The Secretary of Defense Medal for Outstanding Public Service is the second highest award presented by the Secretary of Defense to non-career Federal employees, private citizens, and foreign nationals for contributions, assistance, or support to Department of Defense functions that are extensive enough to warrant recognition, but are lesser in scope and impact than is required for the DoD Medal for Distinguished Public Service. The Secretary of Defense is the approval authority. This award consists of a silver medal, a miniature medal, a rosette, and a citation signed by the Secretary of Defense. An individual may receive this award more than once. Subsequent awards consist of the foregoing recognition devices and a bronze, silver, or gold palm, as appropriate.