AUTHORITY:

Executive Order 10450, 9397; and Public Law 99-474, the Computer Fraud and Abuse Act.

PRINCIPAL PURPOSE:

To record names, signatures, and other identifiers for the purpose of validating the trustworthiness of individuals requesting access to Department of Defense (DoD) systems and information. NOTE: Records may be maintained in both electronic and/or paper form.

ROUTINE USES:

None

DISCLOSURE:

Disclosure of this information is voluntary; however, failure to provide the requested information may impede, delay or prevent further processing of this request.