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Privacy Impact Assessment Form
v 1.47.4
Status Draft
Form Number
F-27821
Form Date
Question
Answer
1
OPDIV:
CDC
2
PIA Unique Identifier:
P-3968200-645079
2a Name:
7/23/2018 12:40:41 PM
iQualR (iQualR)
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)?
8b Planned Date of Security Authorization
No
Yes
No
Agency
Contractor
POC Title
IT Specialist
POC Name
Jianfeng Li
POC Organization NCHHSTP/OD
POC Email
[email protected]
POC Phone
404.639.8371
New
Existing
Yes
No
December 21, 2018
Not Applicable
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11 Describe the purpose of the system.
iQualR (iQualR) is system that works in conjunction with iQualA
(iQualA) to conduct qualitative research used to investigate
HIV risk and progression of disease among affected
communities as well as the systems funded to address HIV
prevention, treatment, care, as well as surveillance. The
primary intent of the iQualR system is to understand issues
surrounding HIV risk in the U.S. Learn more about how
affected community or peer norms, and risk behaviors.
Understand individual HIV risk management, barriers and
facilitators for use of biomedical interventions (i.e., PrEP, nPEP).
Understand factors that promote resiliency among at-risk
communities and have a better understanding of these goals
will enable the program to better assess how they are meeting
the National HIV/AIDS Strategic Plan.
The iQualR system collects data through task orders. The
iQualR task orders are initiated under contractual agreements
between CDC and contractors.
iQualR collects and stores the participant's birth year, race,
Describe the type of information the system will
ethnicity, gender, sex, sexual orientation, city and HIV status.
collect, maintain (store), or share. (Subsequent
12
questions will identify if this information is PII and ask
iQualR does not store users names and passwords; it does
about the specific data elements.)
authenticate all its users against Active Directory, a separate
access authentication tool that has its own PIA.
iQualR is a system that works in conjunction with iQualA
(iQualA) to conduct qualitative research used to investigate
HIV risk and progression of disease among affected
communities as well as the systems funded to address HIV
prevention, treatment, care, as well as surveillance. The iQualR
system currently includes four active task orders that enable
data owners to collect data out-in-the-field and/or by one-onone interview.
Provide an overview of the system and describe the
13 information it will collect, maintain (store), or share,
either permanently or temporarily.
iQualR only collects and stores the participant's birth year, race
and ethnicity, gender, sex, sexual orientation, city of residence,
and HIV status.
This data is collected through four active task orders with
iQualR and conducted by interviews with HIV - negative from 4
MSAs (Atlanta, GA; New Orleans, LA; Columbia, SC; and Miami,
FL). Individual data is collected and maintained by iQualR.
iQualR does not store users names and passwords; it does
authenticate all its users against Active Directory, a separate
access authentication tool that has its own PIA.
14 Does the system collect, maintain, use or share PII?
Yes
No
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General Comments
OPDIV Senior Official
for Privacy Signature
Q10: Name and Acronym change for this system from Pulse to iQualR
Beverly E.
Walker -S
Digitally signed by
Beverly E. Walker -S
Date: 2018.12.20 16:22:34
-05'00'
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