Privacy Impact Assessment

Attachment 19 HHS Approved PIA - Electronic Research Administration 7152019.docx

PHS Applications and Pre-award Related Reporting (OD)

Privacy Impact Assessment

OMB: 0925-0001

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Privacy Impact Assessment Form


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Question Answer

  1. OPDIV: NIH

  2. PIA Unique Identifier: P-9218201-570012


2a Name: Electronic Research Administration





  1. The subject of this PIA is which of the following?




3a

Identify the Enterprise Performance Lifecycle Phase of the system.


3b Is this a FISMA-Reportable system?


Does the system include a Website or online

General Support System (GSS) Major Application

Minor Application (stand-alone) Minor Application (child) Electronic Information Collection Unknown

Operations and Maintenance

Yes No

Yes

  1. application available to and for the use of the general

public? No


  1. Agency Contractor

    Identify the operator.






  1. Point of Contact (POC):

POC Title eRA ISSO

POC Name Thomas Mason

POC Organization HHS/NIH/OD/OER/ORIS/eRA POC Email [email protected]

POC Phone 301-451-9048

  1. New Existing

    Shape2 Is this a new or existing system?

  2. Yes

    No

    Does the system have Security Authorization (SA)?

Apr 30, 2017

8a Date of Security Authorization

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PIA Validation (PIA Significant System

Refresh/Annual Review) Management Change Anonymous to Non- Alteration in Character of Anonymous Data

9 Indicate the following reason(s) for updating this PIA. New Public Access New Interagency Uses

Choose from the following options. Internal Flow or Collection Conversion

Commercial Sources

10 Describe in further detail any changes to the system No changes have occurred that impact the PIA, however, the that have occurred since the last PIA. previous PIA inadvertently did not indicate that the last 4 digits

of the SSN are collected and stored.

The Electronic Research Administration (eRA) provides critical Information Technology (IT) infrastructure to manage over $30 billion in research and non-research grants awarded annually by NIH and other grantor agencies in support of the collective mission of improving human health. Agencies supported include:

Agency for Healthcare Research and Quality (AHRQ) Centers for Disease Control and Prevention (CDC) Food and Drug Administration (FDA)

Substance Abuse and Mental Health Services Administration (SAMHSA)

Veterans Administration (VA)


11 Describe the purpose of the system. eRA is recognized as an NIH Enterprise System and is a

designated Center of Excellence by the U.S. Department of Health and Human Services (HHS). eRA is used as a grants management shared service provider by other federal agencies to manage their grants. The eRA system aligns with Grants.gov (the one-stop Web portal for finding and applying for federal grants), allowing for full electronic processing of grant applications from application submission through closeout of the grant award.


The eRA program is a component of the NIH Office of Extramural Research (OER), headquartered in Bethesda, Maryland. Additional program information can be found at the eRA home page, following this link, https://era.nih.gov.


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Provide an overview of the system and describe the

  1. information it will collect, maintain (store), or share, either permanently or temporarily.

eRA supports the full grants life cycle and is used by applicants and grantees worldwide.


Shape8 eRA maintains a variety of pre-award and award management records that contain information needed to process applications and manage grant awards across the award lifecycle.

The type of information eRA collects, stores and shares include personally identifiable information (PII) such as: name, e-mail address, phone numbers, education information, mailing address, ethnicity, gender, race, and last four digits of SSN.


Listed below are the categories of individuals, with pre-award and award management records collected about them:


Applicants for or Awardees of awards - pre-award and award management (awardees) information;


Individuals named in applications, , or awards - pre-award and award management (awardees) information;


Referees - pre-award information;


Peer Reviewers - pre-award information;


Individuals required to report inventions, award management information; and


Academic medical faculty, medical students and resident physicians - award management information.


eRA has implemented role-based access controls which limits administration and functional user privileges.


Authentication (allowing users to log in to the system) is handled by NIH Login, which is administered by CIT's Identity and Access Management Team. NIH Login has its own approved PIA and Authority to Operate. NIH Login permits authentication to eRA via PIV Cards (for agency users) and username/password for external (grantee) users. Passwords are stored by NIH Login and subject to their PIA.


Authorization (assigning roles and privileges to users) is handled within the eRA system, and the roles assigned to users are stored within the eRA database.



  1. Does the system collect, maintain, use or share PII?

Yes No

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Social Security Number

Date of Birth



Name

Photographic Identifiers



Driver's License Number

Biometric Identifiers



Mother's Maiden Name

Vehicle Identifiers



E-Mail Address

Mailing Address



Phone Numbers

Medical Records Number



Medical Notes

Financial Account Info



Certificates

Legal Documents

15

Indicate the type of PII that the system will collect or maintain.

Education Records

Military Status

Device Identifiers

Employment Status



Foreign Activities

Passport Number



Taxpayer ID





16




Indicate the categories of individuals about whom PII is collected, maintained or shared.

Employees Public Citizens

Business Partners/Contacts (Federal, state, local agencies) Vendors/Suppliers/Contractors

Patients

Other

17

How many individuals' PII is in the system?

100,000-999,999

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For what primary purpose is the PII used?

The primary purpose of Personally Identifiable Information (PII) entered into eRA modules is for NIH grant proposal submission and administration business processes. When a user account is established at the request of the individual, PII is requested about users in the roles of applicants, awardees of the institutional organization staff and or key personnel.

Submission of PII is voluntary; however, in order to process a transaction, most fields are required.


The records contained within this system will pertain to the following categories of individuals:


Applicants for or Awardees of awards - pre-award and award management (awardees) information;


Individuals named in applications, or awards - pre-award and award management (awardees) information;


Referees - pre-award information;


Peer Reviewers - pre-award information;


Individuals required to report inventions, award management information; and,


Academic medical faculty, medical students and resident physicians - award management information.



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Describe the secondary uses for which the PII will be used (e.g. testing, training or research)

As an NIH enterprise system and HHS Center of Excellence, eRA uses aggregate data (including some PII) for internal evaluation purposes: including trend analysis, budget and business forecasting.



20


Describe the function of the SSN.

Full Social Security Numbers are not used within the system. The last 4 digits of the SSN are used to assist in identifying and disambiguating individuals.



20a


Cite the legal authority to use the SSN.


Executive Order 9397


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21 Identify legal authorities governing information use and disclosure specific to the system and program.

The legal authorities to operate and maintain this Privacy Act records system are:

5 U.S. Code §301- U.S. Government Organization and Employees - Departmental Regulations

42 U.S.C. §§ 217a- Public Health Service Act - Advisory councils or committees

42 U.S.C. §§ 241 - Public Health Service Act Research and Investigations

42 U.S.C. §§ 281 - Public Health Service Act , Organization of the National Institutes of Health

42 U.S.C. §§ 282 Public Health Service Act Director NIH, 42 U.S.C. §§ 284 Public Health Service Act , Directors of National Research Institutes

42 U.S.C. §§ 284a Public Health Service Act Advisory Councils, 42 U.S.C. §§ 288 Public Health Service Act Kirschstein National Research Service Awards

44 U.S.C. §§ 3101 Presidential Review of Records, Records Management by Agency Heads

35 U.S.C. § 200-212 Patent Rights in inventions made with Federal Assistance,

48 C.F.R. Subpart 15.3 Source Selection in competitive negotiated acquisitions

and 37 C.F.R. 401.1-16 Bayh-Dole Act

44 U.S.C. Sec. 2904 General Responsibilities for Records Management

44 U.S.C. Sec. 2906 Inspection of Agency Records


22 Are records on the system retrieved by one or more PII data elements?

Yes

No



Published:


Identify the number and title of the Privacy Act

22a System of Records Notice (SORN) that is being used Published: to cover the system or identify if a SORN is being

developed.

Published:

SORN 09-25-0225 "NIH Electronic Research Administration (eRA) Records, HHS/NIH/OD/OER


SORN 09-25-0036 "NIH Extramural Awards and Chartered Advisory Committee (IMPAC II), Contract Information (DCIS), and Cooperative


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In Progress


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Identify the sources of PII in the system.

Directly from an individual about whom the information pertains

In-Person Hard Copy: Mail/Fax

Email Online

Other Government Sources

Within the OPDIV Other HHS OPDIV

State/Local/Tribal

Foreign Other Federal Entities

Other Non-Government Sources

Members of the Public Commercial Data Broker Public Media/Internet

Private Sector

Other


23a

Identify the OMB information collection approval number and expiration date.

OMB # 0925-0001 Expiration Date:03/31/2020 OMB # 0925-0002 Expiration Date:03/31/2020

24

Is the PII shared with other organizations?

Yes

No

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Within HHS


NIH Institutes and Centers (ICs) will have access for daily job duties supporting eRA award programs and related processes. Partnered agencies within HHS will have access to Personally Identifiable Information as well for the purpose of administering and facilitating joint grant and award programs.


Other Federal Agency/Agencies

For Agency partners using the eRA system, such as the Department of Defense (DoD) and Veterans Affairs (VA), access to PII will be for the purpose of administering and facilitating joint grant and award programs.


The Department of Justice (DoJ) or to a court or other adjudicative body when a potential violation of law has occurred, there is an ongoing litigation involving a participant of an eRA program, or an employee is being represented by the DoJ or participating agency.


State or Local 24a Identify with whom the PII is shared or disclosed and Agency/Agencies

for what purpose.

When there is a violation of a law, disclosure may be made to

the appropriate authority for enforcing, investigating, or prosecuting the violation.


A record from this system may be disclosed for hiring or retention of an employee, the issuance or retention of a security clearance, the letting of a contract, or the issuance or retention of a license, grant or other benefit.


Private Sector


To a partnered research party for the purpose of participation in an eRA grant or award funded initiative. These parties are vetted by NIH and must abide by federal regulations, laws, and NIH mandated security, privacy, and records requirements.


To qualified experts not within the definition of agency employees as prescribed in agency regulations or policies to obtain their opinions on applications for grants, Cooperative Research and Development Agreements (CRADAs), inventions, or other awards as a part of the peer review process.

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Describe any agreements in place that authorizes the information sharing or disclosure (e.g. Computer

24b Matching Agreement, Memorandum of Understanding (MOU), or Information Sharing Agreement (ISA)).

eRA has established documented formal Information Sharing Agreement (ISA) relationships with partnering organizations. Those ISAs are listed in the NIH System Authorization Tool (NSAT). eRA has ISAs with the following entities:


Agency for Healthcare Research and Quality (AHRQ) Centers for Disease Control and Prevention (CDC) Food and Drug Administration (FDA)

Grants.gov

NIH Business System

NIH Integrated Service Center

Substance Abuse and Mental Health Services Administration (SAMHSA)

Unified Financial Management System (UFMS) Veterans Administration (VA)

eRA-DoD (USAMRMC-CDMRP) Interconnection eRA-and-Grants.gov Program Management Office Interconnection










24c Describe the procedures for accounting for disclosures

All disclosures required by the Freedom of Information Act are logged by the Freedom of Information Act Office of the NIH Office of the Director. The log contains the following fields: name and address of requester, institution/organization, date requested, purpose of the request/the use of the information, release of PII (yes or no), if released the nature of the release (e.g. electronic, paper), name of recipient and address of recipient if different than the requester.


Per language in the eRA Partner Agreements and Interconnection Security Agreements (ISAs), parties are required to report privacy breaches or suspected breaches to eRA within one (1) hour of detection.


Disclosure of privacy information between systems is managed under routine use notices. In addition system logs maintain transaction information only (not the PII itself) as a record or accounting of each time it discloses information as part of routine use.


Describe the process in place to notify individuals

25 that their personal information will be collected. If no prior notice is given, explain the reason.

Individuals are provided a privacy disclosure notice when accessing eRA modules. A privacy notice informs the individual that personal information will be collected.


26 Is the submission of PII by individuals voluntary or mandatory?

Voluntary

Mandatory


Describe the method for individuals to opt-out of the Individuals opt-out of collection of personally identifiable

27 collection or use of their PII. If there is no option to information by not registering with commons, initiating an object to the information collection, provide a account and awardee request. Demographic information

reason. allows a "do not wish to provide" option.

Describe the process to notify and obtain consent

from the individuals whose PII is in the system when

major changes occur to the system (e.g., disclosure An altered System of Records Notice (SORN) will be published

28 and/or data uses have changed since the notice at in the Federal Register to provide notice of any significant the time of original collection). Alternatively, describe revision.

why they cannot be notified or have their consent

obtained.







CONTESTING RECORD PROCEDURE (REDRESS):


As described in the exemption clauses of SORN 09-25-0225 certain material will be exempt from amendment; however, consideration will be given to all amendment requests addressed to the System Manager. Individuals whose information is contained in the records can write to the System Manager, reasonably identify the record and specify the information being contested, state the corrective action sought and the reason(s) for requesting the correction, and provide supporting information.


The right to contest records is limited to information that is factually inaccurate, incomplete, irrelevant, or untimely (obsolete).

Shape49 Describe the process in place to resolve an individual's concerns when they believe their PII has

29 been inappropriately obtained, used, or disclosed, or that the PII is inaccurate. If no process exists, explain why not.

















PII is obtained from the subject individual. They have unlimited access to the system through the eRA "Commons" to update or correct the information or to change their decision regarding use of the information as part of aggregate data.


eRA performs regression testing to ensure functionality with every release to ensure PII is not compromised. eRA has reduced the PII collected as data and for display on forms within Commons. The policy office clears data collection efforts via OMB annually.


In addition, the integrity, availability, and relevancy of PII in eRA is maintained via:

Daily and weekly backups.

Real-Time Data replication to an offsite location certified by NIH

Daily reviewed audit reports to determine if any unauthorized user(s) have accessed the system and/or database and if any system parameters have been modified without prior authorization on system and/or database

Annual recertification of users via designated NIH Institute Center or Office Coordinator.

Accounts identified as no longer required are deactivated Access to eRA applications is restricted to encryption with HTTPS.

30

Describe the process in place for periodic reviews of PII contained in the system to ensure the data's integrity, availability, accuracy and relevancy. If no processes are in place, explain why not.

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Identify who will have access to the PII in the system and the reason why they require access.



Users

External users (grantees) have access to PII they provided and will be able to update their PII only. Access to others' PII is restricted. Individuals may also



Administrators

Administrators have access to the entire system to ensure they are operating efficiently; patching and other maintenance related activities


Developers

Developers have access to PII to develop new features and functionality to ensure data integrity and quality.


Contractors

Direct Contractors have access to PII to support users and to maintain system functionality.


Others

Referees - pre-award information; Peer Reviewers - pre-award information;

For examples, individuals who will


32

Describe the procedures in place to determine which system users (administrators, developers, contractors, etc.) may access PII.

Access is strictly limited according to the principle of least privilege, which means giving a user only those privileges which are essential to that user's work.




33


Describe the methods in place to allow those with access to PII to only access the minimum amount of information necessary to perform their job.

eRA has implemented role-based access controls which limits administration and functional user privileges. Role based access has been implemented across eRA. Privacy and Security controls to ensure proper protection of information by allowing users only access to the minimum amount of PII necessary to perform their job.




34

Identify training and awareness provided to personnel (system owners, managers, operators, contractors and/or program managers) using the system to make them aware of their responsibilities for protecting the information being collected and maintained.

The NIH Security Awareness Training course is used to satisfy this requirement. According to NIH policy, all personnel who use NIH applications must attend security awareness training every year. There are four categories of mandatory IT training (Information Security, Counterintelligence, Privacy Awareness, and Records Management).



35

Describe training system users receive (above and beyond general security and privacy awareness training).

System users are provided guidance about proper usage of PII and privacy awareness. Users are also required to agree to the eRA Rules of Behavior and Data Access Agreements.



36

Do contracts include Federal Acquisition Regulation and other appropriate clauses ensuring adherence to privacy provisions and practices?

Yes No


Item E-0001 (DAA-0443-2013-0004-0001)

Official case files of construction, renovation, endowment and similar grants.

Disposition: Temporary. Cut off annually following completion of final grant-related activity that represents closing of the case file (e.g., project period ended). Destroy 20 years after cut-off;


Item E-0002 (DAA-0443-2013-0004-0002)

Official case files of funded grants, unfunded grants, and award applications, appeals and litigation records.

Disposition: Temporary. Cut off annually following completion of final grant-related activity that represents closing of the case file (e.g., end of project period, completed final peer review, litigation or appeal proceeding concluded). Destroy 10 years after cut-off;


Item E-0003 (DAA-0443-2013-0004-0003)

Animal welfare assurance files.

Disposition: Temporary. Cut off annually following closing of the case file. Destroy 4 years after cut-off; and,


Item E-0004 (DAA-0443-2013-0004-0004)

Extramural program and grants management oversight records.

Disposition: Temporary. Cut off annually. Destroy 3 years after cut-off.
























Describe, briefly but with specificity, how the PII will

  1. be secured in the system using administrative, technical, and physical controls.

Administrative Safeguards:


Controls to ensure proper protection of information and information technology systems include, but are not limited to, the completion of a:

Security Assessment and Authorization (SA&A) package Privacy Impact Assessment (PIA)

Mandatory annual NIH Information Security and Privacy Awareness training - or comparable specific in-kind training offered by participating agencies that has been reviewed and accepted by the NIH eRA Information Systems Security Officer (ISSO)


The SA&A package consists of a:

Security Categorization

e-Authentication Risk Assessment System Security Plan

Evidence of Security Control Testing Plan of Action and Milestones Contingency Plan

Evidence of Contingency Plan Testing.


When the design, development, or operation of a system of records on individuals is required to accomplish an agency function, the applicable Privacy Act Federal Acquisition Regulation (FAR) clauses are inserted in solicitations and contracts.


Physical Safeguards:


Controls to secure the data and protect paper and electronic records, buildings, and related infrastructure against threats associated with their physical environment include, but are not limited to, the use of the HHS Employee Persona Identity Verification (PIV) ID and/or badge number and NIH key cards, security guards, cipher locks, biometrics, and closed-circuit TV. Paper records are secured under conditions that require at least two locks to access, such as in locked file cabinets that are contained in locked offices or facilities. Electronic media are kept on secure servers or computer systems.


Technical Safeguards:


eRA data is encrypted in transit, in use, and at rest.

Controls executed by the computer system are employed to minimize the possibility of unauthorized access, use, or dissemination of the data in the system. They include, but are not limited to user identification, password protection, firewalls, virtual private network, encryption, intrusion detection system, common access cards, smart cards, biometrics and public key infrastructure.

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  1. https://public.era.nih.gov/commons https://iEdison.gov https://Edison.gov

    Identify the publicly-available URL:

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40 Does the website have a posted privacy notice?

Yes

No

40a Is the privacy policy available in a machine-readable format?

Yes

No

41 Does the website use web measurement and customization technology?

Yes

No


Technologies Web beacons

Web bugs Session Cookies

Persistent Cookies


Other... N/A

Collects PII?


Yes


No


Yes

Select the type of website measurement and

41a customization technologies is in use and if it is used to collect PII. (Select all that apply)

No Yes

No


Yes


No


Yes


No

42 Does the website have any information or pages directed at children under the age of thirteen?

Yes No


43 Does the website contain links to non- federal government websites external to HHS?

Yes

No


Is a disclaimer notice provided to users that follow 43a external links to websites not owned or operated by

HHS?

Yes

No




General Comments


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OPDIV Senior Official for Privacy Signature

HHS Senior Agency Official for Privacy


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