Privacy Threshold Analysis (PTA)

PTA, FEMA Flood Risk Determination (1660-0040), 20111025, priv final.pdf

Standard Flood Hazard Determination Form

Privacy Threshold Analysis (PTA)

OMB: 1660-0040

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The Privacy Office
U.S. Department of Homeland Security
Washington, DC 20528
703-235-0780, [email protected]
www.dhs.gov/privacy

Privacy Threshold Analysis
Version date: June 10, 2010
Page 1 of 6
PRIVACY THRESHOLD ANALYSIS (PTA)
This form is used to determine whether
a Privacy Impact Assessment is required.

Please use the attached form to determine whether a Privacy Impact Assessment (PIA) is required under
the E-Government Act of 2002 and the Homeland Security Act of 2002.
Please complete this form and send it to your component Privacy Office. If you do not have a component
Privacy Office, please send the PTA to the DHS Privacy Office:
Rebecca J. Richards
Director of Privacy Compliance
The Privacy Office
U.S. Department of Homeland Security
Washington, DC 20528
Tel: 703-235-0780

[email protected]

Upon receipt from the component Privacy Office, the DHS Privacy Office will review this form. If a PIA
is required, the DHS Privacy Office will send you a copy of the Official Privacy Impact Assessment Guide
and accompanying Template to complete and return.
A copy of the Guide and Template is available on the DHS Privacy Office website, www.dhs.gov/privacy,
on DHSConnect and directly from the DHS Privacy Office via email: [email protected], phone: 703-235-0780.

The Privacy Office
U.S. Department of Homeland Security
Washington, DC 20528
703-235-0780, [email protected]
www.dhs.gov/privacy

Privacy Threshold Analysis
Version date: June 10, 2010
Page 2 of 6
PRIVACY THRESHOLD ANALYSIS (PTA)
SUMMARY INFORMATION
Date Submitted for Review: October 21, 2011
Name of Project: Standard Flood Hazard Determination form renewal (no changes)
FEMA 086-0-32 (new Form number)
System Name in TAFISMA: N/A
Name of Component: Mitigation Directorate
Name of Project Manager: Susan Bernstein
Email for Project Manager: [email protected]
Phone Number for Project Manager: 202-212-2113
Type of Project:
Information Technology and/or System. ∗
A Notice of Proposed Rule Making or a Final Rule.
Form or other Information Collection.
Other: 

∗

The E-Government Act of 2002 defines these terms by reference to the definition sections of Titles 40 and
44 of the United States Code. The following is a summary of those definitions:
•“Information Technology” means any equipment or interconnected system or subsystem of
equipment, used in the automatic acquisition, storage, manipulation, management, movement,
control, display, switching, interchange, transmission, or reception of data or information. See 40
U.S.C. § 11101(6).
•“Information System” means a discrete set of information resources organized for the collection,
processing, maintenance, use, sharing, dissemination, or disposition of information. See: 44. U.S.C. §
3502(8).
Note: for purposes of this form, there is no distinction made between national security systems or
technologies/systems managed by contractors. All technologies/systems should be initially reviewed for
potential privacy impact.

The Privacy Office
U.S. Department of Homeland Security
Washington, DC 20528
703-235-0780, [email protected]
www.dhs.gov/privacy

Privacy Threshold Analysis
Version date: June 10, 2010
Page 3 of 6
SPECIFIC QUESTIONS
1.

Describe the project and its purpose:
Pursuant to Section 303 (a) of the Riegle Community Development and Regulatory Improvement
Act of 1994, Title V (National Flood Insurance Reform Act (NFIRA)), FEMA has developed and
created the Standard Flood Hazard Determination form (FEMA Form 086-0-32) for use by
mortgage lenders. Section 528 of the NFIRA requires that FEMA develop a standard hazard
determination form for recording the determination of whether a structure is located within an
identified Special Flood Hazard Area and whether flood insurance is available. Section 528 of the
NFIRA also requires the use of this form by regulated lending institutions, federal agency
lenders, the Federal National Mortgage Association, the Federal Home Loan Mortgage
Corporation, and the Government National Mortgage Association for any loan made, increased,
extended, renewed or purchased by these entities.
FEMA Form 086-0-32 is used by lenders to determine the risk of flooding to a property on which
a person has a loan. Based on the flood risk, lenders may require that the property
owner/borrower purchase and maintain flood insurance. The form is filed by the lender with the
property owner’s loan documentation and is not required to be filed with FEMA. FEMA does
not collect or maintain information provided on the form. This form is part of OMB No. 16600040 will expire on 12/31/2011.

2.

Status of Project:
This is a new development effort.
This is an existing project.
Date first developed: unknown
Date last updated: December 2008
No changes occurred in 2008

3.

From whom do you collect, process, or retain information on: (Please check all that apply)
DHS Employees.
Contractors working on behalf of DHS.
The Public.
The System does not contain any such information.

4.

Do you use or collect Social Security Numbers (SSNs)? (This includes truncated SSNs)

The Privacy Office
U.S. Department of Homeland Security
Washington, DC 20528
703-235-0780, [email protected]
www.dhs.gov/privacy

Privacy Threshold Analysis
Version date: June 10, 2010
Page 4 of 6
No.
Yes. Why does the program collect SSNs? Provide the function of the SSN and the
legal authority to do so:

5.

What information about individuals could be collected, generated or retained?
Lenders use the form, not FEMA, to determine the risk of flooding to a property on which
they have a loan. FEMA does not collect, generate or retain information with this form.

6.

If this project is a technology/system, does it relate solely to infrastructure? [For example, is
the system a Local Area Network (LAN) or Wide Area Network (WAN)]?
No. Please continue to the next question.
Yes. Is there a log kept of communication traffic?
No. Please continue to the next question.
Yes. What type of data is recorded in the log? (Please choose all that apply.)
Header.
Payload Please describe the data that is logged.


7.

Does the system connect, receive, or share Personally Identifiable Information with any other
DHS systems 1?
No.
Yes.
Please list:

8.

Is there a Certification & Accreditation record within OCIO’s FISMA tracking system?
Unknown.

1

PII may be shared, received, or connected to other DHS systems directly, automatically, or by manual processes.
Often, these systems are listed as “interconnected systems” in TAFISMA.

The Privacy Office
U.S. Department of Homeland Security
Washington, DC 20528
703-235-0780, [email protected]
www.dhs.gov/privacy

Privacy Threshold Analysis
Version date: June 10, 2010
Page 5 of 6
No.
Yes. Please indicate the determinations for each of the following:
Confidentiality:

Low

Moderate

High

Undefined

Integrity:

Low

Moderate

High

Undefined

Availability:

Low

Moderate

High

Undefined

PRIVACY THRESHOLD REVIEW
(TO BE COMPLETED BY THE DHS PRIVACY OFFICE)
Date reviewed by the DHS Privacy Office: October 25, 2011
Name of the DHS Privacy Office Reviewer: Rebecca J. Richards
DESIGNATION
This is NOT a Privacy Sensitive System – the system contains no Personally Identifiable
Information.
This IS a Privacy Sensitive System
Category of System
IT System.
National Security System.
Legacy System.
HR System.
Rule.
Other:
Determination
PTA sufficient at this time.
Privacy compliance documentation determination in progress.
PIA is not required at this time.
PIA is required.
System covered by existing PIA:

The Privacy Office
U.S. Department of Homeland Security
Washington, DC 20528
703-235-0780, [email protected]
www.dhs.gov/privacy

Privacy Threshold Analysis
Version date: June 10, 2010
Page 6 of 6
New PIA is required.
PIA update is required.
SORN not required at this time.
SORN is required.
System covered by existing SORN:
New SORN is required.

DHS PRIVACY OFFICE COMMENTS: The form is filed by the lender with the
property owner’s loan documentation and is not required to be filed with FEMA.
FEMA does not collect or maintain information provided on the form. This form
is part of OMB No. 1660-0040 and expires on 12/31/2011.


File Typeapplication/pdf
File TitlePTA FEMA Flood Risk Determination (1660-0040)
AuthorU.S. Department of Homeland Security
File Modified2011-10-25
File Created2011-10-25

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