Form Information

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FORM NUMBER:

DD2930A

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TITLE:

ADAPTED PRIVACY IMPACT ASSESSMENT (PIA)

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EDITION DATE:

20110801

CANCELLATION DATE:

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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.

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REMARKS:

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ISSUANCES:

DoDI 5400.16

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SPONSOR / POC:

NII

SUB-SPONSOR:

CIO

NUMBER OF PAGES:

6

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USERS*:

A N AF OSD

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