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Privacy Impact Assessment (PIA)
ICR 202610-0920-015 · OMB 0920-0260 · Object 173958900.
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| File Type | application/pdf |
|---|---|
| File Title | Privacy Impact Assessment (PIA) |
| Last Modified By | Adobe LiveCycle Designer 11.0 |
| File Modified | 2022-09-21 |
| File Created | 2016-03-30 |
| Conversion State | complete |
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Save Privacy Impact Assessment Form v 1.47.4 Status Draft Form Number F-75102 Form Date Question Answer 1 OPDIV: CDC 2 PIA Unique Identifier: P-6273809-961392 2a Name: 8/25/2022 3:57:48 PM Modernization Platform (MPN) 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 Associate Director of IT POC Name Mike Loudermilk POC Organization CDC/NIOSH/OD POC Email [email protected] POC Phone 404.498.1988 New Existing Yes No Oct 19, 2022 Page 1 of 12 Save 11 Describe the purpose of the system. The Modernization Platform (MPN) is a strategic effort to align existing National Institute for Occupational Safety and Health (NIOSH) investments to open standards and modern data services. This platform provides a framework to effectively manage and provide oversight of NIOSH Information Technology (IT) systems while encouraging the adoption of the NIOSH Edge Computing Platform (NECP) and CDC Cloud Strategy. The platform supports the replacement and limited redevelopment of NIOSH applications using agile methodologies. The platform will be Federal IT Acquisition Reform Act (FITARA) compliant in planning, programming, and budgeting and is Federal Information Security Management Act (FISMA) Moderate. MPN maintains Social Security Numbers (SSN), names, email addresses, mailing/physical addresses, phone numbers, medical notes, certificates, date of birth (DOB), photographic identifiers, biometric identifiers, demographics (ethnicity and gender), medical record numbers, military and employment status. Other related data include the types of injuries/fatalities involved in incident, general time and physical location information related to incident, general exposures, work behaviors, cancer diagnoses, and other relevant risk factors with the intent to monitor cancer incidence and other health related risk factors. Also, desensitized narratives from surveys and injury context are collected. 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.) All full time employees and contractors that utilize MPN use Centers for Disease Control (CDC) user credentials/Personal Identity Verification (PIV) card to access the system in conjunction with Active Directory (AD) Services within the CDC/Agency for Toxic Substances and Disease Registry (ATSDR) Enterprise. AD is a separate system and is covered by a separate PIA. Authorized System users have AD accounts with role-based access to the information system. Some contractors use CDC credentials to work on behalf of the agency. External partners authenticate via Secure Access Management Services (SAMS), which has its own PIA. Page 2 of 12 Save MPN helps to store and share information amongst the NIOSH divisions which are located in various states. The information collected is accessed by authorized NIOSH employees, giving them the ability to enter, search, and view collected data. MPN collects and maintains identifying information about the workers involved in the safety incident such as participant names to ensure collected data is associated with the correct person. DOB is collected to understand the relationship between age and safety. Medical information (medical notes, medical records number, biometric identifiers, medical/health history) is collected to understand the safety and health risks of certain tasks and/or environments. Provide an overview of the system and describe the 13 information it will collect, maintain (store), or share, either permanently or temporarily. Demographic information like ethnicity or gender is collected to understand the role of ethnicity and gender in safety. Contact information is to ensure that program participants can be contacted. Employment status and work history is collected to understand how a worker's role and industry employment relates to safety. Other data collected includes the types of injuries/fatalities involved in incident for safety incident type classifications, general time and physical location information related to incident to understand environmental context. Also, desensitized narratives, from surveys, that may help clarify what the root causes and contributing factors were for the incident. Injury context is collected in order to organize each safety incident into quantifiable data that can be analyzed. MPN collects external users’ business contact information (email and phone number) for account set up and user support. All full time employees and contractors that utilize MPN use CDC user credentials/PIV card to access the system in conjunction with Active Directory Services within the CDC/ ATSDR Enterprise. AD is a separate system with its own PIA. External partners authenticate via Secure Access Management Services (SAMS), which has its own PIA. 14 Does the system collect, maintain, use or share PII? Yes No Page 3 of 12 Save 15 Indicate the type of PII that the system will collect or maintain. 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 Demographic information Medical/health history Race/ethnicity Gender Job title/Dates of employment Employees Public Citizens Indicate the categories of individuals about whom PII 16 is collected, maintained or shared. Business Partners/Contacts (Federal, state, local agencies) Vendors/Suppliers/Contractors Patients Other Publication Authors, Respirator Manufacturers seeking approval. 17 How many individuals' PII is in the system? 1,000,000 or more 18 For what primary purpose is the PII used? MPN collects external users’ business contact information (email and phone number) for account set up and user support. MPN collects and maintains identifying information about the workers involved in the safety incident such as participants' names to ensure collected data is associated with the correct person. DOB is collected to understand any relationship between age and safety. Medical information (medical notes, medical records number, biometric identifiers) is collected to understand the safety and health risks of certain tasks and/or environments. 19 Describe the secondary uses for which the PII will be used (e.g. testing, training or research) Secondary uses for collecting PII include informing workers of study findings, analyzing data, administering surveys, contacting participants, verifying the miner's identity, to keep records of procedures performed within the system, and for user account setup and user support. Page 4 of 12 Save MPN uses miner's SSN to search for data, verify identity, and group radiographs taken during a miner's lifetime. 20 Describe the function of the SSN. 20a Cite the legal authority to use the SSN. SSN is also used in determining whether a match is for a particular worker. The set of information which MPN and the data source have in common typically consists of SSN, name, date of birth, and gender. These fields are used to ascertain whether a linked record for a worker is a true match, a false match, or whether it remains unclear. Without the SSN, many of these determinations would be impossible. Federal Mine Safety and Health Act, Sections 203 and Occupational Safety and Health Act, Section 20 Occupational Safety and Health Act, Section 20, "Research and Identify legal authorities governing information use Related Activities" (29 U.S.C. 669); Federal Mine Safety and 21 Health Act of l977, Sections 203, "Medical Examinations" and and disclosure specific to the system and program. 50l, "Research" (30 U.S.C. 843, 95l); Public Health Service Act, Section 301, "Research and Investigation" (42 U.S.C. 241). 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: 09-20-0149 | Morbidity Studies in Coal Mining, Metal and Non-metal Mining and General Industry Published: 09-20-0147 | Occupational Health Epidemiological Studies and EEOICPA Program Records and WTC Health Program Records Published: In Progress Page 5 of 12 Save 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. 24 Is the PII shared with other organizations? OMB 0920-0953, Expiration: 10/31/2024 OMB 0920-0260, Expiration: 03/31/2024 Yes No Page 6 of 12 Save Within HHS Other Federal Agency/Agencies PII is provided to allow users to contact the publication author with questions/comments. The Mine Safety and Health Administration (MSHA) may be provided PII when needed, as NIOSH runs the Coal Workers' Health Surveillance Program (CWHSP) on their behalf. PII is provided to IRS for matching with their database in order to identify addresses for workers. PII is also provided to Department of Energy in order to obtain additional exposure data and study data. 24a Identify with whom the PII is shared or disclosed and for what purpose. State or Local Agency/Agencies PII is provided to allow users to contact the publication author with questions/comments. PII is also provided to the State statistic offices Private Sector PII is provided to allow users to contact the publication author with questions/comments. Analysis files not containing direct identifiers may be shared with collaborators or researchers interested in replicating the study, either through a data use agreement or at a research data center. Lab testing with Clinical Laboratory Improvement Amendments (CLIA) certified lab. Page 7 of 12 Save Agreements are in place for data sharing as follows: 1) Data exchanged with National Death Index (NDI) is governed by the NDI process which includes an application process with protocol review of new studies. 2) Data exchanged with the Internal Revenue Service (IRS) is governed Under Title 26 – Internal Revenue Code 6103(m)(3), (https://www.irs.gov/irm/part11/irm_11-003-029) as amended (Appendix A) and Public Law 96-128, title V, Sec. 502, as amended, (http://thomas.loc.gov/cgi-bin/bdquery/z? d096:HR02282:@@@D&summ2=m&). NIOSH has been granted Describe any agreements in place that authorizes the authority for this type of search and has been vetted by IRS to gain access and the use of their secure FTP site. information sharing or disclosure (e.g. Computer 24b Matching Agreement, Memorandum of Understanding (MOU), or Information Sharing Agreement (ISA)). 3) Data exchanged with Department of Energy (DOE) Interagency Agreement to collect study records from the various sites. 4) Data exchanged with state Vital Records departments are governed by an approval process with each state at the time requested. 5) Data exchanged with state cancer registries are governed by an approval process with each state at the time requested. 7) Study analysis files not containing direct identifiers are governed by Data Use Agreements or by restricted access through National Center for Health Statistics (NCHS's) Research Data Center. Health Management Systems (HMS) Federal has established the International Organization for Standardization (ISO) 9001 procedures for accounting for disclosures under this system. 24c Describe the procedures for accounting for disclosures This is maintained by the system owner. Within this disclosure ledger includes the date, the name (the address if known) of the entity of the receiving person or agency, a brief description of the information disclosed, and a brief purpose of the disclosure (or a copy of the disclosure request). This ledger is captured in a spreadsheet. The National Firefighter Registry Consent Form explains how the firefighter information will be kept private and requires them to sign granting NIOSH permission to collect and use the data when requesting access to participate in the NFR. 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? When voluntarily signing up for an account, individuals provide business contact information. The website form describes the information collection and the use of PII. Users requesting access to the system for a specific role will be notified during the request either verbally or by email that their user Id will be stored. New employees are notified via email or verbally that their information will be stored. Voluntary Mandatory Page 8 of 12 Save Describe the method for individuals to opt-out of the Participation is voluntary and initiated by the users. Users opting to participate are required to provide business contact collection or use of their PII. If there is no option to 27 information as needed for account setup and user support. object to the information collection, provide a Once established, users can opt out by contacting reason. [email protected] and their account will be disabled. 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 Users are notified of system updates via the email 28 and/or data uses have changed since the notice at address they provide. Major changes in the use of PII are not the time of original collection). Alternatively, describe anticipated and have not occurred. why they cannot be notified or have their consent obtained. f PII has been inappropriately obtained, used, or disclosed, or if the PII is inaccurate, an individual can contact the systems program manager at [email protected]. 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 Concerns about PII can be directed to NIOSH MPN that the PII is inaccurate. If no process exists, explain administrators at [email protected]. The administrators will direct the concern to the system security steward who will why not. reach out to the individual and division management, NIOSH's Information System Security Officer, and CDC's Privacy Office for an appropriate resolution. PII contained in the system is reviewed by MPN administrators weekly and any incorrect information is remedied. Additionally, users or authors may request their information be updated by sending an email to the system administrators. 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. Integrity checks include: the data entry staff verify that PII matches the form when entering the data, entered data are compared to appropriate valid ranges of values, databases are designed to eliminate redundancies, and database constraints require values for critical fields and disallow invalid values. Workers' addresses are updated prior to notifications. Users may update their email address and phone number by sending updates to [email protected]. Reviews are conducted by NIOSH's Project Manager. Users Administrators Identify who will have access to the PII in the system 31 and the reason why they require access. Program researchers will have access to their program's PII data in order to conduct analysis. Users are able to respond to inquiries For creating user accounts and communicating system status and providing user support. Developers Contractors Direct contractors serving as users administrators. Others Describe the procedures in place to determine which MPN utilizes Role Based Access Control (RBAC) that enforces 32 system users (administrators, developers, the most restrictive permissions for authorized users based on contractors, etc.) may access PII. their role. The Business Stewards determine which users can Page 9 of 12 Save 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. MPN personnel are identified at the project level by role, and only appropriate personnel with the requisite skills and knowledge are assigned to the project in the required role. System users and administrators are given access based on the principles of least privilege. Least Privilege model is applied, ensuring privilege levels no higher than necessary to accomplish required functions. 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 users complete Security and Privacy Awareness Training at least annually. Describe training system users receive (above and 35 beyond general security and privacy awareness training). Do contracts include Federal Acquisition Regulation 36 and other appropriate clauses ensuring adherence to privacy provisions and practices? Describe the process and guidelines in place with 37 regard to the retention and destruction of PII. Cite specific records retention schedules. The Division of Field Studies and Engineering (DFSE) annually provides 308(d) training that includes Confidentiality as well as Privacy Act and security training. System administrators complete HHS Role Based Training at least annually. Yes No NIOSH handles and retains information system output and retention in accordance with the CDC Records Management Policy. CDC Records Control Schedule and other applicable record scheduling procedures prescribed by the General Records Schedule (GRS) and National Archives and Records Administration (NARA). System stewards consult with the CDC Records Manager to identify applicable records scheduling requirements and otherwise manage electronic records. Records Schedule 16, Item 14 Records Schedule N1-442-09-1, item 3 (4-57) Records Schedule is N1-442-09-1, item 2 Records Schedule N1-GRS-98-2 item 23 Records Schedule CDC N1-442-2009-01, item 3 and 4 Records Schedule N1-442-09-1 Page 10 of 12 Save Describe, briefly but with specificity, how the PII will 38 be secured in the system using administrative, technical, and physical controls. Administrative: only authorized employees can access using PIV card and system authentication. The business steward authorizes new users for the system. Data is secured by Active Directory and access is only granted to users authorized by the business steward. Data is stored on an encrypted database server. The servers and hard-copy records reside in secured facilities which require PIV card access. Comprehensive security plans are formalized through the Security Assessment and Authorization (SA&A) process to validate compliance with Federal Information Security Management Act (FISMA) requirements. Technical: both database layer and application layer access is controlled by PIV card (network user credentials) to prevent unauthorized access. PII is secured on the CDC network using network shares and Server databases that limit access to the appropriate staff. The network is protected with firewalls, and intrusion detection systems. All users complete Security and Privacy Awareness Training at least annually. Physical: Hosted and stored on the consolidated web server and database server which is located in a locked secure CDC facility, secured with security guards, ID badges, key cards and closed circuit television (CCTV) with access only by authorized badged staff or escorted visitors. MPN is a platform framework that involves multiple URLs. 39 Identify the publicly-available URL: 40 Does the website have a posted privacy notice? https://wwwn.cdc.gov/niosh-statedocs/Default.aspx https://www.cdc.gov/niosh/topics/NOMS/ https://wwwn.cdc.gov/Niosh-whc/ https://wwwn.cdc.gov/NIOSH-CEL/ https://wwwn.cdc.gov/eworld https://wwwn.cdc.gov/niosh-mining/ https://wwwn.cdc.gov/niosh-npg https://wwwn.cdc.gov/niosh-oeb https://wwwn.cdc.gov/niosh-ohsn https://wwwn.cdc.gov/niosh-rhd https://wwwn.cdc.gov/PPEINFO/Search https://wwwn.cdc.gov/wisards/ https://wwwn.cdc.gov/wpvhc Yes No 40a Is the privacy policy available in a machine-readable format? Yes 41 Does the website use web measurement and customization technology? Yes No No Page 11 of 12 Save Technologies Yes Web beacons No Yes Web bugs 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) Collects PII? No Session Cookies Persistent Cookies Omniture: Other... Session Storage via browser 42 Does the website have any information or pages directed at children under the age of thirteen? Yes 43 Does the website contain links to non- federal government websites external to HHS? Yes Yes No Yes No Yes No No No General Comments OPDIV Senior Official for Privacy Signature signed by Jarell Jarell Oshodi Digitally Oshodi -S Date: 2022.09.21 10:47:29 -S -04'00' Page 12 of 12