Pta

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 10th, 2009
Page 1 of 6
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 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, 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.

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 10th, 2009
Page 2 of 6
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: November 23, 2011
NAME of Project: Federal Assistance for Offsite Radiological Emergency Planning
Name of Component: Federal Emergency Managment Agency
Name of Project Manager: D. J. Mauldin
Email for Project Manager: [email protected]
Phone number for Project Manger: 202-212-2127
TYPE of Project:
Information Technology and/or System ∗
A Notice of Proposed Rule Making or a Final Rule.
Other: Form or other Information Collection.

∗

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 10th, 2009
Page 3 of 6
SPECIFIC QUESTIONS
1.

Describe the project and its purpose:
Pursuant to 44 CFR 352.5 FEMA is required to respond to any Nuclear Regulatory
Commission (NRC) licensee that may request use of FEMA-owned/managed resources
during a Radiological Emergency Preparedness (REP) exercise. The licensee must submit
their request for resources in written statement to the host FEMA Regional Office. The
request becomes part of FEMA’s official record, and is stored in a file cabinet within FEMA
HQ. The Regional Office will then forward the request to the FEMA Deputy Administrator
for the National Preparedness Directorate for a decline or fail determination. FEMA’s
decision of a “decline or fail” response to the licensee is based on information that includes:
(1) whether the licensee has made maximum use of its’ own resources, and (2) the extent to
which the licensee has complied with the 44 CFR 352 requirements. It should be noted that
no licensee has ever requested the use of Agency resources since 1979. However, having this
Collection approved and in place eliminates the need for urgency should a licensee ever
submit a request of this nature.

2.

Status of Project:
This is a new development effort.
This an existing project.
Date first developed: 2005
Date last updated: 2008
Update reflected base salary increase for staff salaries. If a request for
resources is ever submitted, the licensee employee who coordinates the
request will be a General Engineer paid (at a minimum). We have used the
salary equivalent to a GS-12 General Engineer, as shown on the 2011 OPM
Salary Table.

3.

Is the information collected directly from the individuals seeking information from the
Department or working collaboratively with the Department on various projects?
Yes.
No. Please describe the information source and collection method.

4.

Does the individual have the option to decline submitting the information collected?
Yes.

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 10th, 2009
Page 4 of 6
No.
5.

Is the information collected 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.

6.

What information about individuals could be collected, generated or retained?
Name (Printed or Signature)
Position Title (Generally Chief Executive Officer)
Business Phone Number
Business Address

7.

Is the contact information only being used for the purpose for which it originally was
collected, i.e., to contact individuals?
Yes.
No.

8.

With whom could the information be shared?
In accordance with the 44CFR 352 "Commercial Nuclear Power Plants: Emergency
Preparedness Planning", FEMA may call upon any Federal agency to participate in
planning for the use of Federal facilities and resources in the licensee offsite emergency
response plan. Licensee contact information may be shared with such agencies as
needed to assist with the offsite emergency response plan.

9.

Are program or project user access controls in place governing who may view or access the
contact information?
Yes.
No.

10.

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?

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 10th, 2009
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: November 23, 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: Information Collection
Determination
PTA sufficient at this time
Privacy compliance documentation determination in progress
PIA is not required at this time
A PIA is required
System covered by existing PIA: DHS Contact List 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 10th, 2009
Page 6 of 6
A new PIA is required.
A PIA Update is required.
A SORN is required
System covered by existing SORN: DHS/ALL-002 Mailing and Other
Lists System
A new SORN is required.
DHS PRIVACY OFFICE COMMENTS