Form Information
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FORM NUMBER:
DD2930A

TITLE:
ADAPTED PRIVACY IMPACT ASSESSMENT (PIA)

EDITION DATE:
20110801

CANCELLATION DATE:

FORMATS:
PLEASE BE ADVISED:

PDF-Ext
No link under "FORMATS:" indicates no electronic format is available.

MS Word
To obtain copies of forms, contact YOUR Military Service or Component

Forms Manager click here.

Cancelled forms are not available.

REMARKS:

ISSUANCES:
DoDI 5400.16

SPONSOR / POC:
CIO, DoD

SUB-SPONSOR:
CIO

NUMBER OF PAGES:
6

USERS*:
A N AF OSD

PRESCRIBED OR ADOPTED?:
P

DISPOSITION:

SUBJECT GROUP:
5400

FORM CONTROLLED:
N

MANDATORY PRINT SPECIFICATIONS:
N

RCS:

IRCN:

OMB:

PRIVACY ACT IMPLICATIONS:
Y
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* All revisions and/or cancellations must be coordinated through these USERS.

DISPOSITION: O = Do NOT use previous edition. U = Use previous edition until supply is depleted.