Attachment2_ PrivacyAct_SORN_OMB_0920-0017_App for Training_02-06-2013

Attachment2_ PrivacyAct_SORN_OMB_0920-0017_App for Training_02-06-2013.pdf

Application for Training

Attachment2_ PrivacyAct_SORN_OMB_0920-0017_App for Training_02-06-2013

OMB: 0920-0017

Document [pdf]
Download: pdf | pdf
Attachment 2

The Office of the Federal Register
Privacy Act Issuances: 2011
Centers for Disease Control and Prevention

09-20-0161
System name:
Records of Health Professionals in Disease Prevention and Control Training Programs, HHS/CDC/NCPS.
Security classification:
None.
System location:
National Center for Prevention Services, Corporate Square, Bldg. 12, Rm. 3308, Centers for Disease Control and
Prevention, 1600 Clifton Road, NE, Atlanta, GA 30333.
Public Health Practice Program Office, Bldg. 2, Rm. B50, Centers for Disease Control and Prevention, 1600 Clifton
Road, NE, Atlanta, GA 30333.
National Center for Injury Prevention and Control, Koger Davidson Bldg., Rm. 1078, Centers for Disease Control
and Prevention, 4770 Buford Highway, NE, Atlanta, GA 30341–3724.
Division of Health Education, Executive Park, Bldg. 4, Agency for Toxic Substances and Disease Registry, 1600
Clifton Road, NE, Atlanta, GA 30333.
Federal Records Center, 1557 St. Joseph Avenue, East Point, GA 30344.
A list of contractor sites where individually identifiable data are currently located is available upon request to
the appropriate system manager.
Categories of individuals covered by the system:
Physicians, nurses, physician assistants, clinician trainees, and other health personnel who have participated in
training activities, surveys, and studies developed by the Centers for Disease Control (CDC), and control group
health professionals who have not participated in training activities.
Categories of records in the system:
Responses to questionnaires by physicians, nurses, physician assistants, clinician trainees, and related health
personnel, pertaining to knowledge, attitude and practices relating to health problems, diseases and/or other
potential preventable conditions of public health significance; health care and related training data; and
demographic data of the survey population as well as identification data for followup purposes.
Authority for maintenance of the system:

http://www.ofr.gov/(S(mhtgjztlapbi1ahhtyemaayp))/Privacy/2011/hhs.aspx?AspxAutoDetectCookieSupport=1#200161 Page 1

Public Health Service Act, Section 301, "Research and Investigation" (42 U.S.C. 241).
Purpose(s):
This record system enables CDC officials to maintain training records and assess the impact of the agency's
training programs on the knowledge, attitudes and practices of clinicians and other health care personnel, in
order to develop improved training curricula and programs for disease prevention and control for such health
care personnel.
Routine uses of records maintained in the system, including categories of users and the purposes of such uses:
Disclosure may be made to CDC contractors in the conduct of training surveys and studies covered by this
system notice and in the preparation of scientific reports, in order to accomplish the stated purposes of the
system. The recipients will be required to maintain Privacy Act safeguards with respect to such records.
CDC is under contract with private firms for the purpose of collating, analyzing, aggregating or otherwise refining
records in this system. Relevant records are disclosed to such contractors. The contractors are required to
maintain Privacy Act safeguards with respect to such records.
Disclosure may be made to a congressional office from the record of an individual in response to a verified
inquiry from the congressional office made at the written request of that individual.
The Department of Health and Human Services (HHS) may disclose information from this system of records to
the Department of Justice, or to a court or other tribunal, when: (a) HHS, or any component thereof; or (b) any
HHS employee in his or her official capacity; or (c) any HHS employee in his or individual capacity where the
Department of Justice (or HHS, where it is authorized to do so) has agreed to represent the employee; or (d) the
United States or any agency thereof where HHS determines that the litigation is likely to affect HHS or any of its
components, is a party to litigation or has an interest in such litigation, and HHS determines that the use of such
records by the Department of Justice, the court or other tribunal is relevant and necessary to the litigation and
would help in the effective representation of the governmental party, provided, however, that in each case, HHS
determines that such disclosure is compatible with the purpose for which the records were collected.
Records may be disclosed to appropriate federal agencies and Department contractors that have a need to
know the information for the purpose of assisting the Department's efforts to respond to a suspected or
confirmed breach of the security or confidentiality of information disclosed is relevant and necessary for that
assistance.
Policies and practices for storing, retrieving, accessing, retaining, and disposing of records in the system:
Storage:
Computer tapes/disks and printouts, file folders.
Retrievability:
Name of individual respondent, identification number, and type of training received are some of the indices
used to retrieve records from this system.
http://www.ofr.gov/(S(mhtgjztlapbi1ahhtyemaayp))/Privacy/2011/hhs.aspx?AspxAutoDetectCookieSupport=1#200161 Page 2

Safeguards:
1. Authorized users: Access is granted to only a limited number of personnel, i.e., CDC Project Officer,
interviewers and designated support staff of CDC or its contractors, as authorized by the system manager to
accomplish the stated purposes for which the data in this system have been collected.
2. Physical safeguards: Locked cabinets in locked rooms, 24-hour guard service in buildings, personnel screening
of visitors, electronic anti-intrusion devices in operation at the Federal Records Center, fire extinguishers,
overhead sprinkler system and card-access control equipment in the computer room, computer terminals and
automated records located in secured areas.
3. Procedural safeguards: Protection for computerized records includes programmed verification of valid user
identification code, account code and password prior to acceptance of a terminal session or job submission,
frequently changed passwords, and Vault Management System. Knowledge of individual tape passwords is
required to access tapes, and access to systems is limited to users obtaining prior supervisory approval. When
Privacy Act tapes are scratched, a special "certified" process is performed in which tapes are completely written
over to avoid inadvertent data disclosure. Additional safeguards may be built into the program by the system
analyst as warranted by the sensitivity of the data.
CDC and contractor employees who maintain records are instructed to check with the system manager prior to
making disclosures of data. When individually identified data are being used in a room, admittance at either CDC
or contractor sites is restricted to specifically authorized personnel. Privacy Act provisions are included in
contracts, and the CDC Project Director, contract officers and project officers oversee compliance with these
requirements. Upon completion of the contract, all data will be either returned to CDC or destroyed, as specified
by the contract.
4. Implementation guidelines: The safeguards outlined above are developed in accordance with Chapter 45-13,
"Safeguarding Records Contained in Systems of Records," of the HHS General Administration Manual,
supplementary Chapter PHS.hf: 45-13; Part 6, "Automated Information System Security," of the HHS Information
Resources Management Manual; the National Bureau of Standards Federal Information Processing Standards
(FIPS Pub. 41 and FIPS Pub. 31). FRC safeguards are in compliance with GSA Federal Property Management
Regulations, Subchapter B—Archives and Records.
Retention and disposal:
Records are maintained in agency for two years. Disposal methods include erasing computer tapes, burning or
shredding paper materials or transferring records to the Federal Records Center when no longer needed for
evaluation and analysis. Records destroyed by paper recycling process after 12 years, unless needed for further
study.
System manager(s) and address:
Director, National Center for Prevention Services, Corporate Square, Bldg. 11, Rm. 2106, MS E07, Centers for
Disease Control and Prevention, 1600 Clifton Road, NE, Atlanta, GA 30333.
Director, Public Health Practice Program Office, Executive Park, Bldg. 24, Rm. 110, MS E20, Centers for Disease
Control and Prevention, 1600 Clifton Road, NE, Atlanta, GA 30333.
http://www.ofr.gov/(S(mhtgjztlapbi1ahhtyemaayp))/Privacy/2011/hhs.aspx?AspxAutoDetectCookieSupport=1#200161 Page 3

Director, National Center for Injury Prevention and Control, Koger Davidson Bldg., Rm. 1078, MS F36, Centers for
Disease Control and Prevention, 4770 Buford Highway, NE, Atlanta, GA 30341–3724.
Director, Division of Health Education, Executive Park, Bldg. 4, Rm. 2220D, MS E33, Agency for Toxic Substances
and Disease Registry, 1600 Clifton Road, NE, Atlanta, GA 30333.
Policy coordination is provided by: Associate Director for Management and Operations, Bldg. 1, Rm. 2011, MS
D15, Centers for Disease Control and Prevention, 1600 Clifton Road, NE, Atlanta, GA 30333.
Notification procedure:
An individual may learn if a record exists about himself or herself by contacting the appropriate system manager
at the address above. Requesters in person must provide driver's license or other positive identification.
Individuals who do not appear in person must either (1) submit a notarized request to verify their identity or (2)
must certify that they are the individuals they claim to be and that they understand that the knowing and willful
request for or acquisition of a record pertaining to an individual under false pretenses is a criminal offense under
the Privacy Act subject to a 5,000 dollars fine.
The following information must be provided when requesting notification: (1) Full name; (2) name of the
clinic/organization in which requester was employed at time of training or survey participation, and (3) nature of
the training or survey questionnaire in which the requester participated.
Record access procedures:
Same as notification procedures. Requesters should also reasonably specify the record contents being sought.
An accounting of disclosures that have been made of the record, if any, may be requested.
Contesting record procedures:
Contact the official at the address specified under System Manager above, reasonably identify the record and
specify the information being contested, the corrective action sought, and the reasons for requesting the
correction, along with supporting information to show how the record is inaccurate, incomplete, untimely, or
irrelevant.
Record source categories:
Individuals in the system and selected clinics which employ individuals who are in the system.
Systems exempted from certain provisions of the act:
None.

http://www.ofr.gov/(S(mhtgjztlapbi1ahhtyemaayp))/Privacy/2011/hhs.aspx?AspxAutoDetectCookieSupport=1#200161 Page 4


File Typeapplication/pdf
File TitleMicrosoft Word - Attachment2_ PrivacyActIssuances.docx
Authorntc1
File Modified2013-02-06
File Created2013-01-24

© 2024 OMB.report | Privacy Policy