Tx Guard Forms (Page 2 of 4) in pdf

Tx Guard Forms Page 2

DATA REQUIRED BY THE PRIVACY ACT OF 1974

(& U.S.C. 552a)

PRESCRIBING DIRECTIVE

TITLE OF FORM

TARNG Reg 690-300/

Texas National Guard Application for Employment/Promotion

TANG Reg 40-300

(Attachment to Standard Form 171)

1. AUTHORITY

PL 90-486

2. PRINCIPLE PURPOSE(S)

To provide certification of military service, military education, and Texas National Guard Membership. When completed it

will provide necessary information to evaluate the applicant’s eligibility for appointment or promotion.

3. ROUTINE USES

a. Information will be reviewed by various personnel in the JFTX-J1-HR to determine employee eligibility for initial

appointment, transfer, or promotion.

b. May be reviewed by authorized personnel outside the JFTX-J1-HR to ensure accuracy of determination made.

c. May be reviewed by authorized selection personnel during the selection process.

d. Subject to review by various personnel of the U.S. Government conducting an audit and/or examining function.

e. Subject to review by third party proceedings conducted by personnel of an outside the Adjutant General’s Department

in conjunction with grievances and various appeal hearings. The form is normally “sanitized” by removing the name and

other identifying information.

f. The form is filed with the promotion records if used in conjunction with promotion of an employee. It is filed in the

Official Personnel Folder if used in conjunction with initial appointment.

4. MANDATORY OR VOLUNTARY DISCLOSURE AND EFFECT ON INDIVIDUAL NOT PROVIDING INFORMATION

Disclosure of the information is voluntary. Application for promotion, appointment, or other requested action, will not be

accepted until this entire form is completed.

JFTX-J1-HR Form 5

Privacy Act Statement – October 2005

Tx Guard Forms Page 2