ÿWPC‹ ­7LøšÍ®cX'¡aÀË1Sªñ<J“ì®J×€úÚvÝîyáE ²RÍÒI/–_<õ×ûRGaBÞwÏ­þ‚ ˆ,ŽÆT´F~°~Ú%‘:PûwÌç.k^oH¬Ÿ$bµ‘ätŒºž‰þX°XW¤–7|…¬‚õM‰Ù¹Æ¸ñòç©mVå(oìV“÷qT xÎÏ^òèR=zù±gu,Œ‹˜Ý[mÛîE4©;„ø‰‡ú ÔgL¨[±iÑéþÛ0Œë˜O‡ËÊ{±¨‚ÅY6£2‰”{£P# ƒÔS£"yŸB®‡PÆoµºÑ¦$©°x ±b¼y>àKç§ËZP8Ä·¨ÑT×a|×EBäâÅx«‚A¾!JV$‰YaÖ)—,½ðΑTo?óô ½¼{|è•LÍ01ìÖ.Åb7ìsWî{#¸±Y_²¬£ ¿À…¤Éá]Sh׫.aÌdÒûfy©°šzÕ¤_O7z£8þê›|fP{£Ý´˜²ۢ䗭z½­€Ñ\FµXÑß’ãÇâ˜GÇgbdá¹ðjUb'“©Cƒ÷²¨GÐÀ€ô­eg¿0d©§[d2îÁN¹*n/ǯ#Ÿ&L× ^ ¨#É´UN} %ËU@Ñ 0:wK4Ocr mt¤|ü88 ˜\\FP01\hp576ÈÈÈÈÈÈÈÈ0(ÖÃ9 Z‹6Times New Roman RegularX(ÖÃ9 Z‹(Times New Roman (üœ$¡¡ÔUSUS.,Ô†ö8p57ê:i¢Ø+003|xÿU‹ÿÿÿÿÝ ƒüœ!ÝÔUSUS.,ÔÝ  ÝÔ_Ôšò òÔ‡X#XXXÔFTC„II„3ó óÐ ° ÐÌSYSTEM€NAME:Ð |Ì ÐÌà  àWorkersðð€Compensationð!ðFTC.Ð H˜ ÐÌSECURITY€CLASSIFICATION:Ð  d ÐÌà  àNot€applicable.Ð à 0 ÐÌSYSTEM€LOCATION:Ð ¬ ü  ÐÌà  àFederal€Trade€Commission,€600€Pennsylvania€Avenue,€NW.,€Washington,€DC€20580.€Ð xÈ  ÐSee€Appendix€III€for€other€locations€where€records€may€be€maintained€or€accessed.Ð ^®  ÐÌCATEGORIES€OF€INDIVIDUALS€COVERED€BY€THE€SYSTEM:Ð *z  ÐÌà  àIndividuals€(i.e.,€FTC€employees)€and/or€their€survivors€who€file€claims€seeking€benefitsÐ öF Ðunder€the€Federal€Employeesðð€Compensation€Act€(Ô_ÔFECAÔ_Ô)€for€injuries€sustained€by€the€individualÐ Ü, Ðwhile€in€the€performance€of€duty.€€The€Ô_ÔFECAÔ_Ô€applies€to€all€civilian€Federal€employees,€includingÐ Â Ðvarious€classes€of€persons€whom€provide€or€have€provided€personal€service€to€the€government€ofÐ ¨ø Ðthe€United€States.Ð ŽÞ ÐÌCATEGORIES€OF€RECORDS€IN€THE€SYSTEM:Ð Zª ÐÌà  àThis€system€may€contain€the€following€kinds€of€records:€€names;€Social€SecurityÐ &v Ðnumbers;€reports€of€injury€by€the€employee€and/or€the€Commission;€claim€forms€filed€by€or€onÐ  \ Ðbehalf€of€injured€employees€or€their€survivors€seeking€benefits€under€the€Ô_ÔFECAÔ_Ô;€formsÐ òB Ðauthorizing€medical€care€and€treatment;€other€medical€records€and€reports;€bills€and€otherÐ Ø( Ðpayment€records;€compensation€payment€records;€copies€of€formal€orders€for€or€against€theÐ ¾ Ðpayment€of€benefits;€copies€of€transcripts€of€hearings€conducted;€and€any€other€medical,Ð ¤ô Ðemployment,€or€personal€information€submitted€or€gathered€in€connection€with€the€claim.€€TheÐ Š Ú Ðsystem€may€also€contain€information€relating€to€dates€of€birth,€marriage,€divorce,€and€death;Ð p!À  Ðnotes€of€telephone€conversations€conducted€in€connection€with€the€claim;€information€relating€toÐ V"¦! Ðvocational€and/or€medical€rehabilitation€plans€and€progress€reports;€records€relating€to€courtÐ <#Œ" Ðproceedings,€insurance,€banking€and€employment;€articles€from€newspapers€and€otherÐ "$r# Ðpublications;€information€relating€to€other€benefits€(financial€and€otherwise)€the€claimant€may€beÐ %X $ Ðentitled€to;€and€information€received€from€various€investigative€agencies€concerning€possibleÐ î%>!% Ðviolations€of€Federal€civil€or€criminal€law.€€The€system€may€also€contain€consumer€credit€reportsÐ Ô&$"& Ðon€individuals€indebted€to€the€United€States,€information€relating€to€the€debtorððs€assets,Ð º' #' Ðliabilities,€income€and€expenses,€personal€financial€statements,€correspondence€to€and€from€theÐ  (ð#( Ðdebtor,€information€relating€to€the€location€of€the€debtor,€and€other€records€and€reports€relating€toÐ †)Ö$) Ðthe€implementation€of€the€Federal€Claims€Collection€Act€(as€amended),€including€investigativeÐ l*¼%* Ðreports€or€administrative€review€matters.€Individual€records€listed€here€are€included€in€a€claimÐ R+¢&+ Ðfile€only€insofar€as€they€may€be€pertinent€or€applicable€to€the€employee€or€beneficiary.Ð 8,ˆ', ÐÐ -n(- Ðà  àThis€system€includes€only€claims„related€records€maintained€by€the€FTC.€€Claims€areÐ ° Ðtransmitted€the€United€States€Department€of€Labor€(DOL)€for€processing€and€adjudication.€€DataÐ –æ Ðmaintained€by€DOL€by€the€Government„wide€system€of€records€notice€published€by€DOL€for€itsÐ |Ì Ðsystem€of€records,€see€DOL/Ô_ÔGOVTÔ_Ô„1€(Office€of€Workersðð€Compensation€Programs,€FederalÐ b² ÐEmployeesðð€Compensation€Act€File)€or€any€successor€DOL€system€notice€that€may€be€publishedÐ H˜ Ðfor€that€system.Ð . ~ ÐÌAUTHORITY€FOR€MAINTENANCE€OF€THE€SYSTEM:Ð ú J ÐÌà  àFederal€Employees€Compensation€ActÔf  ÔÔg ÔÔf  ÔÔg ÔÔf  ÔÔg Ô€(Ô_ÔFECAÔ_Ô),€5€U.S.C.€8101€et€seq.,€20€Ô_ÔCFRÔ_Ô€1.1€et€seq.Ð Æ   ÐÌPURPOSE(S):Ð ’â  ÐÌà  àTo€consider€claims€filed€by€employees€and/or€their€survivors€for€compensation€underÐ ^®  ÐÔ_ÔFECAÔ_Ô€based€on€work„related€injuries,€and€to€maintain€records€concerning€such€claims.€€TheÐ D”  ÐÔ_ÔFECAÔ_Ô€establishes€the€system€for€processing€and€adjudicating€claims€that€the€CommissionÐ *z  Ðemployee€and/or€the€Commission€and€other€covered€individuals€file€with€DOLððs€Office€ofÐ ` ÐWorkersðð€Compensation€Programs,€seeking€monetary,€medical€and€similar€benefits€for€injuriesÐ öF Ðor€deaths€sustained€by€the€individual€while€in€the€performance€of€duty.€€The€records€maintainedÐ Ü, Ðin€this€system€are€created€as€a€result€of€and€are€necessary€to€this€process.€€The€records€provideÐ Â Ðinformation€and€verification€about€the€individualððs€employment„related€injury€and€the€resultingÐ ¨ø Ðdisabilities€and/or€impairments,€if€any,€on€which€decisions€awarding€or€denying€benefitsÐ ŽÞ Ðprovided€under€the€Ô_ÔFECAÔ_Ô€must€be€based.Ð tÄ ÐÌROUTINE€USES€OF€RECORDS€MAINTAINED€IN€THE€SYSTEM,€INCLUDINGÐ @ ÐCATEGORIES€OF€USERS€AND€THE€PURPOSES€OF€SUCH€USES:Ð &v ÐÌà  àRecords€in€this€system€may€be:Ð òB ÐÌà  à(1)€Disclosed€in€response€to€queries€from€Department€of€Labor,€Office€of€WorkersÐ ¾ ÐCompensation€Programs,€supervisors€and€employees€about€compensation€claims;€andÐ ¤ô ÐÌà  à(2)€Used€or€disclosed€for€any€purpose€or€routine€use€set€forth€in€the€system€of€recordsÐ p!À  Ðnotice€published€by€DOL€for€this€system€of€records,€DOL/Ô_ÔGOVTÔ_Ô„1€(Office€of€WorkersððÐ V"¦! ÐCompensation€Programs,€Federal€Employeesðð€Compensation€Act€File),€or€any€successor€DOLÐ <#Œ" Ðsystem€notice€that€may€be€published€for€this€system.€Ð "$r# ÐÌà  àSee€also€Appendix€I€for€other€ways€that€the€Privacy€Act€permits€the€FTC€to€use€orÐ î%>!% Ðdisclose€system€records€outside€the€agency.€Ð Ô&$"& ÐÌDISCLOSURE€TO€CONSUMER€REPORTING€AGENCIES:Ð  (ð#( ÐÌà  àIn€accordance€with€DOL/Ô_ÔGOVTÔ_Ô„1,€the€amount,€status€and€history€of€overdue€debts,€theÐ l*¼%* Ðname€and€address,€Social€Security€number€(or€other€taxpayer€identification€number,€if€any),€andÐ R+¢&+ Ðother€information€necessary€to€establish€the€identity€of€a€debtor,€the€agency€and€program€underÐ 8,ˆ', Ðwhich€the€claim€arose,€may€be€disclosed€pursuant€to€5€U.S.C.€552a(b)(12)€to€consumer€reportingÐ -n(- Ðagencies€as€defined€by€section€603(f)€of€the€Fair€Credit€Reporting€Act€(15€U.S.C.€1681a(f))€or€inÐ ° Ðaccordance€with€section€3(d)(4)(A)(ii)€of€the€Federal€Claims€Collection€Act€of€1966€as€amendedÐ –æ Ð(31€U.S.C.€3711(f))€for€the€purpose€of€encouraging€the€repayment€of€an€overdue€debt,€or€whenÐ |Ì Ðotherwise€trying€to€collect€a€claim€of€the€Government.€€See€Appendix€I.Ð b² ÐÌPOLICIES€AND€PRACTICES€FOR€STORING,€RETRIEVING,€ACCESSING,€RETAINING,Ð . ~ ÐAND€DISPOSING€OF€RECORDS€IN€THE€SYSTEM:Ð  d ÐÌSTORAGE:Ð à 0 ÐÌà  àMaintained€in€file€folders€or€temporary€electronic€files.Ð ¬ ü  ÐÌÔ_ÔRETRIEVABILITYÔ_Ô:Ð xÈ  ÐÌà  àIndexed€by€individualððs€name.Ð D”  ÐÌSAFEGUARDS:Ð ` ÐÌà  àAccess€is€restricted€to€agency€personnel€or€contractors€whose€responsibilities€requireÐ Ü, Ðaccess.€€Paper€records€are€maintained€in€Ô_ÔlockableÔ_Ô€rooms€or€file€cabinets.€€Access€to€electronicÐ Â Ðrecords€is€controlled€by€ð ðuser€IDðð€and€password€combination€and/or€other€appropriate€electronicÐ ¨ø Ðaccess€or€network€controls€(e.g.,€Ô_ÔfirewallsÔ_Ô).€€FTC€buildings€are€guarded€and€monitored€byÐ ŽÞ Ðsecurity€personnel,€cameras,€ID€checks,€and€other€physical€security€measures.Ð tÄ ÐÌRETENTION€AND€DISPOSAL:Ð @ ÐÌà  àRecords€are€retained€and€disposed€of€under€schedules€and€procedures€approved€or€issuedÐ  \ Ðby€the€National€Archives€and€Records€Administration.€Ð òB ÐÌà  àSee€DOL/Ô_ÔGOVTÔ_Ô„1€for€the€retention€and€disposal€schedules€that€apply€to€claims€filesÐ ¾ Ðmaintained€by€that€agency.€€In€general,€all€case€files€and€automated€data€in€that€system€pertainingÐ ¤ô Ðto€a€claim€are€destroyed€15€years€after€the€case€file€has€become€inactive.€€Case€files€that€haveÐ Š Ú Ðbeen€scanned€to€create€electronic€copies€are€destroyed€after€the€copies€are€verified.€€AutomatedÐ p!À  Ðdata€are€retained€in€their€most€current€form€only,€however,€and€as€information€is€updated,Ð V"¦! Ðoutdated€information€is€deleted.à h àÐ <#Œ" ÐÌSYSTEM€MANAGER(S)€AND€ADDRESS:Ð %X $ ÐÌà  àDirector,€Human€Resources€Management€Office€(Ô_ÔHRMOÔ_Ô),€Federal€Trade€Commission,Ð Ô&$"& Ð600€Pennsylvania€Avenue,€NW.,€Washington,€DC€€20580.€€See€DOL/Ô_ÔGOVTÔ_Ô„1€for€informationÐ º' #' Ðabout€the€system€manager€and€address€for€that€system.€Ð  (ð#( ÐÌNOTIFICATION€PROCEDURE;€RECORD€ACCESS€PROCEDURES;€AND€CONTESTINGÐ l*¼%* ÐRECORD€PROCEDURES:Ð R+¢&+ ÐÌà  àSee€Appendix€II.€€Current€FTC€employees€may€also€request€access€to€their€recordsÐ -n(- Ðdirectly€through€their€Human€Resources€contact€or€managers€as€applicable€and€may€be€requiredÐ ° Ðto€complete€a€written€form€and€show€identification€to€obtain€access€to€their€records.€€SeeÐ –æ ÐDOL/Ô_ÔGOVTÔ_Ô„1€for€information€about€the€notification,€record€access€and€contesting€proceduresÐ |Ì Ðfor€claims€records€maintained€by€DOL.€€Ð b² ÐÌRECORD€SOURCE€CATEGORIES:Ð . ~ ÐÌà  àEmployee€claiming€work„related€injury;€beneficiaries;€witnesses;€FTC€supervisors,Ð ú J Ðmanagers,€and€responsible€FTC€Ô_ÔHRMOÔ_Ô€staff;€DOL;€suppliers€of€health€care€products€andÐ à 0 Ðservices€and€their€agents€and€representatives,€including€physicians,Ôf  Ô€hospitals,€and€clinics;Ð Æ   Ðconsumer€credit€reports,€etc.€Ð ¬ ü  ÐÌEXEMPTIONS€CLAIMED€FOR€THE€SYSTEM:Ð xÈ  ÐÌà  àAs€explained€in€DOL/Ô_ÔGOVTÔ_Ô„1,€in€accordance€with€5€U.S.C.€552a(k)(2),€investigativeÐ D”  Ðmaterials,€if€any,€in€this€system€of€records€compiled€for€law€enforcement€purposes€are€exemptÐ *z  Ðfrom€subsections€(c)(3),€(d),€(e)(1),€(e)(4)(G),€(H)€and€(I),€and€(f)€of€5€U.S.C.€552a,€provided,Ð ` Ðhowever,€that€if€any€individual€is€denied€any€right,€privilege,€or€benefit€that€he€or€she€wouldÐ öF Ðotherwise€be€entitled€to€by€Federal€law,€or€for€which€he€or€she€would€otherwise€be€eligible,€as€aÐ Ü, Ðresult€of€the€maintenance€of€these€records,€such€material€shall€be€provided€to€the€individual,Ð Â Ðexcept€to€the€extent€that€the€disclosure€of€the€material€would€reveal€the€identity€of€a€source€whoÐ ¨ø Ðfurnished€information€to€the€Government€under€an€express€promise€that€the€identity€of€the€sourceÐ ŽÞ Ðwould€be€held€in€confidence,€or€prior€to€January€1,€1975,€under€an€implied€promise€that€theÐ tÄ Ðidentity€of€the€source€would€be€held€in€confidence.Ð Zª ÐÌò òó óÔ#†X#XXX#A#Ô