SYSTEM OF RECORDS NOTICES (SORNs)
DoD COMPONENT NOTICES
Office of the Secretary, DoD/Joint Staff
Administrative Files on Active Psychiatric Consultants to Department of Defense (August 27, 1993, 58 FR 45320).
Directorate for Industrial Security Clearance Review, Defense Legal Services Agency, Department of Defense, 4015 Wilson Boulevard, Arlington, VA 22203-1995.
CATEGORIES OF INDIVIDUALS COVERED BY THE SYSTEM:
Psychiatric consultants who have entered into agreement with the Department of Defense to conduct psychiatric examination of individuals applying for industrial security clearance for access to classified information required in the performance of their work for classified Government contractors.
CATEGORIES OF RECORDS IN THE SYSTEM:
Current list of active DoD psychiatric consultants. Records are filed alphabetically by last name of psychiatrist, and consist of correspondence concerning agreement to conduct psychiatric examinations.
AUTHORITY FOR MAINTENANCE OF THE SYSTEM:
DoD Directive 5220.6, Industrial Personnel Security Clearance Program; E.O. 10865, February 20, 1960, and Deputy Secretary of Defense Memorandum dated October 20, 1965, Subject: Employment of Psychiatric Consultants for Industrial Security Program.
The purpose of this system is to maintain as a resource a database of active psychiatric consultants available to conduct psychiatric examinations of individual applicants for industrial personnel security clearance in convenient geographical areas. Psychiatric consultants have active professional service agreements with the Department of Defense and are used by DISCR in processing requests for industrial personnel security clearance of individuals.
ROUTINE USES OF RECORDS MAINTAINED IN THE SYSTEM, INCLUDING CATEGORIES OF USERS AND THE PURPOSES OF SUCH USES:
In addition to those disclosures generally permitted under 5 U.S.C. 552a(b) of the Privacy Act, these records or information contained therein may specifically be disclosed outside the DoD as a routine use pursuant to 5 U.S.C. 552a(b)(3) as follows:
The `Blanket Routine Uses' set forth at the beginning of OSD's compilation of systems of records notices apply to this system.
POLICIES AND PRACTICES FOR STORING, RETRIEVING, ACCESSING, RETAINING, AND DISPOSING OF RECORDS IN THE SYSTEM:
Paper records in file folders, vertical file cards.
Alphabetically by surname.
Records are stored in a secured area accessible to DISCR authorized personnel.
RETENTION AND DISPOSAL:
Destroy six months after agreement between consultant and DoD has been terminated.
System Manager(s) and Address:
Director, Directorate for Industrial Security Clearance Review, P.O. Box 3656, Arlington, VA 22203-1995.
Individuals seeking to determine whether information about themselves is contained in this system should address written inquiries to the Director, Directorate for Industrial Security Clearance Review, P.O. Box 3656, Arlington, VA 22203-1995.
Record Access Procedures:
Individuals seeking access to information about themselves contained in this system should address written inquiries to the Director, Directorate for Industrial Security Clearance Review, P.O. Box 3656, Arlington, VA 22203-1995. Records may be made available for review at DISCR Headquarters, 4015 Wilson Boulevard, Suite 300, Arlington, VA.
Written requests by an individual for copies of records containing information pertaining to the individual should be sent to Directorate for Freedom of Information and Security Review, Office of the Assistant Secretary of Defense (Public Affairs), Room 2C757, 1400 Defense Pentagon, Washington, DC 20301-1400 and should include the individual's full name, any former names used, date and place of birth, and Social Security Number.
Requests must be signed and notarized, or if the individual does not have access to notary services, preceded by a signed and dated declaration verifying the identity of the requester in substantially the following form: `I certify that the information provided by me is true, complete, and accurate to the best of my knowledge and belief and this request is made in good faith. I understand that a knowing and willful false, fictitious or fraudulent statement or representation can be punished by fine or imprisonment or both. (Signature).
Contesting Record Procedures:
The OSD rules for accessing records, for contesting contents and appealing initial agency determinations are published in OSD Administrative Instruction 81; 32 CFR part 311; or may be obtained from the system manager.
Record Source Categories:
Correspondence with individual psychiatrists.
Exemptions Claimed for the System: