+---+--------------------------------------+----------+-------------+---+---+---+
|   |                                      |          |             |   |   |   |
+---+--------------------------------------+----------+-------------+---+---+---+
|   | ![](media/ima                        | ![       |             |   |   |   |
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|   |                                      | 16666666 |             |   |   |   |
|   |                                      | 6666in"} |             |   |   |   |
+---+--------------------------------------+----------+-------------+---+---+---+
|   |                                      |          |             |   |   |   |
+---+--------------------------------------+----------+-------------+---+---+---+
|   | **Department of Health and Human     |          |             |   |   |   |
|   | Services**                           |          |             |   |   |   |
|   |                                      |          |             |   |   |   |
|   | **National Institutes of Health**    |          |             |   |   |   |
|   |                                      |          |             |   |   |   |
|   | **OD/OM/Office of Management         |          |             |   |   |   |
|   | Assessment**                         |          |             |   |   |   |
+---+--------------------------------------+----------+-------------+---+---+---+
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+---+--------------------------------------+----------+-------------+---+---+---+
|   |                                      |          |             |   |   |   |
+---+--------------------------------------+----------+-------------+---+---+---+
|   | NIH Privacy Impact Assessment (PIA)  |          |             |   |   |   |
|   | Guide                                |          |             |   |   |   |
+---+--------------------------------------+----------+-------------+---+---+---+
|   |                                      |          |             |   |   |   |
+---+--------------------------------------+----------+-------------+---+---+---+
|   |                                      |          |             |   |   |   |
+---+--------------------------------------+----------+-------------+---+---+---+
|   | **October 24, 2007**                 |          |             |   |   |   |
+---+--------------------------------------+----------+-------------+---+---+---+
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|   |                                      |          |             |   |   |   |
+---+--------------------------------------+----------+-------------+---+---+---+

**Change History**

  ------------- ---------------- ---------------- ----------------------------------
  **Version**   **Date of        **Author(s)**    **Description of Change(s)**
                Issue**                           

  \[1.00\]      \[10/24/2007\]                    First version

                                                  

                                                  

                                                  
  ------------- ---------------- ---------------- ----------------------------------

**[Table of Contents]{.smallcaps}**

**[I. Introduction]{.smallcaps}**

*Legislation behind the PIA requirement*

**[II. What is a PIA?]{.smallcaps}**

*[A]{.smallcaps}n overview of the PIA tool*

**[III. Complying with the PIA Requirement]{.smallcaps}**

*How privacy protections and Privacy Act requirements are measured*

**[IV. Privacy Act and System Of Record Notice (SORN)
Requirements]{.smallcaps}**

*A explanation of SORNs and a summary of commonly referenced NIH SORNs
and HHS, OGE, and OPM umbrella SORNs*

**[V. When to Conduct a PIA]{.smallcaps}**

*How to determine if a PIA should be completed*

**[VI. How to Complete a PIA]{.smallcaps}**

*A detailed breakdown on how to respond to each PIA question*

**[VII. Conclusion]{.smallcaps}**

**[Appendices]{.smallcaps}**

**[I. FISMA Tool PIA Form]{.smallcaps}**

**[II. NIH, HHS and Government-wide SORNs]{.smallcaps}**

**[I. Introduction]{.smallcaps}**

Title II of the *E-Government Act of 2002* requires federal agencies to
conduct privacy impact assessments (PIAs) before developing or procuring
information technology (IT) systems that collect, maintain, or
disseminate information in identifiable form (IIF), also commonly
referred to as personally identifiable information (PII). Additional
requirements include making PIAs publicly accessible and posting a
machine-readable privacy notice on publicly facing websites. Title III
of the *E-Government Act*, known as the Federal Information Security
Management Act (FISMA), superseded and made permanent some of the
provisions of the *Government Information Security Reform Act of 2000*
(GISRA). FISMA amends the *Paperwork Reduction Act (PRA) of 1995* by
adding a new subchapter on information security that requires certain
program management, evaluation, and reporting activities, such as
performing an annual self-assessment and conducting an independent
assessment by each agency's Inspector General (IG).

In 2007, NIH released Manual Chapter 1745-1, "Privacy Impact
Assessments," which reinforces the Department of Health and Human
Services (HHS) requirement for PIA completion, and details NIH employee
roles and responsibilities in support of this process.

For more information regarding NIH's PIA policy, please review NIH
Manual Chapter 1745-1, available at
<http://www3.od.nih.gov/oma/manualchapters/management/1745-1/>.

**[II. What is a PIA?]{.smallcaps}**

The PIA is an analysis tool designed to identify any privacy risks
associated with information that is collected, processed, stored, and/or
transmitted by an IT system. The PIA describes what information is
contained within an IT system, whether or not it contains IIF, how
information is used, and how it is protected. According to federal
requirements and guidance, HHS is responsible for providing proper
protections for IIF contained within its information systems. Systems
containing IIF are subject to an extensive range of requirements derived
from privacy legislation, Office of Management and Budget (OMB)
Memoranda, and Departmental policy. A detailed breakdown of the
legislation regarding PIAs can be found in the 2006 HHS Information
Assurance Privacy Impact Assessment (PIA) Guide at:
<http://oma.od.nih.gov/ms/privacy/IAPPGuide.doc>.

Per NIH Manual Chapter 1745-1, PIAs are completed by a System
Owner/Manager in consultation with the NIH Institute or Center (IC)
Privacy Coordinator via the FISMA Tool. It must be promoted to the NIH
Senior Official for Privacy (SOP) for quality reviews to ensure that it
is complete and accurate. The SOP will submit the finalized PIA to the
HHS Senior Agency Official for Privacy (SAOP). The SAOP will in turn
complete an independent review prior to submission to OMB and public
posting on the HHS website at: <http://www.hhs.gov/pia/nih/index.html>.

**[III. Complying with the PIA Requirement]{.smallcaps}**

Completing a PIA will assist NIH in incorporating privacy protections
into every stage of an IT system's life cycle.

To assess whether systems are compliant with these federal requirements,
System Owners/ Managers, NIH Institute or Center (IC) Privacy
Coordinator, the SOP, and other designated PIA authors should use the
PIA methodology detailed in this guide. HHS requires that a PIA be
completed for all IT systems regardless of whether or not the system
contains IIF. Systems in development are also included in this
requirement. Systems which contain IIF on federal employees are
similarly bound by this requirement. The FISMA Tool is used by the
Department and NIH to assess compliance through its automated PIA form.

There are currently multiple terms used to describe information that is
private and/or personal in nature. Section 208 of the E-Government Act
of 2002 refers to IIF, which is further defined in OMB Memorandum
(M)-03-22, "OMB Guidance for Implementing the Privacy Provisions of the
E-Government Act of 2002." Personally identifiable information (PII) is
also referenced in OMB M-03-22, and defined in OMB M-06-15,
"Safeguarding Personally Identifiable Information." While the acronyms
are commonly used interchangeably, this guide refers to IIF in keeping
with the terminology established in Federal guidelines for PIA
completion.

The first section of the PIA form is a summary page, which collects
system information that is suitable to be made available to the public
via the Internet as required by OMB M-03-22. The PIA Summary tab must be
completed for all systems and will also help to determine whether the
full PIA form must be completed. IT systems that do not contain IIF need
only complete the summary and approval/demotion tabs. The remaining
sections of the PIA form collect all relevant data necessary to provide
a solid evaluation of the privacy risks, controls, and requirements of a
system as required by OMB, legislation, etc.

**[IV. Privacy Act and System of Record Notice (SORN)
Requirements]{.smallcaps}**

The Privacy Act of 1974, as amended, defines a Privacy Act record as
"any item, collection, or group of information ***about an individual***
that is maintained by an agency, including, but not limited to,
***education, financial transactions, medical history, and criminal or
employment history*** and that contains ***name, or the identifying
number, symbol, or other identifying particular*** assigned to the
individual, ***such as a finger or voice print or a photograph*** (5
U.S.C. § 552a(a)(4))." Other examples of personal information or
personal identifiers include, but are not limited to: age, date of
birth, SSN, sex, gender, medical credentials, military rank, home
address/phone/e-mail address, and patient ID or protocol study number.

An important distinction to make is that the Privacy Act applies to both
paper and electronic (IT) information systems, whereas the E-Government
Act privacy provisions apply specifically to federal IT systems. While
the scope of the document is limited to E-Government/FISMA PIA and
subsequent Privacy Act requirements, systems of record owners should
ensure that all paper-based systems are compliant with Privacy Act
provisions.

A SORN refers to the notice which describes the purpose of the system,
the legal authority to collect information, the categories of
information collected, maintained, retrieved, and used within a set of
records, the categories of individuals for whom the information is
collected, to whom the information can be disclosed, etc. The SORN
Number is the number given to the Privacy Act SORN (also referred to as
the Systems Notice) for reference in the Federal Register. The SORNs are
written broadly to cover information collections subject to the Privacy
Act. If a collection of records that includes Privacy Act information is
proposed for operation and is NOT covered under an existing SORN, a new
SORN must be developed and posted in the Federal Register 40 days prior
to collection of the data. If no existing SORN covers the proposed data
collection, the System Owner/Manager must work with the IC Privacy
Coordinator and NIH Privacy Act Officer to put one in place. Otherwise,
the system of records is unauthorized and must not be operated.

When do you have a Privacy Act System of Records?

-   When you have a group of records (more than one)\*

-   When the records contain information about an individual

-   When the information is designed to be retrieved by a name or other
    personal identifier

> \*If you only have a single document, or your file contains publicly
> available information, it is not considered to be a group of records.
> In addition, Privacy Act systems of records only cover government
> records, or contracts to manage government records.

Determining Privacy Act applicability is not an exact science, and
requires the exercise of judgment in many cases. NIH System
Owners/Managers are encouraged to contact their IC Privacy Coordinator
in case of any uncertainty to ensure that they are properly advised on
the extent to which they must consider privacy in their system of
records.

There are three types of System Notices that can be cited to cover
record systems: Internal, Government, and Central. Internal notices are
owned by individual federal agencies to cover their internal records
(e.g., HHS, NIH and other OPDIVs). They can also appear as "umbrella"
system notices. Internal NIH SORNs begin with 09-25-xxxx, while
Departmental SORNs typically begin with 09-90-xxxx.

Government notices may be used by all federal agencies to cover
government-wide record systems (e.g., OPM, OGE, EEOC, FEMA, GSA, etc.)
even if the physical records contained within the record system belong
to the respective federal agency. OPM retains some authority over
records covered under Government notices (e.g. during an appeal
process). Government SORNs begin with GOVT-1, 2, etc.

Central notices cover systems of records that are owned by OPM, who
maintains full responsibility for the central record systems (e.g.,
Personnel Investigations Records). However, copies of these records may
be maintained by individual federal agencies. Central notices begin with
CENTRAL-1, 2, etc.

All internal NIH SORNs, as well as HHS SORNs commonly referenced at NIH,
can be found through the NIH Office of the Senior Official for Privacy
(OSOP) website, or by visiting
<http://oma.od.nih.gov/ms/privacy/pa-files/read02systems.htm>. The
following NIH SORNs are the most commonly referenced by System
Owners/Managers:

-   Grant and Contract Records:
    [09-25-0036](http://oma.od.nih.gov/ms/privacy/pa-files/0036.htm),
    Extramural Awards and Chartered Advisory Committees (IMPAC 2),
    Contract Information (DCIS), and Cooperative Agreement Information,
    HHS/NIH 

-   Patient Medical Records:
    [09-25-0099](http://oma.od.nih.gov/ms/privacy/pa-files/0099.htm),
    Clinical Research: Patient Medical Records, HHS/NIH/CC, and
    [09-25-0105](http://oma.od.nih.gov/ms/privacy/pa-files/0105.htm),
    Administration: Health Records of Employees, Visiting Scientists,
    Fellows, and Others Who Receive Medical Care Through the Employee
    Health Unit, HHS/NIH/ORS

-   Correspondence Records (also used to cover Internet and Intranet
    Websites):
    [09-25-0106](http://oma.od.nih.gov/ms/privacy/pa-files/0106.htm),
    Administration: Office of the NIH Director and Institute/Center
    Correspondence Records, HHS/NIH/OD

-   Program Evaluation Records:
    [09-25-0156](http://oma.od.nih.gov/ms/privacy/pa-files/0156.htm),
    Records of Participants in Programs and Respondents in Surveys Used
    to Evaluate Programs of the Public Health Service, HHS/PHS/NIH/OD

-   Clinical, Basic and Population-Based Research Study Records:
    [09-25-0200](http://oma.od.nih.gov/ms/privacy/pa-files/0200.htm),
    Clinical, Basic and Population-based Research Studies of the
    National Institutes of Health (NIH), HHS/NIH/OD

In addition to internal NIH SORNs, there are commonly referenced
internal HHS "umbrella" SORNs that include:

-   Conflict of Interest: 09-90-0008, Conflict of Interest Records,
    HHS/OS/ASPER

-   Personnel/EEO Records: 09-90-0018, Personnel Records in Operating
    Offices, HHS/OS/ASPER

-   Personnel Security/HSPD-12: 09-90-0020, Suitability for Employment
    Records, HHS/OS/ASPER (to be renamed HHS Personnel Security, and
    amended to be compliant with the new I.D. badge procedure under
    HSPD-12)

-   Finance Records: 09-90-0024, Financial Transactions of HHS
    Accounting and Finance Offices, HHS/OS/ASMB

-   Emergency Preparedness: 09-90-0039, National Disaster Claims
    Processing System

-   Identification Badge Issuance: 09-90-0777, Identification and
    Credentialing Issuance Station and System, HHS/OCID (in draft form -
    to cover personal identity verification \[PIV\] card holders as well
    as short-term employees, temporary guests and visitors)

Government-wide SORNs referenced by NIH include:

-   Ethics Records: OGE/GOVT-1, Executive Branch Personnel Public
    Financial Disclosure Reports and Other Name-Retrieved Ethics Program
    Records, and OGE/GOVT-2, Executive Branch Confidential Financial
    Disclosure Reports

-   Personnel Records: OPM/GOVT-1, General Personnel Records

**[V. When to Conduct a PIA]{.smallcaps}**

The PIA process assists System Owners/Managers in assessing IT systems
through all phases of the system development life cycle (SDLC). PIAs
should be performed before the development phase of an IT system,
however an initial PIA can be performed on an existing operational
system. Departmental policy requires that PIAs be conducted and
maintained on all systems, whether already in existence, in development,
or undergoing modification.

The HHS Information Security Program Policy, dated December 15, 2004,
requires OPDIVs to:

-   Conduct PIAs on all Departmental IT systems as instructed by OMB
    Memorandum (M)-03-22 that includes, but is not limited to, the
    collection of new information in identifiable form (IIF) or when the
    Department develops, acquires, and/or buys new IT systems to handle
    collections of IIF. PIAs are also required when significant changes
    are made to these systems. *(Further reinforced by the HHS
    Information Security Program Privacy Policy Memorandum, dated
    November 20, 2006)*

-   Maintain both soft and signed hard copies of all PIAs and submit
    electronically both parts of the PIA (Analysis Worksheets and PIA
    Summary) to the SAOP. This policy was implemented as required by
    Section 208(b) of the E-Government Act of 2002 (Public Law 107-347,
    U.S.C. Title 44, Chapter 36) and is consistent with the intent of
    OMB M-03-22, OMB Guidance for Implementing the Privacy Provisions of
    the E-Government Act of 2002.

**[VI. How to Complete a PIA]{.smallcaps}**

This guide outlines a standard approach for conducting a PIA for all NIH
IT systems, including developmental, operational, FISMA,
contractor-owned, grantee, IT general support systems (GSS), major
applications (MA), and non-major applications. All NIH IT systems should
have a current PIA to ensure compliance with the *E-Government Act of
2002,* other relevant IT privacy requirements, HHS, and NIH policy.

The PIA form can be found on the FISMA Tool at
<https://prosight-fisma.hhs.gov/ProSight/>. To begin a new PIA on a
system, the System Owner/Manager or a designee must contact FISMA Tool
Accounts at <psfisma@mail.nih.gov> to request that the system
designation be established in the FISMA Tool. Users must provide the IC,
system name, and acronym for the system. Designated PIA authors must
also be granted access to the FISMA Tool in order to complete the PIA.
In order to request accesses, IC Privacy Coordinators, Information
System Security Officers (ISSOs), System Owners/Managers, Executive
Officers (EOs), or Administrative Officers (AOs) should contact the
FISMA Tool Accounts email to request the desired user access role (e.g.
Promoter, Reviewer, System Owner).

Once logged into the FISMA Tool, the PIA form includes six major
categories of information: 1) Summary, 2) Required Information, 3)
System Characterization, 4) Information Sharing Practices, 5) Website
Practices, and 6) Security Controls (administrative, technical,
physical). Based on the responses to the questions in the summary tab, a
system might require completion of a full PIA form. Please note that if
the system requires a full PIA form to be completed and only the summary
is submitted, the NIH SOP will demote the PIA back to the PIA completion
point of contact (POC) to make the necessary changes.

To complete the full form, the PIA author may begin with either the PIA
Summary tab or the PIA Required Information tab. The PIA Summary
questions are taken directly from the full form, and as such, will
auto-populate the rest of the form if completed in the Summary, and vice
versa. To continue completion of the form, the PIA author can then move
through each tab to complete information. The PIA author should refer to
the IC Privacy Coordinator for all privacy-related questions. For
security-related questions, the PIA author should consult the IC ISSO.
The PIA author should consult with the IC Records Liaison with all
records retention-related questions. For website-related questions, the
PIA author should consult with the IC Webmaster. To determine if the
system requires an OMB clearance number the PIA author should consult
with the Information Collection Clearance Officer (OMB Project Clearance
Liaison).

Once the PIA is completed, the PIA Reviewer or a designee must review
the PIA for completeness and accuracy. The PIA Reviewer must then
promote the PIA via the Approval/Demotion page, and send notification to
the NIH OSOP that the PIA is complete. Once the PIA is promoted to the
OSOP, it will undergo a final review prior to either promotion to the
Department or demotion to the PIA Reviewer with a comments matrix via
email. If changes are made to a system PIA independent of a requested
review, PIA authors must inform the PIA Reviewers, who, in turn, must
review the updates and provide notification to the NIH OSOP of the
changes.

To assist system owners/managers in completing the form:

-   A list of IC Privacy Coordinators can be found at:
    <http://oma.od.nih.gov/about/contact/browse.asp?fa_id=3>

-   A list of IC Information System Security Officers can be found at:
    <http://irm.cit.nih.gov/nihsecurity/scroster.html>

-   A list of IC Records Liaisons can be found at:
    <http://oma.od.nih.gov/about/contact/browse.asp?fa_id=2>

-   A list of IC Information Collection Clearance Officers (OMB Project
    Clearance Liaisons) can be found at:
    <http://odoerdb2.od.nih.gov/oer/policies/project_clearance/pcb.htm>.

-   The NIH Forms Management Officer, Joanne Eater can be reached at:
    <eaterj@mail.nih.gov>.

When completing the PIA:

1\) Answer all multiple choice questions.

2\) For all applicable 'If yes...' questions, indicate either a Yes or
No response.

3\) If a question is not applicable, answer No. Do [not]{.underline}
answer N/A.

4\) As you complete each tab, click 'Submit' to save your work.

5\) Prior to promoting the PIA, ensure that both the system POC and PIA
Reviewer's names and contact information are indicated.

6\) Review responses for spelling errors. This can be done through the
spell check feature, next to the 'Submit' button. Remember, summaries
will be posted publicly.

7\) To prevent loss of data, save work often by clicking the 'Submit'
button.

8\) Export/print the PIA by clicking 'Form' on the drop down menu,
followed by 'Export' or 'Print'.

Things to Remember:

IC Privacy Coordinators should maintain a hard copy of the PIA in the
event of a temporary FISMA Tool outage, or if copies require
distribution to System Owners/Managers without FISMA Tool access. In
addition, ICs will need to periodically review PIAs to ensure that they
are in compliance with current system practices. A PIA is a living
document that must be updated when a major change in the system occurs.
Periodic reviews of the PIA will ensure that changes in a system's
management, operational, or technical environment that may impact IIF
are captured as required by law and HHS and NIH policy. Since PIAs are
validated by the Department annually, NIH requires that System
Owners/Managers, IC Privacy Coordinators, and ISSOs review the PIAs
annually to ensure accuracy of all information.

When a system is no longer in use, the IC Privacy Coordinator should
notify the FISMA Tool Accounts at <psfisma@mail.nih.gov>, as well as the
NIH OSOP at <privacy@mail.nih.gov>, in order to officially remove the
system from the PIA tool. If the system contains information requiring
disposal according to the NIH Records Schedule, the System
Owner/Manager, in consultation with the IC Privacy Coordinator, should
contact the IC Records Liaison.

[[The PIA Summary]{.underline}]{.smallcaps}

The following required questions represent the information necessary to
complete the PIA Summary for transmission by the NIH SOP, to the
Department, and ultimately, to OMB.

**Is this a new PIA?**

> Using the pull-down menu, indicate whether the system is new or if
> it's an existing system for which you are now modifying the PIA. If
> this is an existing PIA, use the pull-down menu to select an
> appropriate reason for this revision.

1\. **Date of this Submission:**

> For all PIAs, the date of submission is the final date that the PIA is
> completed and ready for submission to the NIH SOP. If the PIA is
> demoted and information is changed, or the PIA is validated for
> reporting purposes, the date of submission should be adjusted to
> reflect the changes before being promoted again.

2\. **OPDIV Name:**

> Use the scroll down menu to select the system for which you are
> completing a PIA. When notified of the existence of an IT system, the
> OPDIV Name will be listed automatically by the Center for Information
> Technology (CIT) as HHS/NIH/Institute.

3\. **Unique Project Identifier (UPI) Number:**

> The UPI \# is used to report IT investments during the budget process
> and ensure the integration of strategic planning, budgeting,
> procurement, and the management of IT investments in support of the
> agency's mission and business needs. It reflects information such as
> the OPDIV and office where the investment project was initiated, the
> type of investment, and other information. The UPI is used by OMB to
> track the system through the PIA, Certification and Accreditation
> (C&A), and Plan of Action and Milestones (POA&M) processes. The number
> is attached to Exhibit 53s and described in Exhibit 300s, which are
> submitted to OMB prior to major investment and budget requests. The
> number is long and appears as follows:
> 009-25-xx-xx-xx-xxxx-xx-xxx-xxx. If the system does not have a UPI,
> check with the NIH Information Security Awareness Office (ISAO) within
> CIT at <psfisma@mail.nih.gov> to confirm. If the system you are
> assessing has gone through a major change that has created new privacy
> risks, you may find the UPI number reported previously on an Exhibit
> 53 has been rolled up to a more inclusive Exhibit 300, in which case
> the system PIA would need to cite the new UPI. Otherwise, if the
> system has not undergone a major change, the UPI number would remain
> the same.

[4.]{.smallcaps} **Privacy Act System of Records Number (SORN):**

> A SORN describes the Privacy Act system of records, and the categories
> of IIF collected, maintained, retrieved, and used within the system.
> It provides information to the public on various characteristics of
> the system (e.g. description, purpose, data collection, notification,
> retention and disposal, etc.) and how NIH intends to manage and
> protect the system. The SORN Number is that which is assigned to the
> Privacy Act SORN (also referred to as the Systems Notice). See Section
> IV of this guide for more information.
>
> If the system is subject to the Privacy Act, then a SORN must be cited
> (refer to Section IV of this guide). Work with the IC Privacy
> Coordinator to determine which SORN appropriately covers the IT
> system. PIA authors can obtain a list of IC Privacy Coordinators at
> <http://oma.od.nih.gov/about/contact/browse.asp?fa_id=3>. NIH Privacy
> Act System Notices can be located by visiting the OSOP Privacy website
> at <http://oma.od.nih.gov/ms/privacy/pa-files/read02systems.htm>.

5\. **OMB Information Collection Approval Number:**

> The Paperwork Reduction Act of 1995 requires agencies to obtain
> approval from OMB prior to soliciting and/or obtaining identical
> information from ten or more members of the public in multiple forms.
> OMB approval is required whether the Federal agency collects the
> information itself or uses an outside agent or contractor. OMB
> requires 90-120 days to approve new information collections and renew
> existing approvals. The OMB Information Collection Approval Number
> should be identical to the one OMB assigned pursuant to having been
> filed under the Paperwork Reduction Act and is sometimes referred to
> as an OMB control number. It would only apply if the system maintains
> data as part of an approved OMB information collection from 10 or more
> members of the general public.
>
> You can click on the Office of Extramural Research (OER) Intranet
> website at:
> <http://odoerdb2.od.nih.gov/oer/policies/project_clearance/pcb.htm> to
> obtain a list of NIH Information Collection Clearance Officers, and
> get more information about whether your IT system has been approved
> for OMB information collection.

6\. **Other Identifying Number(s):**

Optional. The Other Identifying Number would only be listed if the IC
chose to assign an internal tracking number to the system, such as IC-1,
IC-2, IC-3 and so on.

7\. **System Name:**

> The System Name is the title of the system and should briefly and
> accurately describe the system. It must match the system name provided
> to the CIT/ ISAO and spell out the full name of the system, followed
> by an acronym, if desired (e.g. Clinical Research Information System
> \[CRIS\]). The System Name should match the FISMA Tool designation. If
> the name is incorrect in the PIA, please update the PIA. If the System
> Name is incorrect in the FISMA Tool, please contact the FISMA Tool
> Accounts email (<psfisma@mail.nih.gov>) to make the appropriate
> changes.

9\. **System Point of Contact (POC):**

> The System Point of Contact is the person to whom questions about the
> PIA, characterization of the system, and data categorization may be
> addressed. Only the name of the POC will be made publicly available.
> When choosing a System POC, list the System Owner/Manager or qualified
> individual who is most knowledgeable about the system and its
> functions.

10\. **Provide an overview of the system:**

> Please provide a brief, but detailed explanation of the system. The
> explanation should include its purpose, characteristics (i.e., what
> information the system collects), and a legal justification if one
> exists.

13\. **Indicate if the system is new or an existing one being
modified:**

> Refer back to the initial question at the beginning of the PIA summary
> for the proper response.

17\. **Does/Will the system collect, maintain (store), disseminate
and/or pass through IIF within any database(s), record(s), file(s) or
website(s) hosted by this system?**

> This question seeks to identify any, and all, personal information
> associated with the system. This includes any IIF, whether or not it
> is subject to the Privacy Act. This also includes NIH employees, the
> general public, research subjects, grantees, contractors or business
> partners and research collaborators whose information has been
> obtained voluntarily or by mandate and is contained within the system.
> Later questions will try to clarify the character of the data and its
> applicability to the requirements under the Privacy Act or other
> legislation. If this system contains IIF, all remaining questions on
> the PIA form tabs must be completed prior to signature and promotion.

21\. **Is the system subject to the Privacy Act?**

> If the system includes a group of records containing IIF designed to
> be retrieved by a name or other identifier, the Privacy Act applies to
> the information collection. If the Privacy Act applies, the system
> requires the completion of the full PIA and a SORN must be cited in
> Question 4. In the case of records pertaining to government employees
> and their work information, OMB M-03-22 indicates that information in
> identifiable form about government personnel generally is protected by
> the Privacy Act. In addition, OMB M-06-20 indicates that employee
> identifiable information should be scrutinized to the same extent as
> information regarding members of the public.

23\. **If the system shares or discloses IIF, please specify with whom
and for what purpose(s):**

> In addition to any routine disclosure practices for the system, a
> system which references an NIH umbrella SORN will have additional
> potential disclosure practices. Please reference the Routine Uses
> contained in the SORN indicating the potential disclosures of IIF.
> Therefore, if the system is subject to the Privacy Act, the response
> to this question (and Question 21) should be yes, and a brief
> explanation of disclosure practices found in the SORN should be
> included in your response.

30\. **Please describe in detail the information the agency will
collect, maintain, or disseminate and why and for what purpose the
agency will use the information. In this description, indicate whether
the information contains IIF and whether submission of personal
information is voluntary or mandatory:**

> Regardless of whether or not the system collects IIF, a full response
> is required that addresses all points of the question. This question
> also attempts to determine if a Privacy Act notification statement is
> required. If personal information is collected, you must address the
> following 6 points:

1.  What is the Government Authorization? (PHS Act, Public Law, Statute,
    Executive Order, etc.)

2.  What information is collected?

3.  What is the purpose of the information collection?

4.  What are the routine uses for disclosure of the information to
    others?

5.  \*Can the information be provided on a voluntary basis, or is it
    mandatory?

6.  \*If mandatory, what effect, if any, will there be if the
    information is not provided?

> \* If the System does not contain IIF, these points do not need to be
> addressed.
>
> A legal authority is required for a Privacy Act system of records. The
> legal authority can be researched by the IC Privacy Coordinator. An
> example would be PHS Act Section 301, but check to see which statute
> or executive order was granted to the Agency, Institute, Clinical
> Research Program, etc. which authorizes the collection of IIF. The IC
> legislative office is an excellent resource for this information.

31\. **Please describe in detail any processes in place to:**

-   **Notify and obtain consent from the individuals whose IIF is in the
    system when major changes occur to the system (e.g., disclosure
    and/or data uses have changed since the notice at the time of the
    original collection)**

-   **Notify and obtain consent from individuals regarding what IIF is
    being collected from them and how the information will be used or
    shared:**

> ***[Note]{.underline}: Please describe in what format individuals will
> be given notice of consent (e.g., written notice, electronic notice,
> etc.) If the system does not contain IIF, please state that in the
> response box. Do not leave the question unanswered.***
>
> This question contains multiple parts, all of which must be answered
> in the response. Since the PIA Summary will be posted on the HHS
> Internet, please ensure that *all parts* of the question are clearly
> addressed in your response.

32\. **Does the system host a website?**

> Please indicate a Yes or No response.

37\. **Does the website have any information or pages directed at
children under the age of thirteen? *Note: If Yes, is there a unique
privacy policy for the site, and does the unique privacy policy address
the process for obtaining parental consent if any information is
collected? ***

> In accordance with the Children's Online Privacy Protection Act
> (COPPA), all agency websites directed at children under the age of 13
> must ensure that proper privacy protections are in place, including
> parental consent. Refer to NIH Manual Chapter 2805, "NIH Web Page
> Privacy Policy," for more information on the protection of children
> at: <http://www3.od.nih.gov/oma/manualchapters/management/2805/>.

50\. **Are there policies or guidelines in place with regard to the
retention and destruction of IIF?**

> If the system contains IIF, and has the appropriate policies or
> guidelines in place, please indicate a Yes response. If the system
> does not have the proper policies or guidelines in place, or it does
> not contain IIF, then answer No to this question.
>
> Contact your IC Records Liaison for more information on which NIH
> Records Retention Schedule pertains to the information collection. A
> list of IC Records Liaisons can be accessed from OMA's webpage at:
> <http://oma.od.nih.gov/about/contact/browse.asp?fa_id=2>. In addition,
> if a system has a SORN in place, it should contain language indicating
> retention and destruction methods.

54\. **Briefly describe in detail how the IIF will be secured on the
system using administrative, technical, and physical controls:**

> Since only the PIA Summary will be posted on the HHS Internet, please
> ensure that all parts of the question are clearly answered in your
> response. If the system is covered by a Privacy Act Systems Notice,
> contact your IC Privacy Coordinator or refer to the NIH Privacy Act
> SORN website at:
> <http://oma.od.nih.gov/ms/privacy/pa-files/read02systems.htm> for more
> information and language regarding the safeguards for the system.
>
> If the system not have the proper controls in place, or it does not
> contain IIF, then answer No to this question.

[[The Complete PIA Form]{.underline}]{.smallcaps}

Once the above questions have been answered, the Summary section is
complete. If the response for question 17 is Yes, indicating the system
contains IIF, the system will require a full PIA to be completed. The
following section looks at each individual question and provides
additional guidance on the necessary response.

*[Note]{.underline}: Questions on the full form with an asterisk (\*)
were answered previously under the Summary tab and will be submitted to
the Office of Management and Budget (OMB) and made publicly available in
accordance with OMB Memorandum (M) 03-22 at
<http://www.whitehouse.gov/omb/memoranda/m03-22.html>. In addition,
those fields already answered will auto-populate into the full PIA
Form.*

**[PIA Required Information Tab]{.smallcaps}**

**\*Is this a new PIA?**

> Answered previously on the PIA Summary.

\*1. **Date of this Submission:**

> Answered previously on the PIA Summary.

\*2. **OPDIV Name:**

> Answered previously on the PIA Summary.

\*3. **Unique Project Identifier (UPI) Number: *Note: If the system does
not have a UPI, please explain why it does not.***

> This question contains an additional field not required in the PIA
> Summary. If no UPI exists for the system, please provide a brief
> explanation.

\*4. **Privacy Act System of Records (SOR) Number:**

> Answered previously on the PIA Summary.

\*5. **OMB Information Collection Approval Number:**

> Answered previously on the PIA Summary.
>
> **OMB Collection Approval Number Expiration Date:**
>
> This question was not required in the PIA Summary. If not certain,
> check with the IC Information Collection Clearance Officers.

\*6. **Other Identifying Number(s):**

> Answered previously on the PIA Summary.

\*7. **System Name:**

> Answered previously on the PIA Summary.

8\. **System Location:**

> Indicate the NIH or Contractor office building, room, city and state
> where the system is physically located, or the server is hosted.

\*9. **System Point of Contact (POC) (name, title, organization, phone,
email). The system POC is the person to whom questions about the system
and the responses to this PIA may be addressed:**

> This question includes additional fields not required in the PIA
> Summary. Additional POC information will not be made publicly
> available.

\*10. **Provide an overview of the system:**

> Answered previously on the PIA Summary.

**[System Characterization and Data Categorization Tab]{.smallcaps}**

11\. **Does HHS own the system?**

> If NIH owns the system or funds a contract to design, develop or
> implement the system, answer Yes. If not, identify the system owner.

12\. **Does HHS operate the system?**

> If NIH operates the system, or a contractor operates or manages the
> system on behalf of NIH, answer Yes. If not, identify the system
> operator.

\*13. **Indicate if the system is new or an existing one being
modified:**

> Answered previously on the PIA Summary.

14\. **Identify the life-cycle phase of this system:**

> Indicate the appropriate phase from the drop-down menu.

15\. **Have any of the following major changes occurred to the system
since the PIA was last submitted?**

> Indicate Yes or No in each of the boxes. If this is a new system, the
> response will be No.

16\. **Is the system a General Support System, Major Application or
Non-Major Application?**

> Refer to OMB Circulars A-11 and A-130 for definitions. They are
> located at URLs:
> <http://www.whitehouse.gov/omb/circulars/a11/current_year/a11_toc.html>
> and <http://www.whitehouse.gov/omb/circulars/a130/a130trans4.html#6>
>
> With respect to NIH enterprise systems and systems considered to be
> "extensions" of enterprise systems, generally, the rule of thumb is:
> If it is an enterprise system owned and maintained by NIH (including
> directing how it is used and by whom, and ensuring security for the
> system) then the centralized office should prepare the PIA. If
> however, the centralized office has no control over an "extension"
> system that is owned and operated by an IC, the IC system should have
> a PIA completed on it as well.

\*17. **Does/Will the system collect, maintain (store), disseminate
and/or pass through IIF within any database(s), record(s), file(s) or
website(s) hosted by this system?**

> The Yes/No response from the PIA Summary auto-populates into the PIA
> Form, however it does not satisfy all parts of Question #17. To do
> this, please select Yes for all applicable IIF categories. Since all
> fields must contain a response, be sure to answer No for all other
> non-applicable categories. If the applicable IIF category is not
> listed, please use the Other field to identify the appropriate
> category of IIF.

18\. **Please indicate the categories of individuals about whom IIF is
collected, maintained, disseminated and/or passed through. *Note: If the
applicable IIF category is not listed, please use the Other field to
identify the appropriate category of IIF. Please answer Yes or No to all
of these choices (NA in Other is not applicable).***

A Yes or No response for each category is required. NIH considers
grantees and principal investigators to be business partners.

19\. **Are records on the system retrieved by one or more data elements?
*Note:* *If Yes, please select all applicable IIF categories. If the
applicable IIF category is not listed, please use the Other field to
identify the appropriate category of IIF. ***

> If Yes, a Yes or No response for each category is required. In
> addition to providing insights into the functionality of a system,
> this question verifies the applicability of the Privacy Act.
> Therefore, if the system is subject to the Privacy Act (see Question
> #21), information must be retrieved by name or another personal
> identifier.

20\. **Are 10 or more records containing IIF maintained, stored or
transmitted/passed through this system?**

> Please indicate a Yes or No response.

\*21. **Is the system subject to the Privacy Act?**

> Answered previously on the PIA Summary. For more information on
> Privacy Act applicability, please see Section IV of this guide.

21A. **If yes, but a SOR has not been created, please provide an
explanation:**

> If the system is subject to the Privacy Act, the law requires that a
> SORN be published in the Federal Register. If a SORN has not been
> created, include a brief explanation indicating why this has not been
> done.

**[Information Sharing Practices Tab]{.smallcaps}**

22\. **Does the system share or disclose IIF with other divisions within
this agency, external agencies, or other people or organizations outside
the agency? *Note: If Yes, please identify the category of IIF shared or
disclosed. If the category of personal information is not listed, please
check Other and identify the category.***

> If yes, a Yes or No response for each category listed is required.

\*23. **If the system shares or discloses IIF, please specify with whom
and for what purpose(s):**

> Answered previously on the PIA Summary.

24\. **If the IIF in the system is matched against IIF in one or more
other computer systems, are computer data matching agreement(s) in
place?**

> Please indicate a Yes or No response. No record contained within a
> system of records may be disclosed to an agency or non-Federal agency
> for use in a computer matching program except pursuant to a written
> agreement between the source agency and the recipient agency.

25\. **Is there a process in place to notify organizations or systems
that are dependent upon the IIF contained in this system when major
changes occur (i.e., revisions to IIF, or when the system is
replaced)?**

> Self-explanatory.

26\. **Are individuals notified how their IIF is going to be used?
*Note: If Yes, describe the process for allowing individuals to have a
choice. ***

> If Yes, provide a brief but thorough description of how individuals
> are notified. For systems that are subject to the Privacy Act, and
> collect information from members of the public, System Owners/Managers
> must post a Privacy Act notification statement at the point at which
> personal information is provided by an individual, or requested by
> NIH, such as on a manual or electronic form, or on a website. See
> Section IV for more information on Privacy Act applicability.
>
> A Privacy Act notification statement should address the following
> criteria:
>
> 1\. What is the Government Authorization (PHS Act, public law,
> Statute, Executive Order, etc.) authorizing the information
> collection?
>
> 2\. What information is collected?
>
> 3\. What is the purpose of the information collection?
>
> 4\. What are the routine uses for disclosure of the information to
> others?
>
> 5\. Can the information be provided on a voluntary basis, or is it
> mandatory?
>
> 6\. If mandatory, what effect, if any, will there be if the
> information is not provided?

27\. **Is there a complaint process in place for individuals who believe
their IIF has been inappropriately obtained, used, or disclosed, or that
the IIF is inaccurate? *Note: If Yes, briefly describe the notification
process.***

> Please indicate a Yes or No response. If Yes, provide a brief
> description of the types of recourse given to members of the public
> whose personal information may appear in government systems.
>
> In accordance with the Privacy Act, all systems subject to the Privacy
> Act must have notification procedures contained within the SORN. The
> SORN indicates the procedures by which members of the public may
> contact System Owners/Managers to identify or make changes to the
> information about them that is contained within the system. System
> Owners/Managers should reference the SORN to review the language for
> the appropriate response, and ensure that the procedures specified are
> properly in place.
>
> For systems which contain IIF but are not subject to the Privacy Act,
> it is considered a best practice to have proper complaint procedures
> in place for individuals whose information might be contained within
> the system, in order to ensure the data's integrity.

28\. **Are there processes in place for periodic reviews of IIF
contained in the system to ensure the data's integrity, availability,
accuracy and relevancy? *Note: If Yes, briefly describe the review
process.***

> Please indicate a Yes or No response. If Yes, provide a brief but
> thorough description.

29\. **Are there rules of conduct in place for access to IIF on the
system? *Note: If Yes, identify all users with access to IIF on the
system and briefly state the purpose for each user to have access.***

> Please indicate a Yes or No response. If Yes, indicate a Yes or No for
> all categories of users for the system and provide a description of
> the users roles as they pertain to the system.
>
> All NIH systems should have roles and responsibilities established for
> each user role associated with the system. Pursuant to FISMA, all
> major systems, general support systems (GSS), and other applications
> which contain sensitive data must have a Certification and
> Accreditation (C&A) completed on them. As part of the C&A package, the
> System Security Plan (SSP) contains a description of user privileges.
> Consult the IC ISSO for more information.

\*30. **Please describe in detail the information the agency will
collect, maintain, or disseminate and why and for what purpose the
agency will use the information. In this description, indicate whether
the information contains IIF and whether submission of personal
information is voluntary or mandatory:**

> Answered previously on the PIA Summary.

\*31. **Please describe in detail any processes in place to:**

-   **Notify and obtain consent from the individuals whose IIF is in the
    system when major changes occur to the system (e.g., disclosure
    and/or data uses have changed since the notice at the time of the
    original collection)**

-   **Notify and obtain consent from individuals regarding what IIF is
    being collected from them and how the information will be used or
    shared:**

> Answered previously on the PIA Summary.

**[Website Hosting Practices Tab]{.smallcaps}**

\*32. **Does the system host a website? *Note: If yes, please indicate
what type of site the system hosts:***

> This question includes additional fields not required in the PIA
> Summary. If Yes, please indicate a Yes or No for each field.

33\. **Is the website accessible by the public or other entities (i.e.,
Federal, state, and/or local agencies, contractors, third party
administrators, etc.)?**

> Please indicate a Yes or No response.

34\. **Is a website privacy policy statement (consistent with OMB
M-03-22 and Title II and III of the E-Government Act) posted on the
website?**

> NIH ICs and other components must post clear privacy policies on
> top-level/principal Web sites, including NIH and IC-level sites, major
> on-line public resource sites and any other known major public entry
> points, as well as [any]{.underline} webpage that collects or posts
> personal information. Privacy policy links must be clearly labeled and
> easy to access by all visitors to a Web site. If the privacy statement
> is combined with other mandated or recommended Web site statements or
> information, the link should be labeled accordingly, e.g., Privacy Act
> notification statement.
>
> For more information regarding the NIH Website Privacy Policy, refer
> to NIH Manual Chapter 2805, "Web Page Privacy Policy" at:
> <http://www3.od.nih.gov/oma/manualchapters/management/2805/>.
>
> You may also view the NIH Website Privacy Policy Statement at:
> <http://www.nih.gov/about/privacy.htm>.

35\. **Is the website's privacy policy in machine-readable format, such
as Platform for Privacy Preferences (P3P)? *Note: If No, indicate when
the website will be P3P compliant.***

> Per the E-Government Act of 2002, all agency websites should have
> machine-readable privacy policies. NIH System Owners/Managers should
> consult with the IC Privacy Coordinators and the ISSOs to ensure that
> their websites are P3P compliant. For more information about
> Machine-Readable Privacy Policy and P3P compliance, refer to the
> following link for a list of frequently asked questions:
>
> <http://intranet.hhs.gov/infosec/docs/privacy/MRFAQ/Machine-Readable_Privacy_Policy_FAQs.html>

36\. **Does the website employ persistent tracking technologies? *Note:
If Yes, identify the type(s) of cookies in use.***

> Please indicate a Yes or No response. If Yes, indicate a Yes or No
> response for each category of persistent tracking technology. Cookies
> track computer use. Session cookies track the user's activities
> through a single website and are an approved use of cookies by HHS and
> NIH. "Persistent cookies" track the activities of users over time and
> across different Web sites. Federal policy states that Federal
> agencies and their contractors may not use persistent cookies on
> Federal Web sites [unless]{.underline} numerous conditions are met. If
> a justification exists for a particular system, the IC must submit a
> written request to the NIH SOP, who, in turn, must request approval
> from HHS before the persistent tracking technology can be installed
> and used.
>
> Refer to NIH Manual Chapter 2805, "Web Page Privacy Policy," to learn
> more about the use and Departmental approval of persistent cookies at:
> <http://www3.od.nih.gov/oma/manualchapters/management/2805/>

\*37. **Does the website have any information or pages directed at
children under the age of thirteen?**

> Answered previously on the PIA Summary.

38\. **Does the website collect IIF from individuals? *Note: If Yes,
indicate the category of IIF.***

> Please indicate a Yes or No response. If Yes, indicate a Yes or No
> response for each category listed. As a reminder, in the event that a
> website collects information from members of the public, a Privacy Act
> notification statement must be posted at the point at which personal
> information is provided by an individual, or requested by NIH. See
> Section IV of this guide, and Question #26 guidance for more
> information.

39\. **Are rules of conduct in place for access to IIF on the website?**

> Please indicate a Yes or No response. The rules of conduct should also
> be contained within the C&A SSP.

40\. **Does the website contain links to sites external to NIH? *Note:
If Yes, note whether the system provides a disclaimer notice for users
that follow external links to websites not owned or operated by NIH.***

> Please indicate a Yes or No response. If Yes, provide a brief but
> thorough description of what the disclaimer states.

**[Administrative Controls Tab (Security Requirements)]{.smallcaps}**

41\. **Has the system been certified and accredited (C&A)? *Note: If
Yes, please indicate when the C&A was completed.***

Please indicate a Yes or No response. If yes, enter the C&A completion
date. Since HHS uses the FISMA Tool to report on security and privacy,
the systems for which C&A data has been populated previously will
auto-populate into these fields. If there is no data entered, please
complete the fields.

If the system requires a C&A and one has not been completed, please
indicate when the C&A is scheduled for completion. Almost all
Major-Applications require a C&A, as well as General Support Systems
(GSS) and other applications that house information determined to be
sensitive in nature. Contact your IC ISSO if you have questions about
whether or not the system requires a C&A.

42\. **Is there a system security plan for this system?**

> Please indicate a Yes or No response. If a C&A has been completed on
> the system, check with your IC ISSO to verify that an SSP was
> completed with the C&A package.

43\. **Is there a contingency (or backup) plan for the system?**

> Please indicate a Yes or No response. This information should also
> appear in the system's C&A package.

44\. **Are files backed up regularly?**

> Please indicate a Yes or No response. This information should also
> appear in the system's C&A package.

45\. **Are backup files stored offsite?**

> Please indicate a Yes or No response. This information should also
> appear in the system's C&A package.

46\. **Are there user manuals for the system?**

> Please indicate a Yes or No response. This information should also
> appear in the system's C&A package.

47\. **Have personnel (system owners, managers, operators, contractors
and/or program managers) using the system been trained and made aware of
their responsibility for protecting the information being collected and
maintained?**

> Please indicate a Yes or No response.

48\. **If contractors operate or use the system, do the contracts
include clauses ensuring adherence to privacy provisions and
practices?**

Please indicate a Yes or No response. Contracts to design, develop and
implement websites and databases, for instance, must contain Federal
Acquisition Regulation (FAR) clauses pertaining to the Privacy Act.
Contact the IC Contracting Officer to ensure the applicable FAR clauses
are cited in the contract, and that a Privacy Act System of Record (SOR)
is attached to the contract for compliance by prime and sub-contractors
working on behalf of the Federal government*.*

49\. **Are methods in place to ensure least privilege (i.e., valid,
business, "need to know") and accountability? *Note: If Yes, specify
method(s).***

> Please indicate a Yes or No response. If Yes, provide a brief but
> thorough description.

\*50. **Are there policies or guidelines in place with regard to the
retention and destruction of IIF? *Note: If Yes, provide some detail
about these policies/practices.***

> This question includes additional fields not required in the PIA
> Summary. If Yes, please provide a brief, but detailed description of
> retention and destruction practices for the IIF contained in the
> system. For Privacy Act systems of records, records retention and
> disposal procedures should be indicated within the SORN cited for the
> system. If the system is not subject to the Privacy Act and does not
> have a SORN in place, consult with the IC Records Liaison to ascertain
> the appropriate records retention and disposal schedule for the
> system.

**[Technical Controls Tab]{.smallcaps}**

51\. **Are technical controls in place to minimize the possibility of
unauthorized access, use, or dissemination of the data in the system?
*Note: If Yes, check all technical controls in the boxes that are
currently in place.***

> Please indicate a Yes or No response. If Yes, a Yes or No response for
> each category of technical controls listed is required. This
> information should also appear in the system's C&A package and could
> include controls such as user ID/passwords, encryption, and
> biometrics.

52\. **Is there a process in place to monitor and respond to privacy
and/or security incidents? *Note: If Yes, briefly describe the
process.***

> Please indicate a Yes or No response. If Yes, provide a brief but
> thorough description of the procedures in place for handling suspected
> and confirmed incidents. Consult with your IC Privacy Coordinator and
> IC ISSO as necessary.

**[Physical Access Tab]{.smallcaps}**

53\. **Are physical access controls in place? *Note: If Yes, check all
physical controls in the boxes that are currently on the system. ***

> Please indicate a Yes or No response. If Yes, a Yes or No response for
> each category of physical controls listed is required. This
> information should also appear in the system's C&A package, and can
> include categories such as guards, close-circuit TV, and physical
> locks.

\*54. **Briefly describe in detail how the IIF will be secured on the
system using administrative, technical, and physical controls.**

> Answered previously on the PIA Summary.

**[Approval - Promotion/Demotion Tab]{.smallcaps}**

For all System Owners/Managers conducting PIAs, or IC Privacy
Coordinators:

If the PIA is complete and accurate, circulate it internally within the
respective IC to obtain clearance/approval. This can be done manually,
by printing the PIA and routing it for approval, or electronically, by
exporting the PIA to Word and e-mailing it. Those with access to the
FISMA Tool can review the PIA electronically, and offer comments.

1\. **PIA Reviewer Approval/Promotion or Demotion**

> The PIA Reviewer role should typically be assigned to the appropriate
> IC Privacy Coordinator, who reviews the submitted PIA for completeness
> and accuracy. If changes are necessary following the review of the
> PIA, the PIA Reviewer will request changes by indicating comments in
> the FISMA Tool and demote the PIA to the System Owner for correction.
> Once approved, the PIA Reviewer should promote the PIA to the NIH SOP
> by selecting Promote from the drop-down menu and entering his or her
> name and contact information in the appropriate boxes.

2\. **Senior Official for Privacy Approval/Promotion or Demotion**

> The NIH SOP will review the PIAs once approved at the IC-level, and
> will either Demote it back to the IC for revisions, or Promote it to
> the Department for approval.

3\. **OPDIV Senior Official for Privacy or Designee Approval**

> The NIH SOP will include the appropriate contact information to this
> section prior to submission to the Department.

4\. **Department Approval to Publish to the Web**

> Once the PIA is approved at the Department level, NIH will be notified
> of the publication date, and the summary will be posted on the HHS
> website at <http://www.hhs.gov/pia/nih/index.html>.

**[VII. Conclusion]{.smallcaps}**

NIH must perform thorough PIAs to satisfy the requirements of the
*E-Government Act* as set forth in Departmental policy. An accurate PIA
presents NIH with the opportunity to assess its compliance with the
requirements of the Privacy Act, E-Government Act of 2002, FISMA, COPPA,
and other federal laws, policies, and memoranda. Furthermore, because
the PIA summaries are made publicly available, the Department and NIH
are presented with an opportunity to assure the public that it is
providing government services in a manner that considers the sensitivity
of the personal information it receives.

**Appendix I**

+---+---+---+---+-------------------------------------------------+-----------+---+
|   | * |   |   |                                                 | ProSight  |   |
|   | * |   |   |                                                 |           |   |
|   | 0 |   |   |                                                 |           |   |
|   | 6 |   |   |                                                 |           |   |
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+---+---+---+---+-------------------------------------------------+-----------+---+
|   |   |   |   |                                                 |           |   |
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| * |   |   |   |                                                 |           |   |
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+---+---+---+---+-------------------------------------------------+-----------+---+
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+---+---+---+---+-------------------------------------------------+-----------+---+
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+---+---+---+---+-------------------------------------------------+-----------+---+

 

  -------------------- ----------------------------------- --------------- -------------------------- ---------- ----------- ---------- ----------- ---------- ----------- --- ------- ------- --
  **PIA REQUIRED                                                                                                                                                                               
  INFORMATION**                                                                                                                                                                                

  **1**                                                    **HHS Privacy                                                                                                                       
                                                           Impact                                                                                                                              
                                                           Assessment                                                                                                                          
                                                           (PIA)**                                                                                                                             

  **The PIA determines                                                                                                                                                                         
  if information in                                                                                                                                                                            
  identifiable form                                                                                                                                                                            
  (IIF) is contained                                                                                                                                                                           
  within a system,                                                                                                                                                                             
  what kind of IIF,                                                                                                                                                                            
  what is done with                                                                                                                                                                            
  that information,                                                                                                                                                                            
  and how that                                                                                                                                                                                 
  information is                                                                                                                                                                               
  protected. Systems                                                                                                                                                                           
  with IIF are subject                                                                                                                                                                         
  to an extensive list                                                                                                                                                                         
  of requirements                                                                                                                                                                              
  based on privacy                                                                                                                                                                             
  laws, regulations,                                                                                                                                                                           
  and guidance. The                                                                                                                                                                            
  HHS Privacy Act                                                                                                                                                                              
  Officer, for issues                                                                                                                                                                          
  related to Freedom                                                                                                                                                                           
  of Information Act                                                                                                                                                                           
  (FOIA) and the                                                                                                                                                                               
  Privacy Act, and                                                                                                                                                                             
  respective Operating                                                                                                                                                                         
  Division (OPDIV)                                                                                                                                                                             
  Privacy Contacts,                                                                                                                                                                            
  for issues related                                                                                                                                                                           
  to the Privacy Act,                                                                                                                                                                          
  can all be used as a                                                                                                                                                                         
  resource for                                                                                                                                                                                 
  questions related to                                                                                                                                                                         
  the technicalities                                                                                                                                                                           
  of privacy law. The                                                                                                                                                                          
  Office of the Chief                                                                                                                                                                          
  Information Officer                                                                                                                                                                          
  (OCIO) can be used                                                                                                                                                                           
  as a resource for                                                                                                                                                                            
  questions related to                                                                                                                                                                         
  the administrative,                                                                                                                                                                          
  technical, and                                                                                                                                                                               
  physical controls of                                                                                                                                                                         
  the system.  Please                                                                                                                                                                          
  note that answers to                                                                                                                                                                         
  questions with an                                                                                                                                                                            
  asterisk (\*) will                                                                                                                                                                           
  be submitted to the                                                                                                                                                                          
  Office of Management                                                                                                                                                                         
  and Budget (OMB) and                                                                                                                                                                         
  made publicly                                                                                                                                                                                
  available in                                                                                                                                                                                 
  accordance with OMB                                                                                                                                                                          
  Memorandum (M)                                                                                                                                                                               
  03-22.**                                                                                                                                                                                     

  **Note: If a                                                                                                                                                                                 
  question or its                                                                                                                                                                              
  response is not                                                                                                                                                                              
  applicable, please                                                                                                                                                                           
  answer "No" to that                                                                                                                                                                          
  question.**                                                                                                                                                                                  

  **2**                                                    **General                                                                                                                           
                                                           Information**                                                                                                                       

  **\*Is this a new                                                                                                                                                                            
  PIA?**                                                                                                                                                                                       

  **If this is an                                                                                                                                                                              
  existing PIA, please                                                                                                                                                                         
  provide a reason for                                                                                                                                                                         
  revision:**                                                                                                                                                                                  

  ** **                                                                                                                                                                                        

  **\*1. Date of this                                                                                                                                                                          
  Submission:**                                                                                                                                                                                

  **\*2. OPDIV Name:**                                                                                                                                         NIH                             

  **\*3. Unique                                                                                                                                                                                
  Project Identifier                                                                                                                                                                           
  (UPI) Number:**                                                                                                                                                                              

  **      Note: If the                                                                                                                                                                         
  system does not have                                                                                                                                                                         
  a UPI, please                                                                                                                                                                                
  explain why it does                                                                                                                                                                          
  not:**                                                                                                                                                                                       

  **\*4. Privacy Act                                                                                                                                                                           
  System of Records                                                                                                                                                                            
  (SOR) Number:**                                                                                                                                                                              

  **\*5. OMB                                                                                                                                                                                   
  Information                                                                                                                                                                                  
  Collection Approval                                                                                                                                                                          
  Number:**                                                                                                                                                                                    

  **      OMB                                                                                                                                                                                  
  Collection Approval                                                                                                                                                                          
  Number Expiration                                                                                                                                                                            
  Date:**                                                                                                                                                                                      

  **\*6. Other                                                                                                                                                                                 
  Identifying                                                                                                                                                                                  
  Number(s):**                                                                                                                                                                                 

  **\*7. System                                                                                                                                                                                
  Name:**                                                                                                                                                                                      

  **8. System                                                                                                                                                                                  
  Location:  (OPDIV or                                                                                                                                                                         
  contractor office                                                                                                                                                                            
  building, room,                                                                                                                                                                              
  city, and state)**                                                                                                                                                                           

                                                                                                                                                                                               

                       **System Location:**                                                                                                                                            ** **   

                       **OPDIV or contractor office                                                                                                                                            
                       building**                                                                                                                                                              

                       **Room**                                                                                                                                                                

                       **City**                                                                                                                                                                

                       **State**                                                                                                                                                               

                                                                                                                                                                                               

  **\*9. System Point                                                                                                                                                                          
  of Contact (POC)                                                                                                                                                                             
  (name, title,                                                                                                                                                                                
  organization, phone,                                                                                                                                                                         
  email). The System                                                                                                                                                                           
  POC is the person to                                                                                                                                                                         
  whom questions about                                                                                                                                                                         
  the system and the                                                                                                                                                                           
  responses to this                                                                                                                                                                            
  PIA may be                                                                                                                                                                                   
  addressed:**                                                                                                                                                                                 

                                                                                                                                                                                               

                       **Point of Contact Information**                                                                                                                        ** **           

                       **POC Name**                                                                                                                                                            

                                                                                                                                                                                               

                       **The following information will                                                                                                                                        
                       not be made publicly available:**                                                                                                                                       

                                                                                                                                                                                               

                       **POC Title**                                                                                                                                                           

                       **POC Organization**                                                                                                                                                    

                       **POC Phone**                                                                                                                                                           

                       **POC Email**                                                                                                                                                           

                                                                                                                                                                                               

  **\*10. Provide an                                                                                                                                                                           
  overview of the                                                                                                                                                                              
  system:**                                                                                                                                                                                    

                                                                                                                                                                                               

  **SYSTEM                                                                                                                                                                                     
  CHARACTERIZATION­ AND                                                                                                                                                                         
  DATA                                                                                                                                                                                         
  CATEGORIZATION**                                                                                                                                                                             

  **1**                                                                    **System Characterization­                                                                                           
                                                                           and Data Configuration**                                                                                            

  **11. Does HHS own                                                                                                                                                                           
  the system?**                                                                                                                                                                                

  **       If no,                                                                                                                                                                              
  identify the system                                                                                                                                                                          
  owner:**                                                                                                                                                                                     

  ** **                                                                                                                                                                                        

  **12. Does HHS                                                                                                                                                                               
  operate the                                                                                                                                                                                  
  system?**                                                                                                                                                                                    

  **       If no,                                                                                                                                                                              
  identify the system                                                                                                                                                                          
  operator:**                                                                                                                                                                                  

  ** **                                                                                                                                                                                        

  **\*13. Indicate if                                                                                                                                                                          
  the system is new or                                                                                                                                                                         
  an existing one                                                                                                                                                                              
  being modified:**                                                                                                                                                                            

  ** **                                                                                                                                                                                        

  **14. Identify the                                                                                                                                                                           
  life-cycle phase of                                                                                                                                                                          
  this system:**                                                                                                                                                                               

                                                                                                                                                                                               

                       **Phase:**                                                                     **                                                                                       
                                                                                                                                                                                               
                                                                                                                                                                                               
                                                                                                                                                                                               
                                                                                                        Yes/No**                                                                               

                       **Initiation**                                                                                                                                                          

                       **Development/Acqu­isition**                                                                                                                                             

                       **Implementation**                                                                                                                                                      

                       **Operations/Maint­enance**                                                                                                                                              

                       **Disposal**                                                                                                                                                            

                       **Mixed Life Cycle**                                                                                                                                                    

                                                                                                                                                                                               

  ** **                                                                                                                                                                                        

  **15. Have any of                                                                                                                                                                            
  the following major                                                                                                                                                                          
  changes occurred to                                                                                                                                                                          
  the system since the                                                                                                                                                                         
  PIA was last                                                                                                                                                                                 
  submitted?**                                                                                                                                                                                 

                                                                                                                                                                                               

                       **If yes, please check each major                                                                                **                                                     
                       change that has occurred:**                                                                                                                                             
                                                                                                                                                                                               
                                                                                                                                                                                               
                                                                                                                                         Yes/No**                                              

                       **Conversions**                                                                                                                                                         

                       **Anonymous to Non-Anonymous**                                                                                                                                          

                       **Significant System Management                                                                                                                                         
                       Changes**                                                                                                                                                               

                       **Significant Merging**                                                                                                                                                 

                       **New Public Access**                                                                                                                                                   

                       **Commercial Sources**                                                                                                                                                  

                       **New Interagency Uses**                                                                                                                                                

                       **Internal Flow or Collection**                                                                                                                                         

                       **Alteration in Character of Data**                                                                                                                                     

                                                                                                                                                                                               

  ** **                                                                                                                                                                                        

  **16. Is the system                                                                                                                                                                          
  a General Support                                                                                                                                                                            
  System (GSS) or a                                                                                                                                                                            
  Major Application                                                                                                                                                                            
  (MA)?**                                                                                                                                                                                      

  ** **                                                                                                                                                                                        

  **\*17. Does/Will                                                                                                                                                                            
  the system collect,                                                                                                                                                                          
  maintain (store),                                                                                                                                                                            
  disseminate and/or                                                                                                                                                                           
  pass through IIF                                                                                                                                                                             
  within any                                                                                                                                                                                   
  database(s),                                                                                                                                                                                 
  record(s), file(s)                                                                                                                                                                           
  or website(s) hosted                                                                                                                                                                         
  by this system?**                                                                                                                                                                            

  **Note: This                                                                                                                                                                                 
  question seeks to                                                                                                                                                                            
  identify any, and                                                                                                                                                                            
  all, personal                                                                                                                                                                                
  information                                                                                                                                                                                  
  associated with the                                                                                                                                                                          
  system. This                                                                                                                                                                                 
  includes any IIF,                                                                                                                                                                            
  whether or not it is                                                                                                                                                                         
  subject to the                                                                                                                                                                               
  Privacy Act, whether                                                                                                                                                                         
  the individuals are                                                                                                                                                                          
  employees, the                                                                                                                                                                               
  public, research                                                                                                                                                                             
  subjects, or whether                                                                                                                                                                         
  it is personal                                                                                                                                                                               
  information about                                                                                                                                                                            
  business partners,                                                                                                                                                                           
  and whether provided                                                                                                                                                                         
  voluntarily or                                                                                                                                                                               
  collected by                                                                                                                                                                                 
  mandate. Later                                                                                                                                                                               
  questions will try                                                                                                                                                                           
  to understand the                                                                                                                                                                            
  character of the                                                                                                                                                                             
  data and its                                                                                                                                                                                 
  applicability to the                                                                                                                                                                         
  requirements under                                                                                                                                                                           
  the Privacy Act or                                                                                                                                                                           
  other legislation.**                                                                                                                                                                         

  **Note: If no IIF is                                                                                                                                                                         
  contained in the                                                                                                                                                                             
  system, please                                                                                                                                                                               
  answer questions 21,                                                                                                                                                                         
  23, 30, 31, 32, 37,                                                                                                                                                                          
  50 and 54, then                                                                                                                                                                              
  promote the PIA to                                                                                                                                                                           
  the OPDIV Senior                                                                                                                                                                             
  Official for Privacy                                                                                                                                                                         
  who will authorize                                                                                                                                                                           
  the PIA.**                                                                                                                                                                                   

  **If this system                                                                                                                                                                             
  contains IIF, all                                                                                                                                                                            
  remaining questions                                                                                                                                                                          
  on the PIA Form Tabs                                                                                                                                                                         
  must be completed                                                                                                                                                                            
  prior to signature                                                                                                                                                                           
  and promotion.**                                                                                                                                                                             

                       **Please select \"Yes\" for all                                                                                                                                         
                       applicable IIF categories.  If the                                                                                                                                      
                       applicable IIF category is not                                                                                                                                          
                       listed, please use the Other field                                                                                                                                      
                       to identify the appropriate                                                                                                                                             
                       category of IIF:**                                                                                                                                                      

                                                                                                                                                                                               

                       **Check all that Apply:**                                                                 **                                                                            
                                                                                                                                                                                               
                                                                                                                                                                                               
                                                                                                                                                                                               
                                                                                                                    Yes/No**                                                                   

                       **Date of Birth**                                                                                                                                                       

                       **Social Security Number (SSN)**                                                                                                                                        

                       **Photographic Identifiers**                                                                                                                                            

                       **Driver's License**                                                                                                                                                    

                       **Biometric Identifiers**                                                                                                                                               

                       **Mother's Maiden Name**                                                                                                                                                

                       **Vehicle Identifiers**                                                                                                                                                 

                       **Mailing Address**                                                                                                                                                     

                       **Phone Numbers**                                                                                                                                                       

                       **Medical Records Numbers**                                                                                                                                             

                       **Medical Notes**                                                                                                                                                       

                       **Financial Account Information**                                                                                                                                       

                       **Certificates**                                                                                                                                                        

                       **Legal Documents**                                                                                                                                                     

                       **Device Identifiers**                                                                                                                                                  

                       **Web Uniform Resource Locator(s)                                                                                                                                       
                       (URL)**                                                                                                                                                                 

                       **Email Address**                                                                                                                                                       

                       **Education Records**                                                                                                                                                   

                       **Military Status**                                                                                                                                                     

                       **Employment Status**                                                                                                                                                   

                       **Foreign Activities**                                                                                                                                                  

                       **Other**                                                                                                                                                               

                                                                                                                                                                                               

  ** **                                                                                                                                                                                        

                       **18. Please indicate the                                                                                                                                               
                       categories of individuals about                                                                                                                                         
                       whom IIF is collected, maintained,                                                                                                                                      
                       disseminated and/or passed                                                                                                                                              
                       through.  Note:  If the applicable                                                                                                                                      
                       IIF category is not listed, please                                                                                                                                      
                       use the Other field to identify the                                                                                                                                     
                       appropriate category of IIF.**                                                                                                                                          

                                                                                                                                                                                               

                       **Categories:**                                                                                       **                                                                
                                                                                                                                                                                               
                                                                                                                                                                                               
                                                                                                                                                                                               
                                                                                                                                                                                               
                                                                                                                             Yes/No**                                                          

                       **Employees**                                                                                                                                                           

                       **Public Citizen**                                                                                                                                                      

                       **Patients**                                                                                                                                                            

                       **Business partners/contact­s                                                                                                                                            
                       (Federal, state, local agencies)**                                                                                                                                      

                       **Vendors/Supplier­s/Contractors**                                                                                                                                       

                       **Other**                                                                                                                                                               

                                                                                                                                                                                               

  ** **                                                                                                                                                                                        

  **19. Are records on                                                                                                                                                                         
  the system retrieved                                                                                                                                                                         
  by one or more data                                                                                                                                                                          
  elements?**                                                                                                                                                                                  

                       **If yes, please select all                                                                                                                                             
                       applicable IIF categories.  If the                                                                                                                                      
                       applicable IIF category is not                                                                                                                                          
                       listed, please use the Other field                                                                                                                                      
                       to identify the appropriate                                                                                                                                             
                       category of IIF.**                                                                                                                                                      

                                                                                                                                                                                               

                       **Please specify what data elements                                                                                          **                                         
                       are or will be used in retrieving                                                                                                                                       
                       the records:**                                                                                                                                                          
                                                                                                                                                                                               
                                                                                                                                                      Yes/No**                                 

                       **Name**                                                                                                                                                                

                       **Date of Birth**                                                                                                                                                       

                       **SSN**                                                                                                                                                                 

                       **Photographic Identifiers**                                                                                                                                            

                       **Driver's License**                                                                                                                                                    

                       **Biometric Identifiers**                                                                                                                                               

                       **Mother's Maiden Name**                                                                                                                                                

                       **Vehicle Identifiers**                                                                                                                                                 

                       **Mailing Address**                                                                                                                                                     

                       **Phone Numbers**                                                                                                                                                       

                       **Medical Records Numbers**                                                                                                                                             

                       **Medical Notes**                                                                                                                                                       

                       **Financial Account Information**                                                                                                                                       

                       **Certificates**                                                                                                                                                        

                       **Legal Documents**                                                                                                                                                     

                       **Device Identifiers**                                                                                                                                                  

                       **Web URLs**                                                                                                                                                            

                       **Email Address**                                                                                                                                                       

                       **Education Records**                                                                                                                                                   

                       **Military Status**                                                                                                                                                     

                       **Employment Status**                                                                                                                                                   

                       **Foreign Activities**                                                                                                                                                  

                       **Other**                                                                                                                                                               

                                                                                                                                                                                               

  ** **                                                                                                                                                                                        

  **20. Are 10 or more                                                                                                                                                                         
  records containing                                                                                                                                                                           
  IIF maintained,                                                                                                                                                                              
  stored or                                                                                                                                                                                    
  transmitted/pass­ed                                                                                                                                                                           
  through this                                                                                                                                                                                 
  system?**                                                                                                                                                                                    

  ** **                                                                                                                                                                                        

  **\*21. Is the                                                                                                                                                                               
  system subject to                                                                                                                                                                            
  the Privacy Act?**                                                                                                                                                                           

  ** 21 A.   If yes,                                                                                                                                                                           
  but a SOR has not                                                                                                                                                                            
  been created, please                                                                                                                                                                         
  provide an                                                                                                                                                                                   
  explanation:**                                                                                                                                                                               
  -------------------- ----------------------------------- --------------- -------------------------- ---------- ----------- ---------- ----------- ---------- ----------- --- ------- ------- --

 

  ------------------------------------------------------------------------ ------------------ -------------------- ------------------ ------------------ -------------- ------------- --------------- ------------ --------------------------- --- ------------ ---------- ------------ --- ------------- -- ---------- -- --
   **INFORMATION SHARING PRACTICES**                                                                                                                                                                                                                                                                                       

  **1**                                                                                                                                                                               **Information                                                                                                                        
                                                                                                                                                                                      Sharing                                                                                                                              
                                                                                                                                                                                      Practices**                                                                                                                          

  **22. Does the system share or disclose IIF with other divisions within                                                                                                                                                                                                                                                  
  this agency, external agencies, or other people or organizations outside                                                                                                                                                                                                                                                 
  the agency?**                                                                                                                                                                                                                                                                                                            

                                                                                                                                                                                                                                                                                                                           

                                                                                              ** If yes, please                                                                                                                                                                                              ** **         
                                                                                              identify the                                                                                                                                                                                                                 
                                                                                              category of IIF                                                                                                                                                                                                              
                                                                                              shared or                                                                                                                                                                                                                    
                                                                                              disclosed.  If the                                                                                                                                                                                                           
                                                                                              category of personal                                                                                                                                                                                                         
                                                                                              information is not                                                                                                                                                                                                           
                                                                                              listed, please check                                                                                                                                                                                                         
                                                                                              Other and identify                                                                                                                                                                                                           
                                                                                              the category.**                                                                                                                                                                                                              

                                                                                              **Name**                                                                                                                                                                                                                     

                                                                                              **Date of Birth**                                                                                                                                                                                                            

                                                                                              **SSN**                                                                                                                                                                                                                      

                                                                                              **Photographic                                                                                                                                                                                                               
                                                                                              Identifiers**                                                                                                                                                                                                                

                                                                                              **Driver's License**                                                                                                                                                                                                         

                                                                                              **Biometric                                                                                                                                                                                                                  
                                                                                              Identifiers**                                                                                                                                                                                                                

                                                                                              **Mother's Maiden                                                                                                                                                                                                            
                                                                                              Name**                                                                                                                                                                                                                       

                                                                                              **Vehicle                                                                                                                                                                                                                    
                                                                                              Identifiers**                                                                                                                                                                                                                

                                                                                              **Mailing Address**                                                                                                                                                                                                          

                                                                                              **Phone Numbers**                                                                                                                                                                                                            

                                                                                              **Medical Records                                                                                                                                                                                                            
                                                                                              Numbers**                                                                                                                                                                                                                    

                                                                                              **Medical Notes**                                                                                                                                                                                                            

                                                                                              **Financial Account                                                                                                                                                                                                          
                                                                                              Information**                                                                                                                                                                                                                

                                                                                              **Certificates**                                                                                                                                                                                                             

                                                                                              **Legal Documents**                                                                                                                                                                                                          

                                                                                              **Device                                                                                                                                                                                                                     
                                                                                              Identifiers**                                                                                                                                                                                                                

                                                                                              **Web URLs**                                                                                                                                                                                                                 

                                                                                              **Email Address**                                                                                                                                                                                                            

                                                                                              **Education                                                                                                                                                                                                                  
                                                                                              Records**                                                                                                                                                                                                                    

                                                                                              **Military Status**                                                                                                                                                                                                          

                                                                                              **Employment                                                                                                                                                                                                                 
                                                                                              Status**                                                                                                                                                                                                                     

                                                                                              **Foreign                                                                                                                                                                                                                    
                                                                                              Activities**                                                                                                                                                                                                                 

                                                                                              **Other**                                                                                                                                                                                                                    

                                                                                                                                                                                                                                                                                                                           

  ** **                                                                                                                                                                                                                                                                                                                    

  **\*23. If the system shares or discloses IIF please specify with whom                                                                                                                                                                                                                                                   
  and for what purpose(s):**                                                                                                                                                                                                                                                                                               

  ** **                                                                                                                                                                                                                                                                                                                    

  **24. If the IIF in the system is matched against IIF in one or more                                                                                                                                                                                                                                                     
  other computer systems, are computer data matching agreement(s) in                                                                                                                                                                                                                                                       
  place?**                                                                                                                                                                                                                                                                                                                 

  ** **                                                                                                                                                                                                                                                                                                                    

  **25. Is there a process in place to notify organizations or systems                                                                                                                                                                                                                                                     
  that are dependent upon the IIF contained in this system when major                                                                                                                                                                                                                                                      
  changes occur (i.e., revisions to IIF, or when the system is                                                                                                                                                                                                                                                             
  replaced)?**                                                                                                                                                                                                                                                                                                             

  ** **                                                                                                                                                                                                                                                                                                                    

  **26. Are individuals notified how their IIF is going to be used?**                                                                                                                                                                                                                                                      

  **If yes, please describe the process for allowing individuals to have a                                                                                                                                                                                                                                                 
  choice:**                                                                                                                                                                                                                                                                                                                

  ** **                                                                                                                                                                                                                                                                                                                    

  **27. Is there a complaint process in place for individuals who believe                                                                                                                                                                                                                                                  
  their IIF has been inappropriately obtained, used, or disclosed, or that                                                                                                                                                                                                                                                 
  the IIF is inaccurate?**                                                                                                                                                                                                                                                                                                 

  **If yes, please describe briefly the notification process:**                                                                                                                                                                                                                                                            

  ** **                                                                                                                                                                                                                                                                                                                    

  **28. Are there processes in place for periodic reviews of IIF contained                                                                                                                                                                                                                                                 
  in the system to ensure the data's integrity, availability, accuracy and                                                                                                                                                                                                                                                 
  relevancy?**                                                                                                                                                                                                                                                                                                             

  **If yes, please describe briefly the review process:**                                                                                                                                                                                                                                                                  

  ** **                                                                                                                                                                                                                                                                                                                    

  **29. Are there rules of conduct in place for access to IIF on the                                                                                                                                                                                                                                                       
  system?**                                                                                                                                                                                                                                                                                                                

  **If yes, identify all users with access to IIF on the system and                                                                                                                                                                                                                                                        
  briefly state the purpose for each user to have access:**                                                                                                                                                                                                                                                                

                                                                                                                                                                                                                                                                                                                           

                                                                                              **Users with access                                                                                                                                  **Yes/No**                               **Purpose**                    
                                                                                              to IIF**                                                                                                                                                                                                                     

                                                                                              **User**                                                                                                                                                                                                                     

                                                                                              **Administrators**                                                                                                                                                                                                           

                                                                                              **Developers**                                                                                                                                                                                                               

                                                                                              **Contractors**                                                                                                                                                                                                              

                                                                                              **Other**                                                                                                                                                                                                                    

                                                                                                                                                                                                                                                                                                                           

  **\*30. Please describe in detail the information the agency will                                                                                                                                                                                                                                                        
  collect, maintain, or disseminate and why and for what purpose the                                                                                                                                                                                                                                                       
  agency will use the information.  In this description, indicate whether                                                                                                                                                                                                                                                  
  the information contains IIF and whether submission of personal                                                                                                                                                                                                                                                          
  information is voluntary or mandatory:**                                                                                                                                                                                                                                                                                 

  ** **                                                                                                                                                                                                                                                                                                                    

  **\*31. Please describe in detail any processes in place to:                                                                                                                                                                                                                                                             
                                                                                                                                                                                                                                                                                                                           
                 •    notify and obtain consent from the individuals whose                                                                                                                                                                                                                                                 
  IIF is in the system when major changes occur to the system (e.g.,                                                                                                                                                                                                                                                       
  disclosure and/or data uses have changed since the notice at the time of                                                                                                                                                                                                                                                 
  the original collection)                                                                                                                                                                                                                                                                                                 
                                      •    notify and obtain consent from                                                                                                                                                                                                                                                  
  individuals regarding what IIF is being collected from them and how the                                                                                                                                                                                                                                                  
  information will be used or shared:**                                                                                                                                                                                                                                                                                    

  **Note: Please describe in what format individuals will be given notice                                                                                                                                                                                                                                                  
  of consent (e.g., written notice, electronic notice, etc.).**                                                                                                                                                                                                                                                            

  **WEBSITE HOSTING PRACTICES**                                                                                                                                                                                                                                                                                            

  **1**                                                                                                                                                                 **Website                                                                                                                                          
                                                                                                                                                                        Hosting                                                                                                                                            
                                                                                                                                                                        Practices**                                                                                                                                        

  **32. Does the system host a website?**                                                                                                                                                                                                                                                                                  

                                                                                                                                                                                                                                                                                                                           

                                                                           **If yes, please                                                                                                                                                                                **Yes/ No**                                     
                                                                           indicate what type                                                                                                                                                                                                                              
                                                                           of site the system                                                                                                                                                                                                                              
                                                                           hosts:**                                                                                                                                                                                                                                        

                                                                           **Internet**                                                                                                                                                                                                                                    

                                                                           **Intranet**                                                                                                                                                                                                                                    

                                                                           **Both**                                                                                                                                                                                                                                        

                                                                                                                                                                                                                                                                                                                           

  **33. Is the website accessible by the public or other entities (i.e.,                                                                                                                                                                                                                                                   
  Federal, state, and/or local agencies, contractors, third party                                                                                                                                                                                                                                                          
  administrators, etc.)?**                                                                                                                                                                                                                                                                                                 

  ** **                                                                                                                                                                                                                                                                                                                    

  **34. Is a website privacy policy statement (consistent with OMB M-03-22                                                                                                                                                                                                                                                 
  and Title II and III of the E-Government Act) posted on the website?**                                                                                                                                                                                                                                                   

  ** **                                                                                                                                                                                                                                                                                                                    

  **35. Is the website's privacy policy in machine-readable­ format, such                                                                                                                                                                                                                                                   
  as Platform for Privacy Preferences (P3P)?**                                                                                                                                                                                                                                                                             

  ** If no, please indicate when the website will be P3P compliant:**                                                                                                                                                                                                                                                      

  **36. Does the website employ persistent tracking technologies?**                                                                                                                                                                                                                                                        

                                                                                                                                                                                                                                                                                                                           

                                                                           ** If yes,                                                                                                                                                                           **                                                         
                                                                           identify the                                                                                                                                                                                                                                    
                                                                           type(s) of cookies                                                                                                                                                                                                                              
                                                                           in use:**                                                                                                                                                                            Yes/No**                                                   

                                                                           **Web Bugs**                                                                                                                                                                                                                                    

                                                                           **Web Beacons**                                                                                                                                                                                                                                 

                                                                           **Session                                                                                                                                                                                                                                       
                                                                           Cookies**                                                                                                                                                                                                                                       

                                                                           **Persistent                                                                                                                                                                                                                                    
                                                                           Cookies**                                                                                                                                                                                                                                       

                                                                           **Other**                                                                                                                                                                                                                                       

                                                                                                                                                                                                                                                                                                                           

  ** **                                                                                                                                                                                                                                                                                                                    

  **\*37. Does the website have any information or pages directed at                                                                                                                                                                                                                                                       
  children under the age of thirteen?**                                                                                                                                                                                                                                                                                    

  ** If yes, is there a unique privacy policy for the site, and does the                                                                                                                                                                                                                                                   
  unique privacy policy address the process for obtaining parental consent                                                                                                                                                                                                                                                 
  if any information is collected?**                                                                                                                                                                                                                                                                                       

  ** **                                                                                                                                                                                                                                                                                                                    

  **38. Does the website collect IIF from individuals?**                                                                                                                                                                                                                                                                   

                                                                                                                                                                                                                                                                                                                           

                                                                           **If yes, please                                                                                                                                                                                **Yes/No**                                      
                                                                           indicate the                                                                                                                                                                                                                                    
                                                                           category of IIF:**                                                                                                                                                                                                                              

                                                                           **Name**                                                                                                                                                                                                                                        

                                                                           **Date of Birth**                                                                                                                                                                                                                               

                                                                           **SSN**                                                                                                                                                                                                                                         

                                                                           **Photographic                                                                                                                                                                                                                                  
                                                                           Identifiers**                                                                                                                                                                                                                                   

                                                                           **Driver\'s                                                                                                                                                                                                                                     
                                                                           License**                                                                                                                                                                                                                                       

                                                                           **Biometric                                                                                                                                                                                                                                     
                                                                           Identifiers**                                                                                                                                                                                                                                   

                                                                           **Mother\'s Maiden                                                                                                                                                                                                                              
                                                                           Name**                                                                                                                                                                                                                                          

                                                                           **Vehicle                                                                                                                                                                                                                                       
                                                                           Identifiers**                                                                                                                                                                                                                                   

                                                                           **Mailing                                                                                                                                                                                                                                       
                                                                           Address**                                                                                                                                                                                                                                       

                                                                           **Phone Numbers**                                                                                                                                                                                                                               

                                                                           **Medical Records                                                                                                                                                                                                                               
                                                                           Numbers**                                                                                                                                                                                                                                       

                                                                           **Medical Notes**                                                                                                                                                                                                                               

                                                                           **Financial                                                                                                                                                                                                                                     
                                                                           Account                                                                                                                                                                                                                                         
                                                                           Information**                                                                                                                                                                                                                                   

                                                                           **Certificates**                                                                                                                                                                                                                                

                                                                           **Legal                                                                                                                                                                                                                                         
                                                                           Documents**                                                                                                                                                                                                                                     

                                                                           **Device                                                                                                                                                                                                                                        
                                                                           Identifiers**                                                                                                                                                                                                                                   

                                                                           **Web URLs**                                                                                                                                                                                                                                    

                                                                           **Email Address**                                                                                                                                                                                                                               

                                                                           **Education                                                                                                                                                                                                                                     
                                                                           Records**                                                                                                                                                                                                                                       

                                                                           **Military                                                                                                                                                                                                                                      
                                                                           Status**                                                                                                                                                                                                                                        

                                                                           **Employment                                                                                                                                                                                                                                    
                                                                           Status**                                                                                                                                                                                                                                        

                                                                           **Foreign                                                                                                                                                                                                                                       
                                                                           Activities**                                                                                                                                                                                                                                    

                                                                           **Other**                                                                                                                                                                                                                                       

                                                                                                                                                                                                                                                                                                                           

  ** **                                                                                                                                                                                                                                                                                                                    

  **39. Are rules of conduct in place for access to IIF on the website?**                                                                                                                                                                                                                                                  

  **40. Does the website contain links to sites external to the OPDIV that                                                                                                                                                                                                                                                 
  owns and/or operates the system?**                                                                                                                                                                                                                                                                                       

  **If yes, note whether the system provides a disclaimer notice for users                                                                                                                                                                                                                                                 
  that follow external links to websites not owned or operated by the                                                                                                                                                                                                                                                      
  OPDIV.**                                                                                                                                                                                                                                                                                                                 

  **ADMINISTRATIVE CONTROLS**                                                                                                                                                                                                                                                                                              

  **1**                                                                                                                               **Administrative                                                                                                                                                                     
                                                                                                                                      Controls**                                                                                                                                                                           

  **Note: This PIA uses the terms "Administrative,­" "Technical" and                                                                                                                                                                                                                                                        
  "Physical" to refer to security control questions---terms that are used                                                                                                                                                                                                                                                  
  in several Federal laws when referencing security requirements.**                                                                                                                                                                                                                                                        

  **2**                                                                                                                               ** **                                                                                                                                                                                

  **41. Has the system been certified and accredited (C&A)?**                                                                                                                                                                                                                                                              

  **If the system requires a C&A and one has not been completed, please                                                                                                                                                                                                                                                    
  indicate when the C&A is scheduled for completion.**                                                                                                                                                                                                                                                                     

  **42. Is there a system security plan for this system?**                                                                                                                                                                                                                                                                 

  **43. Is there a contingency (or backup) plan for the system?**                                                                                                                                                                                                                                                          

  **44. Are files backed up regularly?**                                                                                                                                                                                                                                                                                   

  **45. Are backup files stored offsite?**                                                                                                                                                                                                                                                                                 

  **46. Are there user manuals for the system?**                                                                                                                                                                                                                                                                           

  **47. Have personnel (system owners, managers, operators, contractors                                                                                                                                                                                                                                                    
  and/or program managers) using the system been trained and made aware of                                                                                                                                                                                                                                                 
  their responsibilities­ for protecting the information being collected                                                                                                                                                                                                                                                    
  and maintained?**                                                                                                                                                                                                                                                                                                        

  **48. If contractors operate or use the system, do the contracts include                                                                                                                                                                                                                                                 
  clauses ensuring adherence to privacy provisions and practices?**                                                                                                                                                                                                                                                        

  **49. Are methods in place to ensure least privilege (i.e., "need to                                                                                                                                                                                                                                                     
  know" and accountability)?­**                                                                                                                                                                                                                                                                                             

  ** If yes, please specify method(s).**                                                                                                                                                                                                                                                                                   

  **\*50. Are there policies or guidelines in place with regard to the                                                                                                                                                                                                                                                     
  retention and destruction of IIF?**                                                                                                                                                                                                                                                                                      

  **If yes, please provide some detail about these policies/practic­es.**                                                                                                                                                                                                                                                   

  **TECHNICAL CONTROLS**                                                                                                                                                                                                                                                                                                   

  **1**                                                                                                                                                                 **Technical                                                                                                                                        
                                                                                                                                                                        Controls**                                                                                                                                         

  **51.  Are technical controls in place to minimize the possibility of                                                                                                                                                                                                                                                    
  unauthorized access, use, or dissemination of the data in the system?**                                                                                                                                                                                                                                                  

                                                                                                                                                                                                                                                                                                                           

                                                                           **If yes, check                                                                                                                                                                                 **                                              
                                                                           all technical                                                                                                                                                                                                                                   
                                                                           controls that are                                                                                                                                                                                                                               
                                                                           currently in                                                                                                                                                                                     Yes/No**                                       
                                                                           place:**                                                                                                                                                                                                                                        

                                                                           **User                                                                                                                                                                                                                                          
                                                                           Identification**                                                                                                                                                                                                                                

                                                                           **Passwords**                                                                                                                                                                                                                                   

                                                                           **Firewall**                                                                                                                                                                                                                                    

                                                                           **Virtual Private                                                                                                                                                                                                                               
                                                                           Network (VPN)**                                                                                                                                                                                                                                 

                                                                           **Encryption**                                                                                                                                                                                                                                  

                                                                           **Intrusion                                                                                                                                                                                                                                     
                                                                           Detection System                                                                                                                                                                                                                                
                                                                           (IDS)**                                                                                                                                                                                                                                         

                                                                           **Common Access                                                                                                                                                                                                                                 
                                                                           Cards (CAC)**                                                                                                                                                                                                                                   

                                                                           **Smart Cards**                                                                                                                                                                                                                                 

                                                                           **Biometrics**                                                                                                                                                                                                                                  

                                                                           **Public Key                                                                                                                                                                                                                                    
                                                                           Infrastructure                                                                                                                                                                                                                                  
                                                                           (PKI)**                                                                                                                                                                                                                                         

                                                                                                                                                                                                                                                                                                                           

  **52.  Is there a process in place to monitor and respond to privacy                                                                                                                                                                                                                                                     
  and/or security incidents?**                                                                                                                                                                                                                                                                                             

  **If yes, please briefly describe the process:**                                                                                                                                                                                                                                                                         

  **PHYSICAL ACCESS**                                                                                                                                                                                                                                                                                                      

  **1**                                                                                                                                                                                               **Physical                                                                                                           
                                                                                                                                                                                                      Access**                                                                                                             

  **53.  Are physical access controls in place?**                                                                                                                                                                                                                                                                          

                                                                                                                                                                                                                                                                                                                           

                                                                                                                   **If yes, check                                                                                                                                         **Yes/No**                                      
                                                                                                                   all physical                                                                                                                                                                                            
                                                                                                                   controls that are                                                                                                                                                                                       
                                                                                                                   currently on the                                                                                                                                                                                        
                                                                                                                   system.**                                                                                                                                                                                               

                                                                                                                   **Guards**                                                                                                                                                                                              

                                                                                                                   **Identification                                                                                                                                                                                        
                                                                                                                   Badges**                                                                                                                                                                                                

                                                                                                                   **Key Cards**                                                                                                                                                                                           

                                                                                                                   **Cipher Locks**                                                                                                                                                                                        

                                                                                                                   **Biometrics**                                                                                                                                                                                          

                                                                                                                   **Closed Circuit                                                                                                                                                                                        
                                                                                                                   TV (CCTV)**                                                                                                                                                                                             

                                                                                                                                                                                                                                                                                                                           

  ** **                                                                                                                                                                                                                                                                                                                    

  **\*54. Briefly describe in detail how the IIF will be secured on the                                                                                                                                                                                                                                                    
  system using administrative, technical, and physical controls.**                                                                                                                                                                                                                                                         

                                                                                                                                                                                                                                                                                                                           

  **APPROVAL/DEMOTIO­N**                                                                                                                                                                                                                                                                                                    

  **1**                                                                                                                                                                                                            **PIA Reviewer                                                                                          
                                                                                                                                                                                                                   Approval/Promoti­on or                                                                                   
                                                                                                                                                                                                                   Demotion**                                                                                              

  **Promotion/Demoti­on:**                                                                                                                                                                                                                                                                                                  

  **Comments:**                                                                                                                                                                                                                                                                                                            

  **Approval/Demotio­n Point of Contact:**                                                                                                                                                                                                                                                                                  

  **2**                                                                                                                                                                                                            **Senior Official for                                                                                   
                                                                                                                                                                                                                   Privacy Approval/Promoti­on                                                                              
                                                                                                                                                                                                                   or Demotion**                                                                                           

  **Promotion/Demoti­on:**                                                                                                                                                                                                                                                                                                  

  **Comments:**                                                                                                                                                                                                                                                                                                            

  **3**                                                                                                                                                                                                            **OPDIV Senior Official for                                                                             
                                                                                                                                                                                                                   Privacy or Designee                                                                                     
                                                                                                                                                                                                                   Approval**                                                                                              

  **Please print the PIA and obtain the endorsement of the reviewing                                                                                                                                                                                                                                                       
  official below. Once the signature has been collected, retain a hard                                                                                                                                                                                                                                                     
  copy for the OPDIV\'s records. Submitting the PIA will indicate the                                                                                                                                                                                                                                                      
  reviewing official has endorsed it**                                                                                                                                                                                                                                                                                     

  **This PIA has been reviewed and endorsed by the OPDIV Senior Official                                                                                                                                                                                                                                                   
  for Privacy or Designee (Name and Date):**                                                                                                                                                                                                                                                                               

  ** **                                                                                                                                                                                                                                                                                                                    

  **Name:                                                                                                                                                                                                                                                                                                                  
  \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_­\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_­\_\_                                                                                                                                                                                                                                                     
      Date:                                                                                                                                                                                                                                                                                                                
  \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_­\_\_\_\_\_\_\_\_\_\_­\_\_\_\_\_\_\_\_**                                                                                                                                                                                                                                                   

                                                                                                                                                                                                                                                                                                                           

                                                                                                                                                                                                      **Name:**                                                                                                            

                                                                                                                                                                                                      **Date:**                                                                                                            

                                                                                                                                                                                                                                                                                                                           

  **4**                                                                                                                                                  **Department                                                                                                                                                      
                                                                                                                                                         Approval to                                                                                                                                                       
                                                                                                                                                         Publish to the                                                                                                                                                    
                                                                                                                                                         Web**                                                                                                                                                             

  **Approved for web publishing**                                                                                                                                                                                                                                                                                          

  **Date Published:**                                                                                                                                                                                                                                                                                                      
  ------------------------------------------------------------------------ ------------------ -------------------- ------------------ ------------------ -------------- ------------- --------------- ------------ --------------------------- --- ------------ ---------- ------------ --- ------------- -- ---------- -- --

**Appendix II**

**Internal NIH Systems**

09-25-0005, Administration: Library Operations and NIH Library User I.D.
File, HHS/NIH

09-25-0007, Administration: NIH Safety Glasses Issuance Program,
HHS/NIH/ORS

09-25-0011, Clinical Research: Blood Donor Records, HHS/NIH/CC

09-25-0012, Clinical Research: Candidate Healthy Volunteer Records,
HHS/NIH/CC

09-25-0014, Clinical Research: Student Records, HHS/NIH/OD/OIR/OE

09-25-0033, International Activities: Fellowships Awarded by Foreign
Organizations, HHS/NIH/FIC

09-25-0034, International Activities: Scholars-in-Residence Program,
HHS/NIH/FIC

09-25-0036, Extramural Awards and Chartered Advisory Committees (IMPAC
2), Contract Information (DCIS), and Cooperative Agreement Information,
HHS/NIH

09-25-0041, Research Resources: Scientists Requesting Hormone
Distribution, HHS/NIH/NIDDK

09-25-0054, Administration: Property Accounting (Card Key System)
HHS/NIH/ORS

09-25-0078, Administration: Consultant File, HHS/NIH/NHLBI

09-25-0087, Administration: Senior Staff, HHS/NIH/NIAID

09-25-0099, Clinical Research: Patient Medical Records, HHS/NIH/CC

09-25-0105, Administration: Health Records of Employees, Visiting
Scientists, Fellows, and Others Who Receive Medical Care Through the
Employee Health Unit, HHS/NIH/ORS

09-25-0106, Administration: Office of the NIH Director and
Institute/Center Correspondence Records, HHS/NIH/OD

09-25-0108, Personnel: Guest Researchers, Special Volunteers, and
Scientists Emeriti, HHS/NIH/OHRM

09-25-0115, Administration: Curricula Vitae of Consultants and Clinical
Investigators, HHS/NIH/NIAID

09-25-0118, Contracts: Professional Services Contractors, HHS/NIH/NCI

09-25-0121, International Activities: Senior International Fellowships
Program, HHS/NIH/FIC

09-25-0124, Administration: Pharmacology Research Associates,
HHS/NIH/NIGMS

09-25-0140, International Activities: International Scientific
Researchers in Intramural Laboratories at the National Institutes of
Health, HHS/NIH/FIC/ORS/DIRS

09-25-0156, Records of Participants in Programs and Respondents in
Surveys Used to Evaluate Programs of the Public Health Service,
HHS/PHS/NIH/OD

09-25-0158, Administration: Records of Applicants and Awardees of the
NIH Intramural Research Training Awards Program, HHS/NIH/OD/OIR/OE

09-25-0160, United States Renal Data System (USRDS), HHS/NIH/NIDDK

09-25-0165, National Institutes of Health (NIH) Office of Loan Repayment
and Scholarship (OLRS) Records System, HHS/NIH/OD

09-25-0166, Administration: Radiation and Occupational Safety and Health
Management Information Systems, HHS/NIH/ORS

09-25-0167, National Institutes of Health (NIH) TRANSHARE Program,
HHS/NIH/OD

09-25-0168, Invention, Patent, and Licensing Documents Submitted to the
Public Health Service by its Employees, Grantees, Fellowship Recipients,
and Contractors, HHS/NIH/OD \[revised 10/3/06\]

09-25-0169, Medical Staff-Credentials Files, HHS/NIH/CC

09-25-0200, Clinical, Basic and Population-based Research Studies of the
National Institutes of Health (NIH), HHS/NIH/OD

09-25-0202, Patient Records on PHS Beneficiaries (1935-1974) and Civilly
Committed Drug Abusers (1967-1976) Treated at the PHS Hospitals in Fort
Worth, Texas, or Lexington, Kentucky, HHS/NIH/NIDA

09-25-0203, National Institute on Drug Abuse, Intramural Research
Program, Federal Prisoner and Non-Prisoner Research Files, HHS/NIH/NIDA

09-25-0207, Subject-Participants in Pharmacokinetic Studies on Drugs of
Abuse and on Treatment Medications, HHS/NIH/NIDA

09-25-0208, Drug Abuse Treatment Outcome Study (DATOS), HHS/NIH/NIDA

09-25-0209, Subject-Participants in Drug Abuse Research Studies on Drug
Dependence and in Research Supporting Investigational New Drug and New
Drug Applications, HHS/NIH/NIDA

09-25-0210, Shipment Records of Drugs of Abuse to Authorized
Researchers, HHS/NIH/NIDA

09-25-0211, Intramural Research Program Records of In-and Out-Patients
with Various Types of Alcohol Abuse and Dependence, Relatives of
Patients with Alcoholism, and Healthy Volunteers, HHS/NIH/NIAAA

09-25-0213, Administration: Employee Conduct Investigative Records,
HHS/NIH/OD/OM/OA/OMA

09-25-0216, Administration: NIH Electronic Directory, HHS/NIH

09-25-0217, NIH New Business System (NBS), HHS/NIH

**Internal HHS Systems**

09-90-0008, Conflict of Interest Records, HHS/OS/ASPER

09-90-0018, Personnel Records in Operating Offices, HHS/OS/ASPER

09-90-0020, Suitability for Employment Records, HHS/OS/ASPER (to be
renamed HHS Personnel Security, and amended to be compliant with the new
I.D. badge procedure under HSPD-12)

09-90-0024, Unified Financial Management System, HHS/OS

09-90-0039, National Disaster Claims Processing System

09-90-0777, Identification and Credentialing Issuance Station and
System, HHS/OCID (in draft form - to cover personal identity
verification (PIV) card holders as well as short-term employees,
temporary guests and visitors)

**Government Systems**

OGE/GOVT-1, Executive Branch Personnel Public Financial Disclosure
Reports and Other Name-Retrieved Ethics Program Records

OGE/GOVT-2, Executive Branch Confidential Financial Disclosure Reports

OPM/GOVT-1, General Personnel Records