FDDU Buccal Collection Kit
Released July 23, 2012

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• Kit will contain everything needed in order to obtain two buccal (cheek) swab samples.
• Kit will be contained in a white tyvek tamper evident envelope (approx. 7 ½ inches by 10 ½ inches).
• Each kit will contain the following:
• One request for National DNA Database Entry Form (FD-936) (Barcoded)
• Two EasiCollect™ buccal collection devices (Barcoded)
• Two collection device envelopes
• Buccal collection instructions
• Attachment 8 Agency Codes for FD-936 Completion
• One pair of nitrile (latex-free) gloves
• One pre-inked fingerprint pad
• Two clean wipes for ink removal
• One kit return envelope
• For instructions on how to complete Buccal Collection kits that are not barcoded please see the previous Buccal Collection Kit Information document.
  

FDDU Buccal Collection Kit Components
 

Request for National DNA Database Entry Form (FD-936)

• FD-936 form must be completed and submitted in each kit.
• FD-936 forms are barcoded to match the barcode on the buccal collection devices in the kit. Because of this, FD-936 forms cannot be intermixed between buccal collection kits. 
• Kits received that contain a FD-936 form with a different barcode than that on the buccal collection devices will be rejected by the FDDU.
• Detailed instructions on how to properly complete the form and process the kit are located on the back of each FD-936 form.
• Read the instructions carefully before initiating collection.
• Print legibly in the white boxes outlined in red, using black or blue ink.
• Only one letter or number is allowed per box.
• Do not use correction fluid (i.e., white-out).
• If required information cannot be provided, enter “Unknown” into the box for that item.

Request for National DNA Database Entry Form (FD-936)

Agency Contact Information

• Instructions for filling out this section are on the back of the FD-936 form in Section 1.
• All agencies need to complete this field. A mailing label containing all necessary contact information for the submitting agency may be used for this section only.
• Do not enter anything into the box labeled “For Official Use Only.”

Agency Facility and Agency Reference Information

• Instructions for filling out this section are on the back of the FD-936 form in Section 2.  
• In Originating Agency Identifier (ORI), print the nine-digit FBI NCIC assigned agency identifier.  
• In Facility Code or District #, print the agency’s facility code or probation district #.       
• Bureau of Prisons – Print the facility code. 
• Federal Probation – Enter probation district number. 
• Federal Tribes – Print tribal code. 
• Agency Code – See the Attachment 8 Agency Codes document that is enclosed within the buccal collection kit and fill in the three or four letter agency code. 

• Agency Ref #: Enter the agency reference or transaction number.  
• DHS/ICE/CBP – print TECS Subject Record ID #. 
• FBI/DOJ Agency – Print JABS transaction number. 
• Bureau of Prisons – Print BOP Sequence # (DNA Number). 
• Federal Tribes – Print tribal subject identifying number or arrest sequence number.

Personal Identifying Information

• Instructions for filling out this section are on the back of the FD-936 form in Section 3.
• Enter in the subject’s last name (family name), first name (given name), and the middle initial in the appropriate boxes.
• Enter the subject’s FBI identifier.
• Enter the subject’s date of birth starting with the four digit year, followed by the two digit month, and two digit day without formatting characters such as “-“ or “/”.
• Enter in the subject’s gender using “M” for male and “F” for female. If unknown, use “U”.
• Enter in the subject’s race using the first letter of the race as shown above:
• American Indian or Native Alaskan – Print “I”.
• Asian – Print “A”.
• Black or African American – Print “B”.
• White – Print “W”.
• Native Hawaiian or Pacific Islander – Print “H”.
• If unknown, print “U”.
• If the subject is Hispanic, Latin, or of Spanish origin, select the appropriate race, if known, and check the adjacent circle labeled “Hispanic, Latin, or Spanish origin.”

• Instructions for filling out this section are on the back of the FD-936 form in Section 3.
• If the subject is a U.S. citizen, check the U.S. citizen circle and enter the social security #.
• If the subject is a Non-U.S. citizen, check the Non-U.S. citizen circle and enter the alien #.
• Print all known information for the remaining fields:
• BOP (U.S. Marshals #) – Bureau of Prisons/U.S. Marshals Service – Print the eight-digit number without the dash (i.e., 12345-678 is printed as 12345678).
• Fingerprint Identification Number System (FINS) – DHS – print the ten-digit number.
• Metropolitan Police Department Identification Number (PDID #) – CSOSA - Print the six-digit number without the dash (i.e. 123-456 is printed as 123456).
• Probation and Pretrial Services Automated Case Tracking System Number (PACTS#) – Federal Probation - Print the PACTS # (up to 10 digits).

Sample Collection Information

• Instructions for filling out this section are on the back of the FD-936 form in Section 4.
• Write in the first letter of the qualifying reason for the DNA collection of the subject as shown above:
• Arrestee/Facing Charges (A) – Any individual arrested or facing charges for a federal offense.
• Convicted Offender (C) – Any individual convicted of a federal offense or certain District of Columbia qualifying offenses.
• Detainee (D) – Any non-U.S. person who is detained under the authority of the United States.
• Tribal Convicted Offender/SORNA (T) – Any individual convicted of a federal offense or SORNA under Tribal Authority.
• U.S. Territories Convicted Offender/SORNA (U) – Any individual convicted of a federal offense or SORNA in U.S. Territories.
• In accordance with legal direction provided by the Department of Justice, the FDDU cannot accept DNA samples in the following categories:
• Samples used as reference specimens in criminal cases. 
• Any sample given voluntarily by an individual who is not a detainee or an arrestee facing federal charges. 
• Write the last name (family name) and first name (given name) of the individual who collected the subject’s DNA sample.
• The individual who collected the DNA sample and whose name is printed in the last name and first name boxes, should sign their name in the box provided.
• Enter in the date the DNA sample was collected starting with the four-digit year, followed by the two-digit month, and two-digit day without formatting characters such as “-“ or “/”.

Fingerprint Collection

• The sample will not be accepted without legible fingerprints.
• Fingerprints are to be taken from the left and right index finger. If an index finger is not available, a thumb (or other finger) may be used, and the finger from which the print was taken must be noted.

• It is imperative that the left index print be placed in the left index box and the right index print be placed in the right index finger box on the fingerprint card.
• The individual collecting the fingerprints from the subject should sign their name in the Fingerprint Collector Signature line.  
• Clean wipes are provided to remove ink from the fingers. 

Safety/Contamination Precaution

• Wear gloves at all times while handling buccal collection devices. 

Buccal Collection Device

• Notice that both FTA cards now contain a barcode on them that will be the same as the FD-936 that came in the buccal collection kit. It is imperative that the FTA cards and FD-936 used for collection of an individual have the same barcode and are returned in the same envelope. Kits received that contain a FD-936 form with a different barcode than that on the buccal collection devices will be rejected by the FDDU.

Buccal Collection Procedure

Each kit will have a detailed instruction sheet on how to obtain a buccal sample. Also see the Whatman Kit Instructions document.

• Open the FTA Card end of the protective sleeve and partially slide out the device.

• Leave the foam applicator in the protective sleeve.
• Turn over the device and record the offender name on the FTA card. Samples without this information will NOT be accepted.

• The information recorded on the FD-936 form must be identical to the information captured on the DNA collection card. Failure to do so will result in the rejection of the DNA sample by FDDU.
• Slide the FTA card back into the collection device.
• Remove the device completely from the sleeve.
• Hold the plastic stem and angle it slightly. This is the collection position.
• Place the foam applicator into the mouth.

• Soak up as much saliva as possible by running the applicator along the gum-line, at the fold line in the cheek, and under the tongue.
• Then, swab the inside of the cheeks for 15 seconds.
• Remove the plastic protective film from the FTA card holder.

• Fold the device at the hinge joint.

• Press the foam applicator onto the FTA card and snap down two notches to the LOWEST position on the stem snap located on the handle. Ensure that there is contact between the foam head and the FTA card.

• Leave the foam applicator in contact with the FTA card for at least 10 seconds.
• Release the foam applicator from under the foam head snap by bending back on the handle of the device.
• Fold the stem again and snap into the top position on the stem snap. This ensures the foam applicator is not touching the FTA card.

• Allow the FTA card to dry for five minutes. 

• Package the collection device into the supplied buccal collection envelope. 

• The envelope should be closed using the self-adhesive strip, and, if applicable, tape. Do not moisten envelope with saliva to close.
• Repeat buccal collection with the second buccal collection device.

Packaging

• The FD-936 form and the two pouches containing the buccal collection devices should be placed into the return envelope.

• Remove the adhesive backing and seal the envelope.

Mailing

• Kits should be mailed within 24 hours to the FBI Laboratory using the United States Postal Service.
• Postage is not necessary.

Kit Rejections

• Kits will be rejected for the following reasons:
• The offender name on the FD-936 form does not match the name on the FTA card.
• No offender name on the FD-936 form or FTA card.
• No fingerprints or illegible fingerprints on the FD-936 form.
• Damaged evidence seal.
• Kit contains an FD-936 with a barcode different than that found on the buccal collection devices.

Collection Kit Reorders

• A kit order form is included in each shipment of collection kits.
• Kit orders should be faxed to the FDDU at (703) 632-7620 or be submitted online.
• Allow approximately two weeks for delivery after the order has been received by FDDU.
• Physical addresses are needed for delivery. Post Office (P.O.) boxes are not acceptable.

Contact Information

For further information, please contact the FDDU at (703) 632-7529.