AUTHORITY: 5 U.S.C. 1302, 2951, 3301, 3372, 4118, 8347, and Executive Orders 9830, 12107, and 13478.
PRINCIPAL PURPOSE(S): To verify an individual's eligibility for the request for products/services, authentication of identity and identification of customers.
ROUTINE USE(S): Information provided will be used only within USAPHC and will not be released to any other staff activity.
DISCLOSURE: Information is voluntary, however, failure to provide all the requested information could lead to disapproval of the request for products/services.