Unclassified.

Defense Nuclear Facilities Safety Board, 625 Indiana Avenue, NW., Suite 700, Washington, DC 20004-2901.

DNFSB employees, applicants for employment with DNFSB, DNFSB contractors and consultants, and other individuals requiring access to classified materials and facilities.

Personnel security folders and requests for security clearances (Forms SF 86, 86A, 87, and 312) and Department of Energy (DOE) Forms 5631.18, 5631.20, 5631.21, and 5631.29. In addition, records including the following information:

1. Security clearance request information;

2. Security education and foreign travel lectures;

3. Security infractions;

4. Names of individuals visiting DNFSB offices; and

5. Personal identity verification documents (e.g., photographs, fingerprint cards, and proofs of identity) maintained for Federal identification badge and access purposes.

42 U.S.C. 2286.

DNFSB--to determine which individuals should have access to classified material; to be able to transfer clearances to other facilities for visitor control purposes; and to verify the identity of its employees and contractors

DOE--to determine eligibility for security clearances

Other Federal and State agencies--to determine eligibility for security clearances

DNFSB will disclose information to appropriate agencies, entities, and persons when DNFSB: (1) Suspects or has confirmed that the security or confidentiality of information in the system of records has been compromised; (2) determines that as a result of the suspected or confirmed compromise there is a risk of harm to economic or property interests, identity theft or fraud, or harm to the security or integrity of this system or other systems or programs (whether maintained by DNFSB or another agency or entity) that rely upon the compromised information; and (3) deems the disclosure made to such agencies, entities, and persons is reasonably necessary to assist in connection with DNFSB's efforts to respond to the suspected or confirmed compromise and prevent, minimize, or remedy such harm.

Storage:

Paper records and electronic files.

By name, social security number, and numeric code.

Access is limited to authorized DNFSB employees only. Paper records are stored in locked offices and locked file cabinets, and electronic records are maintained on a password-protected desktop personal computer (PC). The Security Management Officer's office remains locked when not in use.

Records retention and disposal requirements are contained in the "General Records Schedules" published by the National Archives and Records Administration, Washington, DC. Paper records are shredded before disposal and electronic files are destroyed by secure, permanent methods.

Security Management Officer, Defense Nuclear Facilities Safety Board, 625 Indiana Avenue, NW., Suite 700, Washington, DC 20004-2901.

Requests made by individuals to determine if DNFSB-1 records include their personal information should be directed to the Privacy Act Officer, Defense Nuclear Facilities Safety Board, 625 Indiana Avenue, NW., Suite 700, Washington, DC 20004-2901. Required proof of identification: complete name, social security number, and date of birth.

Individuals requesting permission to access DNFSB-1 records that include their personal information should be directed to the Privacy Act Officer, Defense Nuclear Facilities Safety Board, 625 Indiana Avenue, NW., Suite 700, Washington, DC 20004-2901. Required proof of identification before viewing records: complete name, social security number, date of birth, and individual must show official photo identification (e.g., driver's license, passport, or government identification).

Individuals contesting any DNFSB-1 records that include their personal information should be directed to the Privacy Act Officer, Defense Nuclear Facilities Safety Board, 625 Indiana Avenue, NW., Suite 700, Washington, DC 20004-2901. Required proof of identification before viewing records: complete name, social security number, date of birth, and individual must show official photo identification (e.g., driver's license, passport, or government identification).

Subject individuals, Questionnaire for Sensitive Positions (SF 86), agency files, official visitor logs, contractors, and DOE Personnel Security Branch.

None.

Unclassified.

Defense Nuclear Facilities Safety Board, 625 Indiana Avenue, NW., Suite 700, Washington, DC 20004-2901.

DNFSB employees.

Time and attendance records to include names, addresses, social security numbers, service computation dates, leave usage data with corresponding balances, and authorizations for overtime and compensatory time.

42 U.S.C. 2286.

DNFSB--to enter and maintain payroll, time, and attendance data for DNFSB employees

Bureau of the Public Debt--to process and maintain payroll, time, and attendance data for DNFSB employees

Treasury Department--to collect withholding taxes and issue savings bonds

Internal Revenue Service--to process Federal income taxes

State and Local Governments--to process state and local income taxes

Savings Institutions--to credit accounts for savings made through payroll deductions

Health Insurance Carriers--to process insurance claims

DNFSB will disclose information to appropriate agencies, entities, and persons when DNFSB: (1) Suspects or has confirmed that the security or confidentiality of information in the system of records has been compromised; (2) determines that as a result of the suspected or confirmed compromise there is a risk of harm to economic or property interests, identity theft or fraud, or harm to the security or integrity of this system or other systems or programs (whether maintained by DNFSB or another agency or entity) that rely upon the compromised information; and (3) deems the disclosure made to such agencies, entities, and persons is reasonably necessary to assist in connection with DNFSB's efforts to respond to the suspected or confirmed compromise and prevent, minimize, or remedy such harm.

Storage:

Paper records and electronic files.

By name, social security number, and alphanumeric code.

Access is limited to authorized DNFSB employees only. Paper records are stored in locked file cabinets and electronic records are maintained on a password-protected desktop PC.

Records retention and disposal requirements are contained in the "General Records Schedules" published by the National Archives and Records Administration, Washington, DC. Paper records are shredded before disposal and electronic files are destroyed by secure, permanent methods.

General Manager, Defense Nuclear Facilities Safety Board, 625 Indiana Avenue, NW., Suite 700, Washington, DC 20004-2901.

Requests made by individuals to determine if DNFSB-2 records include their personal information should be directed to the Privacy Act Officer, Defense Nuclear Facilities Safety Board, 625 Indiana Avenue, NW., Suite 700, Washington, DC 20004-2901. Required proof of identification: complete name, social security number, and date of birth.

Individuals requesting permission to access DNFSB-2 records that include their personal information should be directed to the Privacy Act Officer, Defense Nuclear Facilities Safety Board, 625 Indiana Avenue, NW., Suite 700, Washington, DC 20004-2901. Required proof of identification before viewing records: complete name, social security number, date of birth, and individual must show official photo identification (e.g., driver's license, passport, or government identification).

Individuals contesting any DNFSB-2 records that include their personal information should be directed to the Privacy Act Officer, Defense Nuclear Facilities Safety Board, 625 Indiana Avenue, NW., Suite 700, Washington, DC 20004-2901. Required proof of identification before viewing records: complete name, social security number, date of birth, and individual must show official photo identification (e.g., driver's license, passport, or government identification).

Subject individuals, timekeepers, supervisors, the Bureau of the Public Debt for payroll records, and the Internal Revenue Service and State officials for withholding and tax information.

None.

Unclassified.

Division of Human Resources, Defense Nuclear Facilities Safety Board, 625 Indiana Avenue, NW., Suite 700, Washington, DC 20004-2901. Duplicate systems may exist, in whole or in part, at contractor testing laboratories and collection/evaluation facilities.

DNFSB employees and applicants for employment with DNFSB.

Records including the following information:

1. Pre-employment drug test requests or results, random tests, confirmatory tests, and follow-up tests;

2. Information supplied by employees or applicants contesting positive test results;

3. Information supplied by individuals concerning alleged drug abuse by DNFSB employees or applicants; and

4. Written statements or medical evaluations of attending physicians or information regarding prescription or nonprescription drugs.

Executive Order 12564, "Drug-Free Federal Workplace," September 15, 1986, 51 FR 32889, codified at 5 U.S.C. 7301, note (1987).

Information in these records may be used by a Medical Review Officer (MRO) and DNFSB management:

1. To identify substance abusers within the agency;

2. To initiate counseling and rehabilitation programs;

3. To take personnel actions;

4. To take personnel security actions; and

5. For statistical purposes

DNFSB will disclose information to appropriate agencies, entities, and persons when DNFSB: (1) Suspects or has confirmed that the security or confidentiality of information in the system of records has been compromised; (2) determines that as a result of the suspected or confirmed compromise there is a risk of harm to economic or property interests, identity theft or fraud, or harm to the security or integrity of this system or other systems or programs (whether maintained by DNFSB or another agency or entity) that rely upon the compromised information; and (3) deems the disclosure made to such agencies, entities, and persons is reasonably necessary to assist in connection with DNFSB's efforts to respond to the suspected or confirmed compromise and prevent, minimize, or remedy such harm.

Storage:

Test records are maintained on paper in file folders. Records used for initiating a random drug test are maintained on the Random Employee Selection Automation System. This is a password-protected, stand-alone system that resides on a desktop computer.

Records maintained in file folders are indexed and accessed by name and social security number. Random drug testing records are accessed via a computer database that includes employees' names, social security numbers, and job titles.

Access usage rights are limited to authorized DNFSB employees only. The Division of Human Resources records are stored in a locked file cabinet. Records in laboratory collection and evaluation facilities are stored under appropriate security measures so that access is limited and controlled.

Records retention and disposal requirements are contained in the "General Records Schedules" published by the National Archives and Records Administration, Washington, DC. Paper records are shredded before disposal and electronic files are destroyed by secure, permanent methods.

Director, Division of Human Resources, Defense Nuclear Facilities Safety Board, 625 Indiana Avenue, NW., Suite 700, Washington, DC 20004-2901

Requests made by individuals to determine if DNFSB-3 records include their personal information should be directed to the Privacy Act Officer, Defense Nuclear Facilities Safety Board, 625 Indiana Avenue, NW., Suite 700, Washington, DC 20004-2901. Required proof of identification: complete name, social security number, and date of birth.

Individuals requesting permission to access DNFSB-3 records that include their personal information should be directed to the Privacy Act Officer, Defense Nuclear Facilities Safety Board, 625 Indiana Avenue, NW., Suite 700, Washington, DC 20004-2901. Required proof of identification before viewing records: complete name, social security number, date of birth, and individual must show official photo identification (e.g., driver's license, passport, or government identification).

Individuals contesting any DNFSB-3 records that include their personal information should be directed to the Privacy Act Officer, Defense Nuclear Facilities Safety Board, 625 Indiana Avenue, NW., Suite 700, Washington, DC 20004-2901. Required proof of identification before viewing records: complete name, social security number, date of birth, and individual must show official photo identification (e.g., driver's license, passport, or government identification).

DNFSB employees and applicants who have been identified for drug testing, who have been tested, or who have admitted abusing drugs prior to being tested; physicians' statements regarding medical evaluations or authorized prescriptions for drugs; individuals providing information through a pre-employment drug use questionnaire; individuals providing information concerning alleged drug abuse by DNFSB employees or applicants, including but not limited to: specimen collection, laboratories for analysis, and medical evaluations; and DNFSB staff administering the drug testing program to ensure the achievement of a drug-free workplace.

Pursuant to 5 U.S.C. 552a(k)(5), DNFSB has exempted portions of this System of Records from 5 U.S.C. 552a(c)(3), (d), (e)(1), (e)(4)(G), (H), (I), and (f). The exemption is invoked for information in the System of Records that would disclose the identity of a source who furnished information concerning alleged drug abuse by DNFSB employees or applicants.

Unclassified.

Defense Nuclear Facilities Safety Board, 625 Indiana Avenue, NW., Suite 700, Washington, DC 20004-2901.

DNFSB employees and applicants for employment with DNFSB.

Records including the following information:

1. Name, social security number, sex, date of birth, home address, grade level, family information, and occupational code;

2. Federal employment application materials;

3. Assigned Position Description;

4. Telework Agreement (if applicable);

5. Records on suggestions, awards, and bonuses;

6. Training requests, authorization data, and training course evaluations;

7. Employee appraisals, appeals, grievances, and complaints;

8. Employee disciplinary actions;

9. Employee retirement records;

10. Employment transfers;

11. Promotions, payroll changes, and benefits elections; and

12. Proof of identity documents.

42 U.S.C. 2286.

DNFSB--to maintain personnel files on DNFSB employees to facilitate processing of personnel actions

Bureau of the Public Debt--to maintain Official Personnel Folders for DNFSB

Office of Personnel Management--to maintain transfer and retirement records for the calculation of benefits and collection of anonymous statistical reports

Federal Retirement Thrift Investment Board--to invest employee contributions in selected funds, track financial performance of employee investments, and provide performance reports

Social Security Administration--to maintain Social Security records for the calculation of benefits

Department of Labor--to process Workmen's Compensation claims

Department of Defense Military Retired Pay Offices--to adjust military retirement

Veterans Administration--to evaluate veteran's benefits to which the individual may be entitled

States' Departments of Employment Security--to determine entitlement to unemployment compensation or other state benefits

Federal, State, or Local government agencies--to investigate individuals in connection with security clearances, and administrative or judicial proceedings. Private Organizations--to verify employees' employment status with DNFSB

DNFSB will disclose information to appropriate agencies, entities, and persons when DNFSB: (1) Suspects or has confirmed that the security or confidentiality of information in the system of records has been compromised; (2) determines that as a result of the suspected or confirmed compromise there is a risk of harm to economic or property interests, identity theft or fraud, or harm to the security or integrity of this system or other systems or programs (whether maintained by DNFSB or another agency or entity) that rely upon the compromised information; and (3) deems the disclosure made to such agencies, entities, and persons is reasonably necessary to assist in connection with DNFSB's efforts to respond to the suspected or confirmed compromise and prevent, minimize, or remedy such harm.

Storage:

Paper records and electronic files.

By name and social security number.

Access is limited to authorized DNFSB employees only. Paper records are stored in locked file cabinets and electronic files are password-protected.

Records retention and disposal requirements are contained in the "General Records Schedules" published by the National Archives and Records Administration, Washington, DC. Paper records within DNFSB are shredded before disposal and electronic files are destroyed by secure, permanent methods.

Director, Division of Human Resources, Defense Nuclear Facilities Safety Board, 625 Indiana Avenue, NW., Suite 700, Washington, DC 20004-2901.

Requests made by individuals to determine if DNFSB-4 records include their personal information should be directed to the Privacy Act Officer, Defense Nuclear Facilities Safety Board, 625 Indiana Avenue, NW., Suite 700, Washington, DC 20004-2901. Required proof of identification: complete name, social security number, and date of birth.

Individuals requesting permission to access DNFSB-4 records that include their personal information should be directed to the Privacy Act Officer, Defense Nuclear Facilities Safety Board, 625 Indiana Avenue, NW., Suite 700, Washington, DC 20004-2901. Required proof of identification before viewing records: complete name, social security number, date of birth, and individual must show official photo identification (e.g., driver's license, passport, or government identification).

Individuals contesting any DNFSB-4 records that include their personal information should be directed to the Privacy Act Officer, Defense Nuclear Facilities Safety Board, 625 Indiana Avenue, NW., Suite 700, Washington, DC 20004-2901. Required proof of identification before viewing records: complete name, social security number, date of birth, and individual must show official photo identification (e.g., driver's license, passport, or government identification).

Individual employees, official personnel records, Office of Personnel Management, State employment agencies, educational institutions, and supervisors.

None.

Unclassified.

Defense Nuclear Facilities Safety Board, 625 Indiana Avenue, NW., Suite 700, Washington, DC 20004-2901.

DNFSB employees.

Occupational radiation exposure information.

42 U.S.C. 2286.

DNFSB--to monitor employees' occupational radiation exposures during their employment with DNFSB

DOE--to monitor radiation exposure of visitors, including DNFSB employees, to the various DOE facilities in the United States

Other Federal and State Health Institutions--to monitor occupational radiation exposure of DNFSB personnel

DNFSB will disclose information to appropriate agencies, entities, and persons when DNFSB: (1) Suspects or has confirmed that the security or confidentiality of information in the system of records has been compromised; (2) determines that as a result of the suspected or confirmed compromise there is a risk of harm to economic or property interests, identity theft or fraud, or harm to the security or integrity of this system or other systems or programs (whether maintained by DNFSB or another agency or entity) that rely upon the compromised information; and (3) deems the disclosure made to such agencies, entities, and persons is reasonably necessary to assist in connection with DNFSB's efforts to respond to the suspected or confirmed compromise and prevent, minimize, or remedy such harm.

Storage:

Paper records and electronic files.

By name, social security number, and date of birth.

Access is limited to authorized DNFSB employees and contractors only. Paper records are stored in locked file cabinets with appropriate Privacy Act markings in a controlled-access area. Electronic files are password-protected or encrypted and stored on a dedicated computer.

Records retention and disposal requirements are contained in the "General Records Schedules" published by the National Archives and Records Administration, Washington, DC. Paper records are shredded before disposal and electronic files are destroyed by secure, permanent methods.

Director, Division of Human Resources, Defense Nuclear Facilities Safety Board, 625 Indiana Avenue, NW., Suite 700, Washington, DC 20004-2901.

Requests made by individuals to determine if DNFSB-5 include their personal information should be directed to the Privacy Act Officer, Defense Nuclear Facilities Safety Board, 625 Indiana Avenue, NW., Suite 700, Washington, DC 20004-2901. Required proof of identification: complete name, social security number, and date of birth.

Individuals requesting permission to access DNFSB-5 records that include their personal information should be directed to the Privacy Act Officer, Defense Nuclear Facilities Safety Board, 625 Indiana Avenue, NW., Suite 700, Washington, DC 20004-2901. Required proof of identification before viewing records: complete name, social security number, date of birth, and individual must show official photo identification (e.g., driver's license, passport, or government identification).

Individuals contesting any DNFSB-5 records that include their personal information should be directed to the Privacy Act Officer, Defense Nuclear Facilities Safety Board, 625 Indiana Avenue, NW., Suite 700, Washington, DC 20004-2901. Required proof of identification before viewing records: complete name, social security number, date of birth, and individual must show official photo identification (e.g., driver's license, passport, or government identification).

Subject individuals, previous employee records, DOE occupational Radiation Exposure Monitoring System (REMS), whole body counts, bioassays, dosimeters, and film badges.

None.

Unclassified.

Defense Nuclear Facilities Safety Board, 625 Indiana Avenue, NW., Suite 700, Washington, DC 20004-2901.

DNFSB's technical and legal employees.

A summary of each DNFSB technical and legal employee's educational background and work experience with emphasis on areas relevant to the individual's work at DNFSB.

42 U.S.C. 2286.

DNFSB--to provide DNFSB Board Members and staff an understanding of the technical and legal qualifications of DNFSB's employees to facilitate work assignments and for work planning purposes

DNFSB will disclose information to appropriate agencies, entities, and persons when DNFSB: (1) Suspects or has confirmed that the security or confidentiality of information in the system of records has been compromised; (2) determines that as a result of the suspected or confirmed compromise there is a risk of harm to economic or property interests, identity theft or fraud, or harm to the security or integrity of this system or other systems or programs (whether maintained by DNFSB or another agency or entity) that rely upon the compromised information; and (3) deems the disclosure made to such agencies, entities, and persons is reasonably necessary to assist in connection with DNFSB's efforts to respond to the suspected or confirmed compromise and prevent, minimize, or remedy such harm.

Storage:

Paper records and electronic files.

By name.

The Resume Book is not accessible via the Internet or DNFSB's Public Reading Room. Access to the Resume Book is limited to current DNFSB employees as determined by the Chairman. Paper records are stored in locked file cabinets or in locked desk drawers.

Records retention and disposal requirements are contained in the "General Records Schedules" published by the National Archives and Records Administration, Washington, DC. Out-of-date paper records are shredded before disposal and electronic files are destroyed by secure, permanent methods.

Director, Division of Information Technology and Security, Defense Nuclear Facilities Safety Board, 625 Indiana Avenue, NW., Suite 700, Washington, DC 20004-2901.

Requests made by individuals to determine if DNFSB-6 records include their personal information should be directed to the Privacy Act Officer, Defense Nuclear Facilities Safety Board, 625 Indiana Avenue, NW., Suite 700, Washington, DC 20004-2901. Required proof of identification: complete name, social security number, and date of birth.

Individuals requesting permission to access DNFSB-6 records that include their personal information should be directed to the Privacy Act Officer, Defense Nuclear Facilities Safety Board, 625 Indiana Avenue, NW., Suite 700, Washington, DC 20004-2901. Required proof of identification before viewing records: complete name, social security number, date of birth, and individual must show official photo identification (e.g., driver's license, passport, or government identification).

Individuals contesting any DNFSB-6 records that include their personal information should be directed to the Privacy Act Officer, Defense Nuclear Facilities Safety Board, 625 Indiana Avenue, NW., Suite 700, Washington, DC 20004-2901. Required proof of identification before viewing records: complete name, social security number, date of birth, and individual must show official photo identification (e.g., driver's license, passport, or government identification).

Subject individuals.

None.

Unclassified.

Defense Nuclear Facilities Safety Board, 625 Indiana Avenue, NW., Suite 700, Washington, DC 20004-2901.

DNFSB's technical, legal, and administrative employees.

Records including the following information:

1. Information used to write annual or mid-year performance appraisals, proposed awards, or proposed honors;

2. Documented written correspondence, employee's work samples, hard-copy of electronic communications, confidential supervisor notations, and employee performance records; and

3. Information used to contact personnel during non-duty hours, such as personal cell phone numbers and home phone numbers.

42 U.S.C. 2286.

DNFSB--to be used by supervisors to write annual or mid-year performance appraisals for their employees or to propose awards or honors; to be used in connection with disciplinary or adverse actions

DNFSB will disclose information to appropriate agencies, entities, and persons when DNFSB: (1) Suspects or has confirmed that the security or confidentiality of information in the system of records has been compromised; (2) determines that as a result of the suspected or confirmed compromise there is a risk of harm to economic or property interests, identity theft or fraud, or harm to the security or integrity of this system or other systems or programs (whether maintained by DNFSB or another agency or entity) that rely upon the compromised information; and (3) deems the disclosure made to such agencies, entities, and persons is reasonably necessary to assist in connection with DNFSB's efforts to respond to the suspected or confirmed compromise and prevent, minimize, or remedy such harm.

Storage:

Paper records and electronic files.

By name.

Access is limited to the direct supervisor and administrative personnel who maintain the records. Paper records are stored in locked offices, locked file cabinets, or in locked desk drawers, and electronic files are password-protected.

Records retention and disposal requirements are contained in the "General Records Schedules" published by the National Archives and Records Administration, Washington, DC. Out-of-date paper records are shredded before disposal and electronic files are destroyed by secure, permanent methods.

Director, Division of Information Technology and Security, Defense Nuclear Facilities Safety Board, 625 Indiana Avenue, NW., Suite 700, Washington, DC 20004-2901.

Requests made by individuals to determine if DNFSB-7 records include their personal information should be directed to the Privacy Act Officer, Defense Nuclear Facilities Safety Board, 625 Indiana Avenue, NW., Suite 700, Washington, DC 20004-2901. Required proof of identification: complete name, social security number, and date of birth.

Individuals requesting permission to access DNFSB-7 records that include their personal information should be directed to the Privacy Act Officer, Defense Nuclear Facilities Safety Board, 625 Indiana Avenue, NW., Suite 700, Washington, DC 20004-2901. Required proof of identification before viewing records: complete name, social security number, date of birth, and individual must show official photo identification (e.g., driver's license, passport, or government identification).

Individuals contesting any DNFSB-7 records that include their personal information should be directed to the Privacy Act Officer, Defense Nuclear Facilities Safety Board, 625 Indiana Avenue, NW., Suite 700, Washington, DC 20004-2901. Required proof of identification before viewing records: complete name, social security number, date of birth, and individual must show official photo identification (e.g., driver's license, passport, or government identification).

Subject individuals.

None.

Unclassified.

Defense Nuclear Facilities Safety Board, 625 Indiana Avenue, NW., Suite 700, Washington, DC 20004-2901.

1. Official travel documents including names, addresses, social security numbers, dates of birth, passport numbers, relocation records, and travel credit card numbers;

2. Purchase credit card numbers, invoices, and payment records;

3. Employee credit evaluations, credit check information, and travel/purchase card histories;

4. Parking permit records;

5. Public transit subsidy applications and issuance records;

6. Contracts/purchase orders; and

7. Miscellaneous reimbursements.

42 U.S.C. 2286.

DNFSB--to process travel- and procurement-related documents

General Services Administration--to reimburse DNFSB employees, applicants for employment, and consultants for travel-related expenses and miscellaneous reimbursements, and to reimburse contractors for services rendered

General Accounting Office and Auditors--to verify accuracy and legality of disbursements

Travel Agencies--to process travel itineraries

DNFSB will disclose information to appropriate agencies, entities, and persons when DNFSB: (1) Suspects or has confirmed that the security or confidentiality of information in the system of records has been compromised; (2) determines that as a result of the suspected or confirmed compromise there is a risk of harm to economic or property interests, identity theft or fraud, or harm to the security or integrity of this system or other systems or programs (whether maintained by DNFSB or another agency or entity) that rely upon the compromised information; and (3) deems the disclosure made to such agencies, entities, and persons is reasonably necessary to assist in connection with DNFSB's efforts to respond to the suspected or confirmed compromise and prevent, minimize, or remedy such harm.

Storage:

Paper records and electronic files.

By name, social security number, travel dates, relocation dates, and alphanumeric code.

Access is limited to authorized DNFSB employees only. Paper records are stored in locked file cabinets and electronic records are maintained on a password-protected desktop PC.

Records retention and disposal requirements are contained in the "General Records Schedules" published by the National Archives and Records Administration, Washington, DC. Paper records are shredded before disposal and electronic files are destroyed by secure, permanent methods.

Director, Division of Acquisition and Finance, Defense Nuclear Facilities Safety Board, 625 Indiana Avenue, NW., Suite 700, Washington, DC 20004-2901.

Requests made by individuals to determine if DNFSB-8 records include their personal information should be directed to the Privacy Act Officer, Defense Nuclear Facilities Safety Board, 625 Indiana Avenue, NW., Suite 700, Washington, DC 20004-2901. Required proof of identification: complete name, social security number, and date of birth.

Individuals requesting permission to access DNFSB-8 records that include their personal information should be directed to the Privacy Act Officer, Defense Nuclear Facilities Safety Board, 625 Indiana Avenue, NW., Suite 700, Washington, DC 20004-2901. Required proof of identification before viewing records: complete name, social security number, date of birth, and individual must show official photo identification (e.g., driver's license, passport, or government identification).

Individuals contesting any DNFSB-8 records that include their personal information should be directed to the Privacy Act Officer, Defense Nuclear Facilities Safety Board, 625 Indiana Avenue, NW., Suite 700, Washington, DC 20004-2901. Required proof of identification before viewing records: complete name, social security number, date of birth, and individual must show official photo identification (e.g., driver's license, passport, or government identification).

Subject individuals, General Services Administration for official accounting records, and travel agency contracts.

None.

Unclassified.

Defense Nuclear Facilities Safety Board, 625 Indiana Avenue, NW., Suite 700, Washington, DC 20004-2901.

DNFSB employees and contractors.

Occupational beryllium exposure information.

42 U.S.C. 2286.

DNFSB--to assist DNFSB employees and contractors who may have been exposed to beryllium and wish to be informed of any applicable DOE beryllium disease screening and prevention programs

DOE--to assist DOE in identifying DNFSB employees and contractors who may have been exposed to beryllium while visiting or working at various DOE defense nuclear facilities throughout the United States

DNFSB will disclose information to appropriate agencies, entities, and persons when DNFSB: (1) Suspects or has confirmed that the security or confidentiality of information in the system of records has been compromised; (2) determines that as a result of the suspected or confirmed compromise there is a risk of harm to economic or property interests, identity theft or fraud, or harm to the security or integrity of this system or other systems or programs (whether maintained by DNFSB or another agency or entity) that rely upon the compromised information; and (3) deems the disclosure made to such agencies, entities, and persons is reasonably necessary to assist in connection with DNFSB's efforts to respond to the suspected or confirmed compromise and prevent, minimize, or remedy such harm.

Storage:

Paper records and electronic files.

By name.

Access is limited to authorized DNFSB employees and contractors only. Paper records are stored in locked file cabinets with appropriate Privacy Act markings in a controlled-access area. Electronic files are password-protected or encrypted and are stored on a dedicated computer.

Records retention and disposal requirements are contained in the "General Records Schedules" published by the National Archives and Records Administration, Washington, DC. Paper records within DNFSB are shredded before disposal and electronic files are destroyed by secure, permanent methods.

Director, Division of Human Resources, Defense Nuclear Facilities Safety Board, 625 Indiana Avenue, NW., Suite 700, Washington, DC 20004-2901.

Requests made by individuals to determine if DNFSB-9 records include their personal information should be directed to the Privacy Act Officer, Defense Nuclear Facilities Safety Board, 625 Indiana Avenue, NW., Suite 700, Washington, DC 20004-2901. Required proof of identification: complete name, social security number, and date of birth.

Individuals requesting permission to access DNFSB-9 records that include their personal information should be directed to the Privacy Act Officer, Defense Nuclear Facilities Safety Board, 625 Indiana Avenue, NW., Suite 700, Washington, DC 20004-2901. Required proof of identification before viewing records: complete name, social security number, date of birth, and individual must show official photo identification (e.g., driver's license, passport, or government identification).

Individuals contesting any DNFSB-9 records that include their personal information should be directed to the Privacy Act Officer, Defense Nuclear Facilities Safety Board, 625 Indiana Avenue, NW., Suite 700, Washington, DC 20004-2901. Required proof of identification before viewing records: complete name, social security number, date of birth, and individual must show official photo identification (e.g., driver's license, passport, or government identification).

DOE requests for identification of personnel for beryllium exposure surveys or possible exposures.

None.

Unclassified.

Defense Nuclear Facilities Safety Board, 625 Indiana Avenue, NW, Suite 700, Washington, D.C. 20004-2901.

Director, Human Resources Division, Defense Nuclear Facilities Safety Board, Office of the General Manager, 625 Indiana Avenue, NW, Suite 700, Washington, DC 20004-2901.

Telephone: (202) 694-7000 (Toll Free (800) 788-4016).

5 U.S.C. 301, 302; The Rehabilitation Act of 1973, 29 U.S.C. 701, 791, 794; Title VII of the Civil Rights Act of 1964, 42 U.S.C. 2000e; 29 CFR 1614 (Federal Sector Equal Employment Opportunity); 42 U.S.C. 2000bb; Executive Order 13163 (Increasing the Opportunity for Individuals with Disabilities To Be Employed in the Federal Government) (July 26, 2000); Executive Order 13164 (Requiring Federal Agencies to Establish Procedures to Facilitate the Provision of Reasonable Accommodation) (July 26, 2000); and Executive Order 13548 (Increasing Federal Employment of Individuals with Disabilities) (July 26, 2010).

The purpose of this system of records is to allow the DNFSB to collect and maintain records on applicants for employment, employees, and other individuals who participate in DNFSB programs or activities who request or receive reasonable accommodations or other appropriate modifications from DNFSB for medical or religious reasons; to process, evaluate, and make decisions on individual requests; and to track and report the processing of such requests to comply with applicable requirements in law and policy.

Applicants for employment, current and former DNFSB employees, and other individuals who participate in DNFSB activities, who request and/or receive reasonable accommodations for or other appropriate modifications from DNFSB for medical or religious reasons.

Requester’s name and contact information (address(es), telephone number(s), e-mail address(es);

Requester’s employment status (applicant or employee);

Date of request;

Employee’s position, title, grade, series, step;

Information concerning the nature of the requester’s medical condition or disability and any medical documentation provided in support of the request;

Requester’s statement of a sincerely held religious belief and any additional information submitted concerning that belief and the need for an accommodation to exercise that belief;

Description of the requested accommodation, how the requested accommodation would assist in job performance, and the sources of technical assistance consulted in effort to identify alternative reasonable accommodation;

Whether the request was made orally or in writing;

Whether the request for reasonable accommodation was approved, denied, or approved for a trial period, and if denied or approved for a trial period, the reason(s) for such decision;

Any reports or evaluations prepared in determining whether to grant or deny the request;

Any additional information collected or developed in connection with the request for a reasonable accommodation; and

Notification(s) to the employee and his/her supervisor(s) regarding the accommodation.

Information is obtained from the individuals who request and/or receive a reasonable accommodation or other appropriate modification from DNFSB, directly or indirectly from an individual’s medical provider or another medical professional who evaluates the request, directly or indirectly from an individual’s religious or spiritual advisors or institutions and from management officials.

In addition to those disclosures generally permitted under 5 U.S.C. 552a(b) of the Privacy Act, if it is determined to be relevant and necessary, all or a portion of the records or information contained in this system may be disclosed to authorized entities outside DNFSB as a routine use pursuant to 5 U.S.C. 552a(b)(3), as follows:

To federal, state, local, tribal, foreign, or international agencies if the information is relevant and necessary to that agency’s decision concerning the hiring or retention of an individual, the issuance of a security clearance, conducting a suitability or security investigation of an individual, the classifying of jobs, the letting of a contract or the issuance of a license, grant, or other benefit by such agency, or if the information is relevant and necessary to a DNFSB decision concerning the hiring or retention of an individual, the issuance of a security clearance, conducting a suitability or security investigation of an individual, the classifying of jobs, the letting of a contract or the issuance of a license, grant, or other benefit concerning the hiring or retention of an employee, the issuance of a security clearance, the reporting of an investigation of an employee, the letting of a contract, or the issuance of a license, grant, or other benefit.

To a member of Congress or congressional staff in response to an inquiry about an individual from that congressional office made at the request of such individual.

To the appropriate federal, state, or local agency responsible for investigating, prosecuting, enforcing, or implementing a statute, rule, regulation, or order, when a record, either on its face or in conjunction with other information, indicates or is relevant to a violation or potential violation of civil or criminal law or regulation.

To the Department of Justice, including Offices of the U.S. Attorneys; another federal agency conducting litigation or in a proceeding before any court, adjudicative body, or administrative body; another party in litigation before a court, adjudicative body, or administrative body; or to a court, adjudicative, or administrative body. Such disclosure is permitted only when it is relevant or necessary to the litigation or proceeding, and one of the following is a party to the litigation or has an interest in such litigation:

DNFSB or any component thereof;

Any employee or former employee of DNFSB in his or her official capacity;

Any employee or former employee of DNFSB in his or her individual capacity when the Department of Justice or DNFSB has agreed to represent the employee, or

The United States, a federal agency, or another party in litigation before a court, adjudicative, or administrative body, upon the approval of the DNFSB General Counsel, pursuant to 10 C.F.R. part 1707 or otherwise.

To the National Archives and Records Administration (NARA) in connection with records-management inspections being conducted under authority of 44 U.S.C. 2904 and 2906.

To physicians or other medical professionals to provide them with or obtain from them the necessary medical documentation and/or certification for reasonable accommodations.

To appropriate agencies, entities, and persons when (1) the DNFSB suspects or has confirmed that there has been a breach of the system of records, (2) the DNFSB has determined that as a result of the suspected or confirmed breach there is a risk of harm to individuals, the DNFSB (including its information systems, programs, and operations), the Federal Government, or national security; and (3) the disclosure made to such agencies, entities, and persons is reasonably necessary to assist in connection with the DNFSB’s efforts to respond to the suspected or confirmed breach or to prevent, minimize, or remedy such harm.

To another federal agency or federal entity, when DNFSB determines that information from this system of records is reasonably necessary to assist the recipient agency or entity in (1) responding to a suspected or confirmed breach or (2) preventing, minimizing, or remedying the risk of harm to individuals, the recipient agency, or entity (including its information systems, programs, and operations), the federal government, or national security, resulting from a suspected or confirmed breach.

To appropriate agencies, entities, and persons when DNFSB: (1) suspects or has confirmed that the security or confidentiality of information in the system of records has been compromised; (2) determines that as a result of the suspected or confirmed compromise there is a risk of harm to economic or property interests, identity theft or fraud, or harm to the security or integrity of this system or other systems or programs (whether maintained by DNFSB or another agency or entity) that rely upon the compromised information; (3) deems the disclosure made to such agencies, entities, and persons is reasonably necessary to assist in connection with DNFSB’s efforts to respond to the suspected or confirmed compromise and prevent, minimize, or remedy such harm; and (4) to deter and detect insider threats in accordance with Executive Order 13587.

To federal and foreign government intelligence or counterterrorism agencies when DNFSB reasonably believes there to be a threat or potential threat to national or international security for which the information may be useful in countering the threat or potential threat, when DNFSB reasonably believes such use is to assist in anti-terrorism efforts, and disclosure is appropriate to the proper performance of the official duties of the person making the disclosure.

To non-federal workers such as contractors, grantees, experts, consultants, and the agents thereof, performing or working on a contract, service, grant, cooperative agreement, or other assignment for DNFSB when DNFSB determines that it is necessary to accomplish an agency function related to this system of records. Individuals provided information under this routine use are subject to the same Privacy Act requirements and limitations on disclosure as are applicable to DNFSB employees.

To another federal agency or commission with responsibility for labor or employment relations or other issues, including equal employment opportunity and reasonable accommodation issues, when that agency or commission has jurisdiction over reasonable accommodation.

To an authorized appeal grievance examiner, formal complaints examiner, administrative judge, equal employment opportunity investigator, arbitrator, or other duly authorized official engaged in the investigation or settlement of a grievance, complaint, or appeal filed by an individual who requested a reasonable accommodation or other appropriate modification.

To another federal agency, including but not limited to the Equal Employment Opportunity Commission and the Office of Special Counsel, to obtain advice regarding statutory, regulatory, policy, and other requirements related to reasonable accommodation.

To a federal agency or federal entity authorized to procure assistive technologies and services in response to a request for reasonable accommodation.

To first aid and safety personnel if the individual's medical condition requires emergency treatment.

To another federal agency or oversight body charged with evaluating DNFSB’s compliance with the laws, regulations, and policies governing reasonable accommodation requests.

To another Federal agency pursuant to a written agreement with DNFSB to provide services (such as medical evaluations), when necessary, in support of reasonable accommodation decisions.

Records are maintained electronically in an encrypted, password-protected, limited-access folder on DNFSB’s local area network.

Records are retrieved by an individual’s name.

The records in this system of records are maintained in accordance with General Records Schedule (GRS) 2.3.020, "Reasonable Accommodation Case Files." They are destroyed three years after an individual’s separation from the agency or all appeals are concluded, whichever is later, but longer retention is authorized if required for business use.

The records are protected from unauthorized access and misuse by a hierarchy of administrative, technical, and physical controls combined with a role-based, need-to-know access control system, that is, one in which access to the records is granted only to those persons who have appropriate clearances or permissions and a demonstrated need to know the information for the performance of their duties.

The records are maintained in a password-protected, encrypted folder on DNFSB’s General Support System-Local Area Network (GSS-LAN), the ethernet-based network connecting all of DNFSB’s user workstations with the centralized file servers used to store data and host applications. The security controls maintained for the GSS-LAN are in compliance with the Federal Information Systems Modernization Act (Pub. L. 113-283), the relevant policies of the Office of Management and Budget. The records are accessible only to members of a security group established by DNFSB’s IT System Administrator. Only the designated owner of the security group is authorized to identify the individuals to be added and removed from the group, and only the IT System Administrator can implement those decisions.

Notification: An individual who wishes to know whether this system of records contains any information pertaining to himself or herself may file a request for such information in person or in writing. Written requests should be addressed to: Privacy Act Officer, Defense Nuclear Facilities Safety Board, 625 Indiana Avenue, NW, Suite 700, Washington, DC 20004-2901. Telephonic requests should be made by calling the Board’s switchboard at (202) 208–6400 and asking to speak to the Privacy Act Officer.

Access (copies): Individuals who wish to obtain copies of records containing their personal information may submit a written request to the Privacy Act Officer, Defense Nuclear Facilities Safety Board, 625 Indiana Avenue, NW, Suite 700, Washington, DC 20004-2901 or by e-mailing FOIA@dnfsb.gov. Such requests must contain:

The requester’s complete name, address, and telephone number;

Proof of identification consisting of a copy of one of the following: valid driver's license, valid passport, or other current identification containing both an address and picture of the requester.

The system of records in which the desired information is contained.

Access (in person): Individuals who wish to view their records in person should call the Privacy Act Officer at (202) 694-7000 (Toll Free (800)-788-4016) at least two weeks before the date on which they would like to visit and be prepared to provide his/her full name, address, telephone number, and the system of records in which the desired information is contained. Thereafter, the Privacy Act Officer will determine if the Board does maintain the requested information, and if the result of that investigation is affirmative, he/she will call the requester to arrange a date and time for the records to be made available. Before being allowed to view the records, the individual seeking access will be required to supply proof of or his/her identity by providing of a copy of a valid driver's license, valid passport, or other current identification that contains both an address and picture of the requester.

Individuals may submit written requests for correction of a record pertaining to themselves to: Privacy Act Officer, Defense Nuclear Facilities Safety Board, 625 Indiana Avenue, NW, Suite 700, Washington, DC 20004-2901. Such letters should clearly identify the corrections desired, and an edited copy of the record will usually be acceptable for that purpose.

None.