HIC General Survey NIH Privacy Act Officer Memo COPY

HIC General Survey NIH Privacy Act Officer Memo COPY.doc

Survey of NHLBI Constituents Health Information Needs and Preferred Formats

HIC General Survey NIH Privacy Act Officer Memo COPY

OMB: 0925-0603

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DATE: February 27, 2009


TO: Ann M. Taubenheim, Ph.D., M.S.N.

Division for the Application of Research Discoveries, NHLBI


FROM: NIH Privacy Act Officer


SUBJECT: Applicability of the Privacy Act: Survey of NHLBI Constituents’ Health Information Needs and Preferred Formats


I have reviewed the NHLBI submission to OMB requesting approval for the use of the “Survey of NHLBI Constituents’ Health Information Needs and Preferred Formats”.


I have determined that the Privacy Act will apply to this data collection which involves the collection of personally identifiable records that are designed to be retrieved by a personal identifier, such as name, age, gender and email address which will be stored temporarily in a database.


The data collection is covered by NIH Privacy Act Systems of Record 09-25-0156, “Records of Participants in Programs and Respondents in Surveys Used to Evaluate Programs of the Public Health Service, HHS/PHS/NIH/OD”.


If you have any questions, please contact my office at (301) 496-2832.


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