Initial Privacy Assessment

Initial Privacy Assessment -IPA.doc

Rental Assistance Demonstration (RAD) Application Form

Initial Privacy Assessment

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U.S. DEPARTMENT OF

HOUSING AND URBAN DEVELOPMENT






INITIAL PRIVACY ASSESSMENT (IPA)


Rental Assistance Demonstration (RAD) Application


Office of Housing






July 28, 2015


INTRODUCTION



What is an Initial Privacy Assessment?

An Initial Privacy Assessment (IPA) is designed to assess whether a Privacy Impact Assessment (PIA), a Privacy Act system of records notice (SORN), and/or other related privacy documents are required. The responses to the IPA will provide a foundation for determining if either a PIA or SORN or both will be required, and will also help to identify any policy concerns.


The IPA incorporates the matters previously addressed in the Department’s Personally Identifiable Information (PII) Survey, and thus replaces the survey.


When should an IPA be completed?

An IPA should be completed for all information collection activities, whether the system is electronic or contains only records in paper form, and should be completed before commencement of any testing or pilot project of an information system or prior to implementing new information collections requests. Additionally, an IPA should be completed any time there is a change to the information system or collection to determine whether there are any privacy issues as a result of such a change.


Who should complete the IPA?

The IPA should be written and reviewed by a combination of the component’s (e.g., Privacy Act Officer, System Owner, Project Leaders, Paperwork Reduction Act Compliance Officers), and the program-specific office responsible for the system, project or information collections.


How is the IPA related to the Capital Planning, Certification and Accreditation, and the Paperwork Reduction Act process?

Upon completion and approval of the IPA by the Privacy Officer the official document may be uploaded into the C&A tool, and provided as part of the IT Capital Planning, and Paperwork Reduction Act package as validation of the completed evaluation. The completed IPA demonstrates that the program components have consciously considered privacy and related requirements as part of the overall information activities. For an IT system that does not require a C&A, such as a minor application that runs on a system that does require a C&A, an IPA still should be completed to determine if other related privacy documentation are required for that system or project.


Where should the completed IPA be sent?

A copy of the completed IPA should be sent to the Office of Privacy Project Leads for review. The Privacy Officer will review the IPA and determine what additional privacy documentation is required, and then will advise the Program component accordingly.


Initial Privacy Assessment



INFORMATION ABOUT THE SYSTEM OR PROJECT



Date Submitted for Review: 1/30/12


Project Name/Acronym: Rental Assistance Demonstration Application


System Owner/Contact information: Office of Housing


Project Leader/Contact Information: Greg Byrne

202.402.6436 Gregory.A.Byrne @hud.gov




Which of the following describes the type of records in the system:




Paper-Only


Combination of Paper and Electronic


System


Other: Please describe below the type of project or system, including paper based Privacy Act System of Records, Rules, or Technologies’. Also, indicate whether this is a revision/update for an existing system or project.


Note: For this form purpose, there is no distinction made between technologies/systems managed by contractors. All technologies/systems should be initially reviewed for potential privacy impact.


Section I: The Entire IPA (Sections I and II) Should be Completed for New Systems or Projects. If this is an Existing System or Project Skip to Section II. Unless requested by the Office of Privacy, this section should not be completed for an existing System or Project.


Question 1: Provide a general description of the system of

Project. The following questions are intended to define the scope of the information in the system, information collection, or project, specifically the nature of the information and the sources from which it is obtained.


The Office of Public and Indian Housing of the Department of Housing and Urban Development (HUD) provides funding to Public Housing Agencies (PHAs) to administer assisted housing programs. The Department collects and maintains information for each PHA which allows HUD to monitor and evaluate its participants for compliance with program regulations and requirements. This information includes tenant demographics, building and unit information, operating and capital funding and expenditures. The RAD applications utilize this information and do not solicit any information that the Department has already collected. In addition to this information the RAD applications require submission of the following information:


  • Low Income Tax Credit information

  • Utility allowance and PHA’s Reasonable Rent Determination

  • Capital Needs and Replacement Reserves

  • Proposed Post-RAD Assisted Unit distribution

  • Proposed Tenant Relocation

  • Vacancy Loss; Bad Debt

  • First Mortgage Loan Sizing, Existing Loans

  • Total Uses of Funds, Total Sources of Funds (pro forma)




  1. From whom is the information collected (i.e., government employees, contractors, or consultants, state, local government entities, or general public)?


The Rental Assistance Demonstration application will solicit information on a voluntary basis from all interested Public Housing Agencies and Moderate Rehabilitation and Rental Assistance Program owners.



  1. What is the functionality of the system, information collection, or project and the purpose that the records and/or system serve?


The purpose of the RAD application form is to collect information that will be used to determine the eligibility of interested applicants.



c. How is information transmitted to and from the system, information collection, or project?

The application will be available on HUD’s RAD website.



  1. What are the interconnections with other systems or projects?


There will be no interconnection with this application and other systems or projects.



QUESTION 2: Have the IPA been reviewed and approved by the Chief Privacy Officer


<<ADD ANSWER HERE>>


(If no, please contact component privacy official for official approval)


QUESTION 3: What is the Status of system, information collection, or project


  1. If this is a new system, information collection, or project, specify expected production date.

The application form has been developed as well as the website that will host the form. The form will be accessible on the website to download and submit by August 31, 2011.



  1. If an existing system, information collection, or project, specify date of production.

Not Applicable.



QUESTION 4: Does this system, information collection, or project collect personal identifiers/sensitive information


YES



NO



Does the system, information collection, or project collect personal/sensitive information? (e.g. name, address, personal email address, gender/sex, race/ethnicity, income/financial data, employment history, medical history, Social Security Number, Tax Identification Number, Employee Identification Number, FHA Case Number). Includes PII that may be part of a registration process?


If yes, specific data sets collected or provided, and the legal authorities, arrangement, and/or agreement authorize the collection of information (i.e. must include authorities that cover all information collection activities, including Social Security Numbers)?


Not Applicable.


If no, briefly describe the information collected, maintained, or disseminated by the system.


Please refer to the information provided in Question 1.


QUESTION 5: Does the information about individuals identify particular individuals (i.e., is the information linked or linkable to specific individuals, often referred to as personally identifiable information?)


No personally identifiable information is required for this application.




QUESTION 6: What type of Notice(s) are provided to the individual on the scope of information collected, the opportunity to consent to uses of said information, the opportunity to decline to provide information. (A notice may include a posted privacy policy, a Privacy Act notice on form(s), and/or a system of records notice published in the Federal Register.)


  1. Was any form of notice provided to the individual prior to collection of information? If yes, please provide a copy of the notice as an appendix. (A notice may include a posted privacy policy, a Privacy Act notice on form(s), and/or a system of records notice published in the Federal Register.) If notice was not published, why not?


Please refer to the attached notice: Implementation of the Rental Assistance Demonstration.



  1. Do individuals have an opportunity and/or right to decline to provide information?


Yes, application to the demonstration is voluntary.


  1. Do individuals have an opportunity to consent to particular uses of the information, and if so, what is the procedure by which an individual would provide such consent?


No.



QUESTION 7: Is there a Certification & Accreditation record for your system? (This question does not apply to Information Collection Requests)


No.



Specify below the systems categorization. If not available identify the FISMA-reported system whose Certification and Accreditation covers this system.




Confidentiality

Low

Moderate

High

Undefined

Integrity

Low

Moderate

High

Undefined

Availability

Low

Moderate

High

Undefined



SECTION II - The Entire IPA should be completed for New Systems or Projects. If this is an Existing System or Project Complete Only Complete This Section.


QUESTION 1: When was the system, information collection, or project developed?


The RAD application was completed on January 30, 2011.


QUESTION 2: If an existing system, information collection, or project, has the system or project undergone any changes since April 17, 2003?


Not Applicable.



QUESTION 3: If an existing system, information collection, or project, has the system or project, explain the changes the system or project will be undergoing as part of this renewal/update process.


Not Applicable.


QUESTION 4: Do the changes to the system, information collection, or project involve a change in the type of records maintained, the individuals on whom records are maintained, or the use or dissemination of information from the system?


Not Applicable.



QUESTION 5: Please indicate if any of the following changes to the system or project have occurred: (Mark all boxes that apply.)

Not Applicable.

A conversion from paper-based records to an electronic system.


A change from information in a format that is anonymous or non-identifiable to a format that is identifiable to particular individuals.


A new use of an IT system, including application of a new technology that changes how information in identifiable form is managed. (For example, a change that would create a more open environment and /or avenue for exposure of data that previously did not exist.)


A change that results in information in identifiable form being merged, centralized, or matched with other databases.


A new method of authenticating the use of an access to information in the identifiable form by members of the public.


A systematic incorporation of databases of information in identifiable form purchased or obtained from commercial or public sources.


A new interagency use of shared agency function that results in new uses or exchanges of information in identifiable form.


A change that results in a new use of disclosure of information in identifiable form.


A change that results in new items of information in identifiable form being added into the system.



QUESTION 6: Does a PIA for the system or project already exist? If yes, please provide a copy of the notice as an appendix.


No.


Privacy Office determination


(To be completed by the Privacy Office)




This is NOT a privacy sensitive system, information collection or project – the system, information collection, or project contains no personal identifiers/sensitive information




This IS a Privacy Sensitive Project



IPA sufficient at this time




A PIA is required



The existing PIA requires an update/deletion



A SORN is required



The existing SORN requires an update or should be deleted



Other


COMMENTS:













DOCUMENT ENDORSMENT



DATE REVIEWED:

PRIVACY REVIEWING OFFICIALS NAME:



By Signing below you attest that the content captured in this document is accurate and complete and meet the requirements of applicable federal regulations and HUD internal policies.










SYSTEM OR PROJECT OWNER

<< INSERT NAME/TITLE>>



Date

<<INSERT PROGRAM OFFICE>>















PROGRAM AREA MANAGER

<<INSERT NAME/TITLE>>


Date

<<INSERT PROGRAM OFFICE>>














CHIEF PRIVACY OFFICER,

<<INSERT NAME>>


Date

Office of the Chief Information Officer



U. S. Department of Housing and Urban Development



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File Typeapplication/msword
File TitleAttached for your immediate attention is the electronic copy of the SSN and PII memorandum distributed to Departmental Principle
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File Modified2015-07-28
File Created2015-07-23

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