T he Privacy Office
U.S. Department of Homeland Security
Washington, DC 20528
703-235-0780, pia@dhs.gov
www.dhs.gov/privacy
Privacy Threshold Analysis
Version date: June 10, 2010
Page
PRIVACY THRESHOLD ANALYSIS (PTA)
This form is used to
determine whether
a Privacy Impact Assessment is required.
Please use the attached form to determine whether a Privacy Impact Assessment (PIA) is required under the E-Government Act of 2002 and the Homeland Security Act of 2002.
Please complete this form and send it to your component Privacy Office. If you do not have a component Privacy Office, please send the PTA to the DHS Privacy Office:
Rebecca J. Richards
Director of Privacy Compliance
The Privacy Office
U.S. Department of Homeland Security
Washington, DC 20528
Tel: 703-235-0780
PIA@dhs.gov
Upon receipt from the component Privacy Office, the DHS Privacy Office will review this form. If a PIA is required, the DHS Privacy Office will send you a copy of the Official Privacy Impact Assessment Guide and accompanying Template to complete and return.
A copy of the Guide and Template is available on the DHS Privacy Office website, www.dhs.gov/privacy, on DHSConnect and directly from the DHS Privacy Office via email: pia@dhs.gov, phone: 703-235-0780.
PRIVACY THRESHOLD ANALYSIS (PTA)
Summary Information
Date Submitted for Review: 2/2/2011
Name of Project: Emergency Management Institute Follow-up Evaluation Survey
System Name in TAFISMA: Emergency Management Institute Follow-up Evaluation Survey
Name of Component: FEMA Emergency Management Institute
Name of Project Manager: Dana Moat
Email for Project Manager: dana.moat@dhs.gov
Phone Number for Project Manager: 301-447-1922
Type of Project:
Information Technology and/or System.
A Notice of Proposed Rule Making or a Final Rule.
X Form or other Information Collection.
Other: <Please describe the type of project including paper based Privacy Act system of records.>
Specific Questions
Describe the project and its purpose:
FEMA Form 519-0-1 (Presently FEMA Form 95-56) - is primarily used by Emergency Management Institute (EMI) course managers and senior management for ongoing course reviews and revisions. The information is also used to document program performance. As such, and due to the qualitative nature of participant’s feedback collected from this survey, results are used in combination with other program metrics to document performance of EMI training program in compliance with GPRA and accountability reporting requirements. To date, the information has been published in reports distributed to staff, been included in GPRA and accountability reports, and has caused management to closely review and modify courses based on survey results.
Status of Project:
This is a new development effort.
X This is an existing project.
Date first developed: 6/25/2008
Date last updated: 2/2/2011
The current version is expiring. Currently engaged in the renewal process.
From whom do you collect, process, or retain information on: (Please check all that apply)
X DHS Employees.
Contractors working on behalf of DHS.
X The Public.
The System does not contain any such information.
Do you use or collect Social Security Numbers (SSNs)? (This includes truncated SSNs)
X No.
Yes. Why does the program collect SSNs? Provide the function of the SSN and the
legal authority to do so:
<Please provide the function of the SSN and the legal authority to do so.>
What information about individuals could be collected, generated or retained?
Individual information is not retained. This tool captures evaluation feedback on courses an individual attended or participated in.
If this project is a technology/system, does it relate solely to infrastructure? [For example, is the system a Local Area Network (LAN) or Wide Area Network (WAN)]?
X No. Please continue to the next question.
Yes. Is there a log kept of communication traffic?
No. Please continue to the next question.
Yes. What type of data is recorded in the log? (Please choose all that apply.)
Header.
Payload Please describe the data that is logged.
<Please list the data elements in the log.>
Does the system connect, receive, or share Personally Identifiable Information with any other DHS systems1?
x No.
Yes.
Please list:
Is there a Certification & Accreditation record within OCIO’s FISMA tracking system?
Unknown.
No.
X Yes. Please indicate the determinations for each of the following:
Confidentiality: Low Moderate High Undefined
Integrity: Low Moderate High Undefined
Availability: Low Moderate High Undefined
PRIVACY THRESHOLD REVIEW
(To be Completed by the DHS Privacy Office)
Date reviewed by the DHS Privacy Office:
Name of the DHS Privacy Office Reviewer: <Please enter name of reviewer.>
DESIGNATION
This is NOT a Privacy Sensitive System – the system contains no Personally Identifiable Information.
This IS a Privacy Sensitive System
Category of System
IT System.
National Security System.
Legacy System.
HR System.
Rule.
Other:
Determination
PTA sufficient at this time.
Privacy compliance documentation determination in progress.
PIA is not required at this time.
PIA is required.
System covered by existing PIA:
New PIA is required.
PIA update is required.
SORN not required at this time.
SORN is required.
System covered by existing SORN:
New SORN is required.
DHS PRIVACY OFFICE COMMENTS
The E-Government Act of 2002 defines these terms by reference to the definition sections of Titles 40 and 44 of the United States Code. The following is a summary of those definitions:
•“Information Technology” means any equipment or interconnected system or subsystem of equipment, used in the automatic acquisition, storage, manipulation, management, movement, control, display, switching, interchange, transmission, or reception of data or information. See 40 U.S.C. § 11101(6).
•“Information System” means a discrete set of information resources organized for the collection, processing, maintenance, use, sharing, dissemination, or disposition of information. See: 44. U.S.C. § 3502(8).
Note: for purposes of this form, there is no distinction made between national security systems or technologies/systems managed by contractors. All technologies/systems should be initially reviewed for potential privacy impact.
1 PII may be shared, received, or connected to other DHS systems directly, automatically, or by manual processes. Often, these systems are listed as “interconnected systems” in TAFISMA.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | DHS PRIVACY OFFICE |
Author | pia |
File Modified | 0000-00-00 |
File Created | 2021-02-01 |