Installation Records Check PAS

PRIVACY ACT STATEMENT

AUTHORITY: 34 U.S.C. 20351 (Crime Control Act of 1990); DoDI 1402.05, Background Checks on Individuals in DoD Child Care Services Programs; and E.O. 9397 (SSN), as amended.

PRINCIPAL PURPOSE(S): To require all individuals who provide child care services, as defined by Section 20351 of 34 U.S.C. (Crime Control Act of 1990), to undergo an Installation Records Check (IRC). Impacted individuals include (but are not limited to) employees (appropriated fund, non-appropriated fund, and local nationals), military personnel (Active, Reserve, and National Guard), contractors (regular and recurring), in-home care providers (to include respite care, foster care, family child care providers (FCC) and other adults residing in the households), and volunteers that have regular and reoccurring contact with children under 18 years of age.

ROUTINE USES: The Routine Uses are listed in the applicable system of records notices found at:

DoD: Defense Central Index of Investigations (DCII), DMDC 13 DoD

(https://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/570716/dmdc-13-dod/), DITPR #6697

Army: A0215-3 SAMR, NAF Personnel Records (https://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/570010/a0215-3-samr/), DITPR #593 and,

A0690-200 DAPE, Department of the Army Civilian Personnel System (https://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-view/Article/570099/a0690-200-dape/), DITPR #6080

Navy and Marine Corps: NM01754-3, DON Child and Youth Program (https://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/570428/nm01754-3/), DITPR #NM01754-3

Air Force: F034 AF SVA C, Child Development/Youth Programs Records (https://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/569755/f034-af-sva-c/), DITPR #11299.

Once completed, the form will be maintained by the human resource (HR) or security offices.

DISCLOSURE: Voluntary; however, failure to provide all the requested information could preclude employment or continued service in a Child Care Services Program position and may form the basis for withdrawal of a tentative (conditional) job offer, removal from a position and/or the federal service or prohibition from working with or around children.