicable)

k. Does this DoD Information system or electronic collection require a Privacy Act System of Records Notice (SORN)?
A Privacy Act SORN is required if the information system or electronic collection contains information about U.S. citizens or lawful permanent U.S. residents that
is retrieved by name or other unique identifier. PIA and Privacy Act SORN information must be consistent.
Yes

No

If "Yes," enter SORN System Identifier

DHRA 07

SORN Identifier, not the Federal Register (FR) Citation. Consult the DoD Component Privacy Office for additional information or http://dpcld.defense.gov/
Privacy/SORNs/
or
If a SORN has not yet been published in the Federal Register, enter date of submission for approval to Defense Privacy, Civil Liberties, and Transparency
Division (DPCLTD). Consult the DoD Component Privacy Office for this date
If "No," explain why the SORN is not required in accordance with DoD Regulation 5400.11-R: Department of Defense Privacy Program.

l. What is the National Archives and Records Administration (NARA) approved, pending or general records schedule (GRS) disposition authority
for the system or for the records maintained in the system?
(1) NARA Job Number or General Records Schedule Authority.

N1-330-09-002

(2) If pending, provide the date the SF-115 was submitted to NARA.

(3) Retention Instructions.

Item 1: NLSC Member Files -- TEMPORARY Destroy/Delete 4 yrs after termination of membership
Item 2: Applications of Non-enrollees -- TEMPORARY Destroy when 4 yrs old

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m. What is the authority to collect information? A Federal law or Executive Order must authorize the collection and maintenance of a system of
records. For PII not collected or maintained in a system of records, the collection or maintenance of the PII must be necessary to discharge the
requirements of a statue or Executive Order.
(1) If this system has a Privacy Act SORN, the authorities in this PIA and the existing Privacy Act SORN should be similar.
(2) If a SORN does not apply, cite the authority for this DoD information system or electronic collection to collect, use, maintain and/or disseminate PII.
(If multiple authorities are cited, provide all that apply).
(a) Cite the specific provisions of the statute and/or EO that authorizes the operation of the system and the collection of PII.
(b) If direct statutory authority or an Executive Order does not exist, indirect statutory authority may be cited if the authority requires the
operation or administration of a program, the execution of which will require the collection and maintenance of a system of records.
(c) If direct or indirect authority does not exist, DoD Components can use their general statutory grants of authority (“internal housekeeping”) as
the primary authority. The requirement, directive, or instruction implementing the statute within the DoD Component must be identified.

10 U.S.C. 131, Office of the Secretary of Defense; 50 U.S.C. 1913, National Language Service Corps; DoD Directive 5124.02, Under
Secretary of Defense for Personnel and Readiness (USD(P&R)); and E.O. 9397 (SSN), as amended.
n. Does this DoD information system or electronic collection have an active and approved Office of Management and Budget (OMB) Control
Number?
Contact the Component Information Management Control Officer or DoD Clearance Officer for this information. This number indicates OMB approval to
collect data from 10 or more members of the public in a 12-month period regardless of form or format.
Yes

No

Pending

(1) If "Yes," list all applicable OMB Control Numbers, collection titles, and expiration dates.
(2) If "No," explain why OMB approval is not required in accordance with DoD Manual 8910.01, Volume 2, " DoD Information Collections Manual:
Procedures for DoD Public Information Collections.”
(3) If "Pending," provide the date for the 60 and/or 30 day notice and the Federal Register citation.

OMB No. 0704-0449, "National Language Service Corps (NLSC)," expires: Jan 31, 2022.

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