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Privacy Impact Assessment Form
v 1.47.4
Status Draft
Form Number
F-13793
Form Date
Question
Answer
1
OPDIV:
CDC
2
PIA Unique Identifier:
P-6244431-443278
2a Name:
4/27/2016 10:22:55 AM
DSTDP Gonococcal Isolate Surveillance Project (GISP)
General Support System (GSS)
Major Application
3
Minor Application (stand-alone)
The subject of this PIA is which of the following?
Minor Application (child)
Electronic Information Collection
Unknown
3a
Identify the Enterprise Performance Lifecycle Phase
of the system.
Operations and Maintenance
Yes
3b Is this a FISMA-Reportable system?
4
Does the system include a Website or online
application available to and for the use of the general
public?
5
Identify the operator.
6
Point of Contact (POC):
7
Is this a new or existing system?
8
Does the system have Security Authorization (SA)?
8a Date of Security Authorization
No
Yes
No
Agency
Contractor
POC Title
IT Specialist (InfoSec)
POC Name
Inocencia Ventura
POC Organization NCHHSTP/OD
POC Email
[email protected]
POC Phone
404.718.8346
New
Existing
Yes
No
May 2, 2013
Page 1 of 2
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11 Describe the purpose of the system.
The GISP Project was established in 1986 to monitor trends in
antimicrobial susceptibilities of strains of Neisseria Gonorrhea
(N. gonorrhea) in the United States and to establish a rational
basis for the selection of gonococcal therapies. GISP is a
collaborative project between selected Sexually Transmitted
Diseases (STD) clinics, five regional laboratories, and the
Centers for Disease Control and Prevention (CDC).
Describe the type of information the system will
collect, maintain (store), or share. (Subsequent
12
questions will identify if this information is PII and ask
about the specific data elements.)
In GISP, N. gonorrhea isolates are collected from the first 25
men with urethral gonorrhea attending STD clinics each
month in approximately 28 cities in the United States. No
identifiable information is collected or maintained.
GISP was established in 1986 as a collaborative project to
collect antimicrobial susceptibilities of gonorrhea from 27
select STD clinics and 5 regional labs monthly. It monitors
trends in antimicrobial susceptibilities of strains of Neisseria
Gonorrhea in the United States and establishes a rational basis
for the selection of gonococcal therapies.
Provide an overview of the system and describe the
13 information it will collect, maintain (store), or share,
either permanently or temporarily.
Data maintained is forwarded from the State Health
Departments to the CDC for surveillance statistical analysis
only. GISP focuses on N. gonorrhoeae isolates that are
collected from the first 25 men with urethral gonorrhea
attending STD clinics each month in approximately 28 cities in
the United States.
No personal identifiers are maintained.
14 Does the system collect, maintain, use or share PII?
General Comments
OPDIV Senior Official
for Privacy Signature
Yes
No
Changes since the last PIA:
1- System name has been changed since last PIA (previous name: Gonococcal Isolate Surveillance Project
(GISP)).
2- System previously stored DOBs (the only PII that was being collected and maintained), but the System
Manager has determined since the last PIA that DOBs are no longer needed; consequently, these
identifiers have been deleted consistent with the Records Schedule. No personal identifiers are now being
collected/stored/maintained.
Beverly E.
Walker -S
Digitally signed by Beverly E. Walker -S
DN: c=US, o=U.S. Government,
ou=HHS, ou=CDC, ou=People,
0.9.2342.19200300.100.1.1=10014403
43, cn=Beverly E. Walker -S
Date: 2016.04.27 16:17:44 -04'00'
Page 2 of 2
File Type | application/pdf |
File Modified | 2016-04-27 |
File Created | 2016-03-30 |