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pdfThe 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: April 25, 2008
Page 1 of 5
PRIVACY THRESHOLD ANALYSIS (PTA)
CONTACT LISTS
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 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
Fax: 703‐235‐0442
[email protected]
Upon receipt, 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 DHSOnline and directly from the DHS Privacy Office via email: [email protected], phone: 703‐235‐0780,
and fax: 703‐235‐0442.
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: April 25, 2008
Page 2 of 5
PRIVACY THRESHOLD ANALYSIS (PTA)
Please complete this form and send it to the DHS Privacy Office.
Upon receipt, the DHS Privacy Office will review this form
and may request additional information.
SUMMARY INFORMATION
DATE submitted for review: June 18, 2008
NAME of Project: National Fire Academy Long‐Term Evaluation
Name of Component: Federal Emergency Managment Agency
Name of Project Manager: Terry Gladhill
Email for Project Manager: [email protected]
Phone number for Project Manger: 301‐447‐1239
TYPE of Project:
Information Technology and/or System ∗
A Notice of Proposed Rule Making or a Final Rule.
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: April 25, 2008
Page 3 of 5
SPECIFIC QUESTIONS
1.
Describe the project and its purpose:
The National Fire Academy regularly surveys students and their supervisors on the
long term impacts of NFA training on Fire and EMS departments and organizations.
This voluntary survey (O.M.B. No. 1660‐0039 ‐ Expires March 31, 2009), formerly
paper‐based, will now be conducted through the U.S. Fire Administration Web site.
Participants will sign‐up for the survey on completion of the course. They will
provide contact information (name, organization name, phone number, mailing
address, and e‐mail address) for both themselves and their supervisors. Contact
information may be for their physical organization or home, dependent on the
studentʹs preference. Participants will then be sent an e‐mail 4‐6 months after
completion of the training to invite them to complete the survey on the U.S. Fire
Administration Web site. The survey itself contains questions about how personnel
and the fire department overall have benefited from National Fire Academy training.
It does not collect personal information.
2.
Status of Project:
This is a new development effort.
This an existing project.
Date first developed:
Date last updated:
3.
Could the project relate in any way to an individual?∗
No.
Yes. Please provide a general description, below.
Contact information is collected from National Fire Academy students in order to
send the survey. Contact information may be for their physical organization or
home, dependent on the studentʹs preference. In addition, the students provide
contact information for their supervisors. Submission of information is voluntary.
∗
Projects can relate to individuals in a number of ways. For example, a project may include a camera for
the purpose of watching a physical location. Individuals may walk past the camera and images of those
individuals may be recorded. Projects could also relate to individuals in more subtle ways. For example, a
project that is focused on detecting radioactivity levels may be sensitive enough to detect whether an
individual received chemotherapy.
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: April 25, 2008
Page 4 of 5
4.
What information about individuals could be collected, generated or retained?
For both students and supervisors, the following information is collected: Name,
Organization Name, Phone Number, Mailing Address, E‐mail Address
5.
With whom could the information be shared?
The information will be retained in the USFA web farm application and used only by the
Natioanl Fire Academyʹs Traininig Evaluation Center to send out email notifications and
reminders alterting both students and their supervisors about the availability of the long‐
term evaluation evaluation survey instruments.
6.
Is the contact information limited to non‐sensitive personally identifiable information? An
example of sensitive personally identifiable information is the social security number or date of
birth.
Yes.
No.
7.
Are program or project user access controls in place governing who may view or access the
contact information?
Yes.
8.
No. The contact information must not be universally accessible.
Is the contact information only being used for the purpose for which it originally was
collected, i.e., to contact individuals?
Yes.
No. Any additional sharing or use will require a separate PIA.
9.
Has an Authority to Operate from the Chief Information Security Officer been granted to the
program or project that the document or database which stores the contact information?
No.
Yes. Please indicate the determinations for each of the following:
Confidentiality:
Integrity:
Availability:
Low
Low
Low
Moderate
Moderate
Moderate
High
High
High
Undefined
Undefined
Undefined
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: April 25, 2008
Page 5 of 5
PRIVACY THRESHOLD REVIEW
(To be Completed by the DHS Privacy Office)
DATE reviewed by the DHS Privacy Office: June 19, 2008
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
PTA sufficient at this time
A PIA is required
National Security System
Legacy System
HR System
DHS PRIVACY OFFICE COMMENTS
Due to the collection of PII, a PIA is required. The system has been added to the
Contact List PIA appendix B. The system is covered by the DHS/ALL‐002 SORN.
File Type | application/pdf |
File Title | DHS PRIVACY OFFICE |
Author | pia |
File Modified | 2008-06-19 |
File Created | 2008-06-19 |