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lotter on DSK11XQN23PROD with NOTICES1

Federal Register / Vol. 86, No. 180 / Tuesday, September 21, 2021 / Notices branch of service; periods of service;
hospital status, i.e., inpatient;
outpatient; areas of service in the Gulf War Theatre of Operations; list of military units where Veteran served;
military occupation specialty; names of units in which Veteran served; Veterans reported exposure to environmental factors; any traumatic experiences while in the Gulf War; Veterans selfassessment of health; Veterans functional impairment; report of birth defects and infant deaths among Veterans children and/or problems with pregnancy and infertility; date of registry examination; Veterans complaints/symptoms; consultations;
diagnoses; disposition hospitalized, referred for outpatient treatment, etc.;
whether Veteran had an unexplained illness and had further tests and consultations and diagnoses as part of a Phase II, Uniform Case Assessment Examination; and name and signature of examiner/clinician coordinator, when provided.
Another category of data entry is obtained from depleted uranium DU
questionnaires, a supplement to the Gulf War code sheet. The data entries may contain the facility identifier where the information was completed;
demographic information name and Social Security number; daytime and evening phone numbers; date of questionnaire completion; date of arrival in and departure from the Gulf War Theatre of Operations; source of referral to VA medical center for evaluation; where Veteran served i.e., Iraq, Kuwait, Saudi Arabia, the neutral zone between Iraq and Saudi Arabia, Bahrain, Qatar, the United Arab Emirates, Oman, Gulf of Aden, Gulf of Oman and the Waters of the Persian Gulf, Arabian Sea and Red Sea;
capacity in which Veteran served;
questions relating to potential inhalation exposures to DU including those on, in, or near vehicles hit with friendly fire or enemy fire, entering burning vehicles, individuals near fires involving DU munitions, individuals salvaging damaged vehicles, and those near burning vehicles; whether Veteran was wounded, retained DU fragments in Veterans body, handled DU penetrator rounds or any other exposures to DU;
whether a 24-hour urine collection for uranium was performed; name, title and signature of examiner/environmental health clinician, when provided, and results of urine uranium tests, expressed per microgram per gram creatinine.
RECORD SOURCE CATEGORIES:

VA patient medical records, various automated record systems providing clinical and managerial support to VA

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health care facilities, Veteran, family members, and records from Veterans Benefits Administration, Department of Defense, Department of the Army, Department of the Air Force, Department of the Navy and other Federal agencies.
ROUTINE USES OF RECORDS MAINTAINED IN THE
SYSTEM, INCLUDING CATEGORIES OF USERS AND
THE PURPOSES OF SUCH USES:

To the extent that records contained in the system include information protected by 45 CFR parts 160 and 164, i.e., individually identifiable health information of VHA or any of its business associates, and 38 U.S.C. 7332;
i.e., medical treatment information related to drug abuse, alcoholism or alcohol abuse, sickle cell anemia, or infection with the human immunodeficiency virus, that information cannot be disclosed under a routine use unless there is also specific statutory authority in both 38 U.S.C.
7332 and CFR parts 160 and 164
permitting disclosure.
1. VA may disclose information to a Member of Congress or staff acting upon the Members behalf when the Member or staff requests the information on behalf of, and at the request of, the individual who is the subject of the record.
2. VA may disclose information relevant to a claim of a Veteran or beneficiary, such as the name, address, the basis and nature of a claim, amount of benefit payment information, medical information, and military service and active duty separation information, only at the request of the claimant to accredited service organizations, VAapproved claim agents, and attorneys acting under a declaration of representation, so that these individuals can aid claimants in the preparation, presentation, and prosecution of claims under the laws administered by VA.
3. VA may disclose the names and addresses of present or former members of the armed services or their beneficiaries: 1 To a nonprofit organization if the release is directly connected with the conduct of programs and the utilization of benefits under Title 38, and 2 to any criminal or civil law enforcement governmental agency or instrumentality charged under applicable law with the protection of the public health or safety, if a qualified representative of such organization, agency, or instrumentality has made a written request that such names or addresses be provided for a purpose authorized by law; provided that the records will not be used for any purpose other than that stated in the request and that organization, agency, or
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instrumentality is aware of the penalty provision of 38 U.S.C. 5701f.
4. VA may disclose information to National Archives and Records Administration NARA in records management inspections conducted under 44 U.S.C. 2904 and 2906, or other functions authorized by laws and policies governing NARA operations and VA records management responsibilities.
5. VA may disclose information from this system to epidemiological and other research facilities approved by the Under Secretary for Health for research purposes determined to be necessary and proper, provided that the names and addresses of Veterans and their dependents will not be disclosed unless those names and addresses are first provided to VA by the facilities making the request.
6. VA may disclose information to a Federal agency for the purpose of conducting research and data analysis to perform a statutory purpose of that Federal agency upon the prior written request of that agency.
7. VA may disclose information that, either alone or in conjunction with other information, indicates a violation or potential violation of law, whether civil, criminal, or regulatory in nature, to a Federal, state, local, territorial, tribal, or foreign law enforcement authority or other appropriate entity charged with the responsibility of investigating or prosecuting such violation or charged with enforcing or implementing such law. The disclosure of the names and addresses of Veterans and their dependents from VA records under this routine use must also comply with the provisions of 38 U.S.C. 5701.
8. VA may disclose information to survey teams of The Joint Commission, College of American Pathologists, American Association of Blood Banks, and similar national accreditation agencies or boards with which VA has a contract or agreement to conduct such reviews, as relevant and necessary for the purpose of program review or the seeking of accreditation or certification.
9. VA may disclose information to the Department of Justice DoJ, or in a proceeding before a court, adjudicative body, or other administrative body before which VA is authorized to appear, when:
a VA or any component thereof;
b Any VA employee in his or her official capacity;
c Any VA employee in his or her official capacity where DoJ has agreed to represent the employee; or d The United States, where VA
determines that litigation is likely to
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