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FAXCOVERSHEET

To:

SSA Office of krternational Affairs

Fax:

l-877-385-0645

fr
From:

s*,40139 (!-

Tirrnar r,n t0; l\tr

# of pages including coYer

sheet: l)

o",., lolAbllorta
Rer SF-181Rece & Ethnicity Form
Attached Documents:
sF-l81
HJR 194
Motu Proprio
Pope's Apolory to the Americas
Pope's Message of Peace
American Declaration on the Rights of Indigenous Psoples

{-o)3A

Conf i rmat ion Report - Memory Send


page

001

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Line

90r 396

PLUS CO.

241

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013

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number : 241

E'A>< CO\ZEEL SEfEET


To;

SEA Office

of fntemal.ionat

AfFairs

l'a7'r-395-O64s

r*= arD\ 3.a \o

Froru:
# of lrslies iBctudiEg

R,.s: SlIr-aAl
-A-ttache.l
sF-t81

B?*i

eovev streetr )3-

ELqGe & EthEiGlEr

'F-oru

DoGumGEts:

FrJr< r 94

Ivl.olu Prcprio
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l:*:;*-BtS,:'::-HT:

@ ttro 'AB6cas

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a?3O

U.S. Office of Personnel Management


Guide to Fersonnel Data Standards

ETHNICITY ANT} RACE ItrENTIFICANOH


{Please read the Privacy Aet Statemenl and instructions before mmdeting forn-}
Social Security Number

Name (Last, First, Middle lnitial)

L\08 q

[l"li )\e r .. T&rno ro n i\) ,

l5 QcS

Birthdate (Month and Year)

cq

llq6l

Agency Use Only'

Privac$Act $tatement
Ethnicity and race information is requested under the authority of 42 U.S.C. Section 2000e-16 and in compliance with
the Ofiice of Management and Budgefs 1997 Revisions to the Standards for the Classification of Federal Data on Race
and Ethnicity. Providing this infonnation is voluntary and has no impact on your employment stahts, but in the instance
of missing information, your employing agency will attempt to identis your race and ethnir:ity by visual observation.
This information is used as necessary to plan for equal employment opportuni$ throughout the Federal govemment. lt
is also used by the U. S. Office of Personnel Management or employing agency maintaining the records to locate
individuals for personnel research or survey response and in &e production of summary descriptiv.e statistics and
analytical studies in suppcrt of the function for which the records are collected and maintai*ed, or for related workforce
studies.

Social Security Number {SSN) is requested under the authority of Executive Order 9397, which requires SSN be used
for the purpose of uniform, order{y administration of personnel records. Providing this information is volunlary and failure
to do so will have no effect on your employment status. lf SSN is not provided, however, other agency $our@s may be
used to obtain it.
Speciftc lnstructicns: The two questions below are designed to idenlify your ethnicity and race. Regardlese of your answer to
quastion '1, go to qusstion 2.
Question

1.

Are You Hispa*ic or Lalino? {A person of Cuban, Mexican, Puerto Rican, South or Cenlral tunerican, or other

Spanish culture or origin, regardless of race.)


Yes
t'to

fl

Question 2. Please select the racial category or calegories with which you most dosely identifu by $acing an "K in the appmpriate
box. Checkas manyas apply.

RACIAL CATEGORY
(Check as many as apply)

American lndian orl$aska Native

DEFINITION OF CATEGORY

A person having origins in any of the original peoples of North and South America
(including Csntral America), and who maintains tribal sffdiation or community
attachment.

Asian

A perso* having origins in any of the original pmples of the Far East, Southeast
Asia, or the lndian subcontinent including, for example, Carabodia, China, lndia,
Japan, Korea, Malaysia, Pakisian, the Philippine lslands, Thailand, and Metnam.

ff

etack or African American

A person having origins in any of the black racial grolrps of Africa.

f|

ttlaWe Hawaiian or Other Pacific lslarder

A pemon having ortgins in any of the original peoples of Hawaii, Guam, Samoa, or
other Pacific lslands.

El

whne

A p+rson having origins in any of tha criginal peoples of Europe, the Middle East, or
North Afriea.

Slanda# Form 181


Revieed August 2005
Previous editions not usable

42 U.S.C. Saction 2S00+.16


NSN 7MS,.01-09S-3446

H. Res. I94
$,4

In the House of Representatiues,

U. S.,

July Zg,

ZA0S.

\trtereas millio's of Afr.icans and their elescenda'ts


enslaved in the Ilnited states and the 1s American
rries from 1619 tlrrough 1g65;

$rere

colo-

l\Ihereas slar,'ery in Ameriea resembled no other fbrm of inrni_


untary sen'it*de knarnrr in histor;-',, as Afrieans were eap-

tured arrd sold at auctiorr like irrarrirnate objer:ts or a*i_


mals;

\\Ihereas A-frieaus forccd into sla'ery 1rre brutalized,


hu*riliated, delr*manized. a*d subjecteel to the i,digrdt"r, of.
being str\lped of their names arrri heritage;

I\hercas enslaved families nere torn apart after having

been

solcl separatel.v fraur orre ariother;

1\-hereas the s;ntem of sla'ery ancl the visceral raeism


against
persorls of African cleseent upon .x,hieh
depenclecl became e*tre,clred
the l{ati','s social fabric;

i,

it

\\&ereas slarery rnas ,ot offieially abolished until the passage


of the 13th amentrment to the r;-niteit states constitu_
tion irr 1865 after ilre end of the Cir.il \yar;
\\'lrereas a{ter crna*cipation from z4fi
.vears of slarrery,, Af:.icran-A,mericans soon sa.lv the fleeting political, social,
and
ecorromie gains thev made d*ri*g Ber:urstruction er..iseerated hy rir*Ient raeism, Iprehi*gs, ilisenfianehisernent,

Black Corles, and raeial seppegatiorr larvs that imposed a


rigid s),stem of offlreially sur,.rtoned racial segregation in
virtuall,ri all areas of life;

\\lereas the s-vstem of de jure racial segregatiotr ktro*rr as


"Jim Cro$.," rvhich arose in certaiu parts of the ldation
follow.ing the Civil \{ar tn create separate and unequa}
sor:ieties fbr rvhites atrd Atrican-Arnerieans, \ras a direr:t
result of the racism against persons of African deseent
engendered by slavery;

\\&ereas a centur3' after the official ertd of slavery irr Amer-'


iea, Federal aetion s,'as required during the 196Ss to
elirni*atc the rlejure ancl tlefacto s1'stem of Jim Crowtirroughout parts af the liatiolr, though its l'estiges still
iinger to this

da1,;

to suffer from the complex interplay betu'een slal.erl' and Jim Crow-long after

tr\'hereas Afuiean-A,rnerieans eontinue

both s3ntems 1lre formally abolished-through enormous


clamage and loss, both tang{ble and intangible, including
the lass of hrrman dignity, the fmstratiori of careers and
professionai lil'es, ancl the long-term loss of income and
opportuni$';

tlt* ertslave*reut and de j*re seprregation


af African-Arnerieans and the dehumanizing atroeities
committetl against them should not be purged from or

ltr'hereas the story oi

mirrirnized.irr the telling of' Ameriean lfstory;

\\'hereas ou Jul,v 8, 2003, during a trip to Goree Island, Se,negal, a former slave pod, President George \Y. Bush acknou'ledged slaver-ry's coittitruing legaey in A.rnerieart life
and the neecl to co*front that legacy rvhen hc stated that
one of the greatest erimes of history
slal'ery "$ras

. The raeial bigatrv fed b3' slarer;' did not end xitir

or rvith segregatiolr. -\rrl Elall]- of ttrle issrtes tltttt


still tr*ul'rle Aii.erica hatt xxlts in the bitter exllcriell(:e
of other tinit's. But hou'er"er lOng tlrt' jtmrne]', 011r rlestirn"
is set: libert.r- alrd justirre for dll.";
,,il:tvet1'

+i

\\hereas Presitlent IliI Cliltort aiso aeknorrl:dgctl the detpseated prtil;lrttl$ (.iaused liv tirt' rturtitming k'gat'1" of r"tttrisnl agairr.st,\fi'icurr-ltttel"it:atts that l:egari with sl:tr-et1'
ll'hen he initiatetl a national tlialogtle ahott race;
l\'hereas a genuine apolog*' is au itulrottaut aur'L rlsCeSSaLT
tirst step irr the lltlxless o1'retrial t'etlottt'iliati*rr:

ll'liert:as air apologXi' for cerlttlries of l:mtal tleltnmanization


and iqjustices caunot el'ast' tht past, bqt conf'essiotr of
the rrrurg's ronllltittecl calt spee{i raria} healilrg alul re('oneiliation and he$ -{me}"ieans t:otrfront t}rc ghosts cf
thcir pitst:
of tLe Cotutttotitr"ealth of f irgirria }ras
r.r'ee1tl.v taken the iead iu ar"lolrtillg a resolgtitn offieialh'
rrxpressing ai-rproltriate l'eluorse iitr slavtry and other
State leg'islatures hat'e atlopteri {x'are consieler"ing similetr

\1'her.eas the legisltttrtre

rtsclutiorts; attl

it is imporlaut

t'or this eoulltl.r', which legalll. l'e(r6g'nizeri slavery- tlrroug'h its tltxrstitutiori and its lat"s, to
make a formal apologl'for slaverl- and for its stleeessor.
,Iiru {}'orv, su that it can 111t}1t fbrrvtrrd atrrl stlek l'ct:-

1\'hercas

tirrciliatiort. justice, attd Ititrnloiry ftrr all of


No'n', tiiereforc. be

it

ar,krxnvleclges

t|e }asic

''

t'itizerrs:

?hat the Hottse of Bepl'esentatir-es-

Resclued,

{1}

its

tirat slavery is itrctmpati}rle rvith

fountliug pl'irtciples reeogtriretl in the Deelara-

tion of Indepeudetrcc that ali lutil ilrt

creatt'ctr equal:

.#

(2) aeknowledges the fundamental injustiee, ernelty,

brutalifi

and inhumanity of slavery and Jim Crow;

(3) apologlzes to African Amerieans on behalf of the


people of the United States, for the wrongs ccmmitted

against them and their aneestors who suffered und.er


slavery and Jim Crow; and

(4)

expresses

its eommitment to reetify the lin-

gering eonsequenees of the misdeeds eommitted against

African Americans under slavery and Jim Crow and to


stop the oeeirn'ence of human rights violations in the future.

Attest:

Cl,erk.

Wry2fi6

Apctdic Ldter

tsstred

Mdu Profio Ofi

$'!e

Jurisd6tial cf Jrdcid lu.trhorities cf trEican Cily Siate in Crimird Matters {11 Jiiy 2013} I Frarrcis

APOSTOUC LETTER
ISSUED MOTU PROFRJO

OF THE SUPREME PONTIFT

FRA]TCIs
ON TIIE JURISDiCTION OF ]UDICIAL AUTHORITiES OF VATICAN CTTY STATE
III CRI$,IINAL MATTERS

In our times, the common gocd is increasingly threatened by tmnsnational


organized crime, the improper use of the markets and of the economy, as well
as by terrorism.

It

is therefore fiecessary fcr ttre intemationalcammunity to adcpt adequate


legal instruments to prevent and counter criminal activities, by promoting
intemational judicial cooperation on criminal matters.

In ratifyi*g nu.?ierous internaticnalconventions in these areas, and acting also


on behalf of Vatican City State, the Haly See has constantty rnaintained that
such agreements are effective meails to prevent criminal activities that threaten
hurnan drgnrty, the common gcod and peace.
With a view to renewing the Apostolic See's cammihnent to co*perate to these
ends, by ffieans ef this Apostolh Letter issued Motu Froprb, I establish &at:
1. The competent ludicial

Authofties of Vatican City Sbte shall alsa exercise

penal jurisdiction over:

a) crimes carnmitted against the security, the furrdamenta! interests


0r the patrimony af the Hoty See;
b) crirnes refened to:

- in Vatican City State Law No. VIII, of 11 July 2013,


containing Supplementary Norms on Criminal l-aw
[r{atters;

- in Vatican City State l*aw No. IX, of 11 July 2013,


containing Amendments to the Criminal Code and the
Criminal Procedure Code;

82812016

Apostdic Letter lssued Ma8.r Prcpio On tlre Juriscfction cf Jrr$cid Aufprities cf \&ticar City State in Crimird Matters (11 Jtdy 2013i I Frarcis

when such crimes are committed by the persons


refened to in paragraph 3 below, in the exercise of
their functions;

c) any other crime whose prosecution is required by an intemational


agreement ratified by the Holy See, if the perptrator is physically
present in the territory of Vatican City State and has not been
extr:adited.

2. The crimes refened to in paragraph 1 are to be judged pursuant to the


crirninal law in force in Vatican City State at the tirne of their commission,
without prejudiee to the general principles of the legal system on the temporal
application of criminal laws,

3. For the purposes of Vatlcan eriminal law, the following persons are deemed
"public officials":

a) membem, officials and personnel of the uarious organs of the


Roman Curia and of the Institutions connected to it.
b) papat legates and diplomatic personnel af the Holy See.
c) those persons who serye as representatives, managers or
directers, as well as persons who even de facto manage or exercise
control over the entities directly dependent on the Holy See and
listed in the registry of canonical juridical persons kept by the
Govemorate of Vatican City State;

d) any other person holding an administrative or judicial mandate in


the t-loly See, permanent or temporary, paid or unpaid, inespective
of that person's seniority.

4. The jurisdiction refened to in paragraph 1 compnbes also the administmtive


liability of juridical peons arising from crimes, as regulated by Vatican Ctty
State laws.

5. When the same matterc are prosecuted in other States, the provisions in
force in Vatican City State on concurent jurisdiction shall apply.

6. The content sf article 33 of taw iiloi CXS( of 21 Novemher 19S7, whkh


app?cyes the- Judicial Order af VatieanCfu State remains in force.

This I deeide and establish, ansring ta the contrar} *otwittwtanding.

-u

'f'

{'

Frcprlo wdlhe prornulunted by


publication in L'0sservatsre &omano, e,nterirrg into force gn septer*ber

I establish that tihrs Apostslic Le.tter ixued

ib

F4o.tu

1613.
Gi,ve* i*,Rnrne- at the Apostslic Palace, on

1l tuly 2$13, the first of my

Pantifaate.

TFAHCISUS

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P*F F*&HSI$
FSR THE CTLEBFTATIOI"I CT ?HE

W*RLD NAY SF PL&CE


X "JAI{UARY

F*S

L*h}GgH SLA\fES,

BTJT

2*15

BROTHRS A'*B SISTHR,S

1. At the beginning of this hlew Year, which we welcome as God's gracious gift to all humanity,

offer heartfelt wishes of peace to every man and woman, to allthe world's peoples and nations, to
heads of state and governrnent, and to religious leaders. ln doing so, I pray for an end to wars,
conflicts and the great suffering caused by human agency, by epidemics past and present, and by
the devastation wrought by natural disasters. I pray especially that, on lhe basis of our common
calling to cooperate with God and all people of good will for the advancement of harmony and
peace in the world, we may resist the temptation to act in a manner unworthy of our humanity.

ln riiy h4*ssa*e f*r Feace last year, I spoke of -the desire far a full life... which includes a Ionging
for fraternity which draws us ta fellawship with others and enables us to see them nat as enemies
or rivals, but as brEthers and sisters to be accepted and embraced".flJ Since we are by nature
relational beings, meant to find fulfilment through interpersonal relationships inspired by justice
and love, it is fundamental for our hurnan development that our dignity, freedom and autonomy be
acknewledged and respected. Tragically. the growing $courge of man's exploitation by man
gravely damages the life of communisn and our calling to forge interpersonal relations marked by
respect, jusiice and love. This abs!-ninable phenomenon, which leads to contempt {or the

fundamental rights of others and to the suppression of their freedom and dignity, takes many
forms. I would like briefly to consider these, so that, in the light of God's word, we can consider all
men and women "no langer slaves, but brothers and slsferf,.

I istenina ln Gorl'* nlsn fnr httmanifv

-167AG/RES. 2888 (XLVr-O/l 6)

AMERICAN DECLARATION ON THE RIGHTS OF INDIGENOUS PEOPLES


(Adopted at the third plenary session, held on June 15, 2016)
t.

THE GENERAL ASSEMBLY,

RECALLING the contents of resolution AG/RES. 2867 (XLII/-O/I4), "Draft American


Declaration on the Rights of Indigenous Peoples," as well as all the previous resolutions on this issue;

RECALLING also the "Declaration on the Rights of the Indigenous Peoples in the
Americas," document AG/DEC. 79 6L[V-O/14), which reaffrms that progress in promoting and
effectively protecting the rights of the indigenous peoples of the Americas is a priority for the
Organization of American States;

RECOGNIZING the valuable support provided by the mernber states, observer states, the
organs, agencies, and entities of the Organization of American States for the process within the
Working Group to Prepare the Draft American Declaration on the Rights of Indigenous Peoples;
RECOGMZING

as

well the important participation of indigenous peoples of the Americas in

the process of preparing this Declaration; and

TAKING INTO ACCOUNT the significant conkibution that the indigenous peoples of the
Americas have made to humanity,

RESOLYES:
To adopt the following Draft American Declaration on the Rights of Indigenous Peoples'l42r

1.

?.

The United States rernains committed to addressing the urgent issues of concem to indigenous peoples
across the Americas, including combating societal discrimination against indigenous peoples and...
Canada reiterates its commitment to a renewed relatioaship with its Indigenous peoples, based on
recognition of rights, respect, co-operation and parbrership. Canada is now fully engaged, ...

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