Notice2025-22978
Submission for OMB Review; Comment Request
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
December 16, 2025
Issuing agencies
Defense Department
Abstract
The DoD has submitted to the Office of Management and Budget (OMB) for clearance the following proposal for collection of information under the provisions of the Paperwork Reduction Act.
Full Text
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<title>Federal Register, Volume 90 Issue 239 (Tuesday, December 16, 2025)</title>
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[Federal Register Volume 90, Number 239 (Tuesday, December 16, 2025)]
[Notices]
[Pages 58236-58237]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-22978]
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DEPARTMENT OF DEFENSE
Office of the Secretary
[Docket ID: DOD-2025-OS-0540]
Submission for OMB Review; Comment Request
AGENCY: Office of the Under Secretary of Defense for Intelligence and
Security (OUSD(I&S)), Department of Defense (DoD).
ACTION: 30-Day information collection notice.
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SUMMARY: The DoD has submitted to the Office of Management and Budget
(OMB) for clearance the following proposal for collection of
information under the provisions of the Paperwork Reduction Act.
DATES: Consideration will be given to all comments received by January
15, 2026.
ADDRESSES: Written comments and recommendations for the proposed
information collection should be sent within 30 days of publication of
this notice to <a href="http://www.reginfo.gov/public/do/PRAMain">www.reginfo.gov/public/do/PRAMain</a>. Find this particular
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function.
FOR FURTHER INFORMATION CONTACT: Reginald Lucas, (571) 372-7574,
<a href="/cdn-cgi/l/email-protection#42352a316c2f216f232e273a6c2731266c2f203a6c26266f262d266f2b2c242d302f23362b2d2c6f212d2e2e2721362b2d2c31022f232b2e6c2f2b2e"><span class="__cf_email__" data-cfemail="b3c4dbc09dded09ed2dfd6cb9dd6c0d79dded1cb9dd7d79ed7dcd79edaddd5dcc1ded2c7dadcdd9ed0dcdfdfd6d0c7dadcddc0f3ded2dadf9ddedadf">[email protected]</span></a>.
SUPPLEMENTARY INFORMATION:
Title; Associated Form; and OMB Number: Specific Authorization for
Disclosure of Financial Information and Specific Authorization for
Release of Behavioral Health and Related Medical Information; DCSA 343/
344; OMB Control Number 0705-SARD.
Type of Request: New.
Number of Respondents: 3,563.
Responses per Respondent: 1.
Annual Responses: 3,563.
Average Burden per Response: 5 minutes.
Annual Burden Hours: 297.
Needs and Uses: The Specific Authorization for Disclosure of
Financial Information (DCSA 343) is a special consent form that will
allow DCSA access to certain financial records which are not otherwise
accessible because they are protected under the provisions of the Right
to Financial Privacy Act. The information collected on the DCSA 343
will be used to obtain specific financial information where there is
evidence of financial concerns. The DCSA 343 will be used in background
investigations to help establish facts required to determine whether
the subject of the investigation should be adjudicated to be eligible
for logical and physical access to Government facilities and systems;
suitable or fit for Federal employment; fit to perform work on behalf
of the Federal Government under a Government contract; eligible to hold
a position that is sensitive for national security reasons; or eligible
for access to classified information. The DCSA 343 is only used when
information is unable to be obtained solely with the use of the
Standard Form (SF) Authorization for Release of Information. The
Specific Authorization for Release of Behavioral Health and Related
Medical Information (DCSA 344) is a special consent form that will
allow the DCSA access to certain restricted medical records which are
not otherwise accessible because they are protected under the Health
Insurance Portability and Accountability Act (HIPAA). The information
collected on the DCSA 344 will be used to conduct a detailed medical
interview and record review with the practitioner when the practitioner
indicates on the SF Authorization for Medical Release of Medical
Information Pursuant to the HIPAA that the subject of the investigation
has a condition or treatment that could impair judgement, reliability,
or trustworthiness; there is evidence of alcohol-related treatment or
counseling; or there is evidence of drug-related treatment or
counseling. The DCSA 344 will be used in background investigations to
help establish facts required to determine whether the subject of the
investigation should be adjudicated to be eligible for logical and
physical access to Government facilities and systems; suitable or fit
for Federal employment; fit to perform work on behalf of the Federal
Government under a Government contract; eligible to hold a position
that is sensitive for national security reasons; or eligible for access
to classified information. DCSA's use of these collections will be
limited to background investigations, conducted under the authority of
Executive Order 13467 as amended by Executive Order 13869, requiring a
deeper review of an individual's personal finances or sensitive medical
information, strictly limited to the circumstances defined within and
required by the Federal
[[Page 58237]]
Personnel Vetting Investigative Standards.
Affected Public: Individuals or households.
Frequency: On occasion.
Respondent's Obligation: Voluntary.
DOD Clearance Officer: Mr. Reginald Lucas.
Dated: December 12, 2025.
Stephanie J. Bost,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2025-22978 Filed 12-15-25; 8:45 am]
BILLING CODE 6001-FR-P
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