DOL Child Care Subsidy Program Records.
None.
DOL/OASAM/Worklife Center.
Employees of the Department of Labor who apply for child care
subsidies.
Application forms for the child care subsidy containing personal
information, including employee (parent) name, grade, home and work addresses,
telephone numbers, total family income, sources and amounts of
State/County/Local subsidies, names of children on whose behalf the parent is
applying for the child care subsidy, children's Social Security Numbers,
children's dates of birth; information on child care providers used, including
name, address, provider license number and State where issued, tuition cost,
and provider tax identification number; and copies of earnings and leave
statements and IRS Form 1040 and 1040A for verification purposes.
Public Law 106-58, section 643 and E.O. 9397.
To establish and verify DOL employees' eligibility for child care
subsidies in order for DOL to provide monetary assistance to its employees.
None, except for those universal routine uses set forth in the General
Prefatory Statement to this document.
Information may be collected on paper or electronically and may be
stored as paper forms or on computers.
By name.
When not in use by an authorized person, paper records are stored in
lockable file cabinets or secured rooms. Electronic records are protected by
the use of passwords.
Records are destroyed after three years.
U.S. Department of Labor, Office of the Assistant Secretary for
Administration and Management, Human Resources Center, Worklife Center, Frances
Perkins Building, 200 Constitution Avenue, NW, Washington, DC 20210.
Individuals wishing to inquire whether this system of records contains
information about them should contact the system manager listed above.
Individuals must furnish their full name and address.
Individuals wishing to request access to records pertaining to them
should contact the system manager.
Individuals wishing to contest information in their files may write to
the system manager at the address above, reasonably identify the records
pertaining to them, the information that is being contested in those records,
the corrective action(s) being sought, and the reasons for the correction(s).
DOL employees who apply for the child care subsidy program.
None.
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