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[NCEZID] Shigella Hypothesis Generating Questionnaire

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Privacy Impact Assessment Form
v 1.47.4
Status Draft

Form Number

F-98249

Form Date

Question

Answer

1

OPDIV:

CDC

2

PIA Unique Identifier:

P-3384913-347360

2a Name:

5/7/2020 9:09:23 AM

DCIPHER SaaS (DCIPHER SaaS)
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.
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):

No
Yes
No
Agency
Contractor

POC Title

Laboratory Information
Management System (LIMS)
Scientific Advisor and
Coordinator

POC Name

Stephen Soroka

POC Organization NCEZID/OD

7

Is this a new or existing system?

8

Does the system have Security Authorization (SA)?

POC Email

[email protected]

POC Phone

404-639-0417
New
Existing
Yes
No

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July 8, 2020

8b Planned Date of Security Authorization

Not Applicable
11 Describe the purpose of the system.
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.)
Provide an overview of the system and describe the
13 information it will collect, maintain (store), or share,
either permanently or temporarily.
14 Does the system collect, maintain, use or share PII?

15

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

Data Collation and Integration for Public Health Event
Responses Software as a Service (DCIPHER SaaS) is a cloudDCIPHER SaaS is a cloud-based data integration and
management platform for use across CDC, in the Emergency
Operations Center (EOC), by other federal partners, and by
state, local, tribal, and territorial public health jurisdictions to:
DCIPHER SaaS is a cloud-based data integration and
management platform for use across CDC, in the Emergency
Operations Center (EOC), by other federal partners, and by
Yes
No
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

Education Records

Device Identifiers

Military Status

Employment Status

Foreign Activities

Passport Number

Taxpayer ID

Employees
Public Citizens
16

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

Business Partners/Contacts (Federal, state, local agencies)
Vendors/Suppliers/Contractors
Patients
Other potential or suspect patients, contacts of patients

17 How many individuals' PII is in the system?

18 For what primary purpose is the PII used?

1,000,000 or more
PII will be used to support and manage public health event
responses and routine public health activities in the response
to the COVID-19 pandemic.

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PII will also be used to support research projects as authorized/
initiated by the respective programs that own the data.
19

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

Further, data will be used to describe relationships and trends
between population health and various health conditions and/
or risk factors, as well as to inform public health event response
decisions and management.

20 Describe the function of the SSN.

N/A

20a Cite the legal authority to use the SSN.

N/A

Public Health Service Act, Section 301, "Research and
Investigation," (42 U.S.C. 241); sections 304, 306, and 308(d),
Identify legal authorities governing information use which discuss authority to grant assurances of confidentiality
21
and disclosure specific to the system and program.
for health research and related activities (42 U.S.C. 242 b, k, and
m(d)); and section 361, "Quarantine and Inspection, Control of
Communicable Diseases,` (42 U.S.C. 264).
22

Yes

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

Identify the number and title of the Privacy Act
System of Records Notice (SORN) that is being used
22a
to cover the system or identify if a SORN is being
developed.

No
Published:

09-20-0113-Epidemic Investigation Case
Records

Published:

09-20-0136 Epidemiologic Studies and
Surveillance of Disease Problems

Published:

09-20-0106-Specimen Handling for Testing and
Related Data 09-20-0171-Quarantine and
Traveler Related Activities, Including Records for
In Progress

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Directly from an individual about whom the
information pertains
In-Person
Hard Copy: Mail/Fax
Email
Online
Other
Government Sources
23

Within the OPDIV
Other HHS OPDIV
State/Local/Tribal
Foreign
Other Federal Entities
Other

Identify the sources of PII in the system.

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.

N/A, PII not being collected directly from the public.
Yes

24 Is the PII shared with other organizations?

No
Within HHS
To support and manage public health event responses and
routine public health activities at the state/local/tribal level.
Other Federal
Agency/Agencies

24a

Identify with whom the PII is shared or disclosed and
for what purpose.

To support and manage public health event responses and
routine public health activities at the federal level.
State or Local
Agency/Agencies
To support and manage public health event responses and
routine public health activities at the state/local/tribal level.
Private Sector

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DCIPHER SaaS will have an MOU in place with CDC Center for
Preparedness and Response (CPR) Personnel Workforce
Management System (PWMS) that allows the sharing of
information from PWMS to DCIPHER SaaS.
Describe any agreements in place that authorizes the DCIPHER SaaS also has Data Use Agreements (that define
information sharing or disclosure (e.g. Computer
system to system connections) and Program Engagement
24b Matching Agreement, Memorandum of
Agreements (that define the program to program
Understanding (MOU), or Information Sharing
responsibilities and relationships) with the various systems and
Agreement (ISA)).
program providing data to DCIPHER SaaS. These agreements
place responsibility with the program to manage their own
data, and share appropriately with states and locals based on
the policies, procedures, and agreements in place within the
participating program.
24c

Describe the procedures for accounting for
disclosures

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.
26

Is the submission of PII by individuals voluntary or
mandatory?

Data disclosures ("data export events") from DCIPHER SaaS are
tracked by the audit/traceability functionality provided within
DCIPHER SaaS .
N/A. DCIPHER SaaS receives individuals PII from other
systems. Therefore, it is the responsibility of the originating
systems to provide notifications to individuals that their
personal information is being collected.
Voluntary
Mandatory

Describe the method for individuals to opt-out of the
DCIPHER SaaS receives its information from other systems, and
collection or use of their PII. If there is no option to
27
those source systems are responsible for providing methods
object to the information collection, provide a
for individuals to opt out of the collection or use of their PII.
reason.
PII data are collected by State/Local/Tribal Public Health
Departments and are submitted to CDC in support of public
Describe the process to notify and obtain consent
health surveillance, investigation, and response activities. In
from the individuals whose PII is in the system when the event a major system change significantly alters the
major changes occur to the system (e.g., disclosure
disclosure and/or use of PII maintained in the system, DCIPHER
28 and/or data uses have changed since the notice at
WHR will notify the participating CDC programs and external
the time of original collection). Alternatively, describe partners, with whom we exchange data and maintain Data
why they cannot be notified or have their consent
User Agreements and Program Engagement agreements, of
obtained.
the change so they can take appropriate action to notify their
program partners, such as states, and obtain consent from the
affected individuals.
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.

To report and resolve concerns, individuals can contact the
POC listed in this form, who will notify the relevant program
lead. The communication should reasonably identify the
record and specify the information being contested, the
corrective action sought, and the reasons for requesting the
correction, along with supporting information to show how
the record is inaccurate, incomplete, untimely, or irrelevant.

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Describe the process in place for periodic reviews of
PII contained in the system to ensure the data's
30
integrity, availability, accuracy and relevancy. If no
processes are in place, explain why not.

DCIPHER SaaS provides participating CDC programs and
external partners with an interface to review all data and PII
and programs/external partners can conduct their own reviews
as needed or as consistent with their existing policies. This
program responsibility, including the reminder that the
program is responsible for these periodic audits, is written into
the DCIPHER Program Engagement Agreement, signed by the
participating programs, as a responsibility delegated to the
participating programs and is further codified in the Data Use
Agreement that each program lead signs as part of the onboarding process for DCIPHER SaaS .
Users

Administrators

Identify who will have access to the PII in the system
31
and the reason why they require access.

Developers

Contractors

Others

Program users will need access to the
PII in their specific data sources in
order to carry out their regular job
duties.
Administrators will need to assist in
mapping incoming data into the
platform.
Developers will need to appropriately
map incoming data into the platform,
perform validation checks, build
ontology.
Indirect Contractors are used on this
project for design, development,
configuration, customization and
maintenance.
State/local/tribal users who are owners
of PII will need to access their data in
order to carry out their regular job
duties.

Describe the procedures in place to determine which
System user access to PII is determined and managed by role32 system users (administrators, developers,
based system access, audit trail, and traceability.
contractors, etc.) may access PII.

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

DCIPHER SaaS utilizes a model that allows CDC administrators
to assign individual security labels and permissions to every
piece of data ingested into the platform at the object,
property, and relationship level. CDC administrators create
unique profiles for each user and assign users to groups and
subgroups, and determine controls and clearance levels
associated with each user and group based on the least
privileged model.

Identify training and awareness provided to
personnel (system owners, managers, operators,
contractors and/or program managers) using the
34
system to make them aware of their responsibilities
for protecting the information being collected and
maintained.

All CDC employees, contractors and fellows are required to
complete Privacy and Security Awareness Training on an
annual basis.

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

All DCIPHER SaaSusers receive Role-Based Training for
DCIPHER SaaS .

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

Yes
No

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Describe the process and guidelines in place with
37 regard to the retention and destruction of PII. Cite
specific records retention schedules.

Describe, briefly but with specificity, how the PII will
38 be secured in the system using administrative,
technical, and physical controls.

Processes and guidelines with regard to the retention and
destruction of PII varies and is dependent upon the individual
systems from which the data comes. Each program using
DCIPHER SaaS is responsible for applying its own existing
records retention schedules to PII data, and schedules will vary
across programs. This program responsibility as to following
their defined records retention procedures is written into the
DCIPHER WHR Program Engagement Agreement (PEA) that
each program lead signs as part of the on-boarding process for
DCIPHER SaaS which identifies the participating program as
responsible (and not DCIPHER SaaS ) for any and all retention
related requirements with respect to their data. DCIPHER can
be further configured to support automated and semiautomated deletions in accordance with program
requirements as laid out in the PEA.
Administrative Controls:
PII is secured in the system via FISMA compliant Management,
Operational, and Technical controls documented in the
systems security authorization package. Management
Controls include Federal, HHS, and CDC specific Privacy, Risk
Assessment, and Incident Management Policies, as well as,
annual system privacy impact assessments; maintaining
security & privacy incident response procedures; and
mandatory annual security & privacy awareness training;
Technical Controls include application level role-based access
controls; column and row level data security; server audit and
accountability measures; encryption of PII at rest and in transit;
and adherence to organizationally defined minimum security
controls including anti-virus and adherence to period system
software security tests.
Physical Controls include security guards at every facility, and
physical facilities management by restricting access to the data
center to authorized personnel.

General Comments

OPDIV Senior Official
for Privacy Signature

signed by Jarell
Jarell Oshodi Digitally
Oshodi -S
Date: 2020.05.12 08:59:23
-S
-04'00'

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