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BO 11101. 31A PRIVACY ACT RELEASE FORM PRIVACY ACT STATEMENT Information contained on this form is maintained under the systems of records notice NM11101-1 DON Family and Bachelor Housing Program April 1 2008 73 FR 17334. AUTHORITY 10 U*S*C. 5013 Secretary of the Navy 10 U*S*C. 5041 Headquarters Marine Corps 10 U*S*C. 2831 Military Family Housing Management Account DoD 4165. 63-M DoD Housing Management and E*O. 9397 SSN. PRINCIPLE Military/civilian personnel eligible for/interested in occupying DON housing and those occupying DON housing including privatized housing. PURPOSE To determine an individual s eligibility for Navy or Marine Corps housing and to oversee housing occupancy once assigned* ROUTINE USE In addition to those disclosures generally permitted under 5 U*S*C. 552a b of the Privacy Act these records or information contained therein may specifically be disclosed outside the DoD as a routine use pursuant to 5 U*S*C. 552a b 3 as identified in the Systems Notice. DISCLOSURE Mandatory To Whom it May Concern I am aware that the Privacy Act of 1974 prohibits release of personal information without my approval* I do hereby authorize the Military Housing Office Tarawa Terrace North Carolina to release the information contained in this housing request to the privatized partner s for purposes of requesting exceptions to housing policy that impact occupancy of assignment to privatized housing application for assignment to housing or solicitation of information for assignment to private sector housing in accordance with BO P11101. 31A. Name of Sponsor Please Print Or Name of Spouse with Power of Attorney Current Mailing Address Cell Phone Number Work/Home Number Signature MCBCL/I E/FHD/11101. AUTHORITY 10 U*S*C. 5013 Secretary of the Navy 10 U*S*C. 5041 Headquarters Marine Corps 10 U*S*C. 2831 Military Family Housing Management Account DoD 4165. 63-M DoD Housing Management and E*O. 9397 SSN. PRINCIPLE Military/civilian personnel eligible for/interested in occupying DON housing and those occupying DON housing including privatized housing. 63-M DoD Housing Management and E*O. 9397 SSN. PRINCIPLE Military/civilian personnel eligible for/interested in occupying DON housing and those occupying DON housing including privatized housing. PURPOSE To determine an individual s eligibility for Navy or Marine Corps housing and to oversee housing occupancy once assigned* ROUTINE USE In addition to those disclosures generally permitted under 5 U*S*C. PURPOSE To determine an individual s eligibility for Navy or Marine Corps housing and to oversee housing occupancy once assigned* ROUTINE USE In addition to those disclosures generally permitted under 5 U*S*C. 552a b of the Privacy Act these records or information contained therein may specifically be disclosed outside the DoD as a routine use pursuant to 5 U*S*C. 552a b of the Privacy Act these records or information contained therein may specifically be disclosed outside the DoD as a routine use pursuant to 5 U*S*C. 552a b 3 as identified in the Systems Notice. DISCLOSURE Mandatory To Whom it May Concern I am aware that the Privacy Act of 1974 prohibits release of personal information without my approval* I do hereby authorize the Military Housing Office Tarawa Terrace North Carolina to release the information contained in this housing request to the privatized partner s for purposes of requesting exceptions to housing policy that impact occupancy of assignment to privatized housing application for assignment to housing or solicitation of information for assignment to private sector housing in accordance with BO P11101.