Application Form For Cold War Recognition Certificate - U.s. Army Human Resources Command Awards And Decorations Branch Page 2

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PRIVACY ACT STATEMENT
AUTHORITY: 10 U.S.C. 3013, Secretary of the Army; Public Law 105-85, Fiscal Year
98,National Defense Authorization Act; and Executive Order 9397.
PRINCIPAL PURPOSE: To secure sufficient information from the individual so to determine
eligibility and to process the individuals' requests for the Cold War Recognition Certificate.
ROUTINE USES: Information is used for official purposes within the Department of Defense;
specifically, to process requests for Cold War Certificates. This information may be used in
accordance with established Routine Uses for all Department of Defense and Department of the
Army system notices.
DISCLOSURE: Disclosure of the Social Security Number and other personal information is
voluntary. However, failure to provide complete information may hinder proper identification of
the requester, and may prevent the agency from determining eligibility of the requester for the
certificate.

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