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pdf1. OPDIV
National Institutes of Health
2. PIA Unique Identifier
2a. Name
NIDA ABCD Study Audience Feedback
3. The subject of this PIA is
Electronic Information Collection
which of the following?
3a. Identify the Enterprise
Performance Lifecycle Phase Planning
of the system.
3b. Is this a FISMAReportable system?
No
4. Does the system include a
Website or online
application available to and No
for the use of the general
public?
Accept / Reject Status
Undefined
Question 4 Comment
5. Identify the operator.
Agency
6. Point of Contact (POC)
POC Title
Scientific Program Manager, Adolescent Brain Cognitive
Development (ABCD) Study Division of Extramural Research
Scientific Program Manager, Adolescent Brain Cognitive
Development (ABCD) Study Division of Extramural Research
POC Name
Kimberly LeBlanc, Ph.D
POC Organization
NIDA
POC Email
kimberly.leblanc@nih.gov
POC Phone
301-827-4102
Accept / Reject Status
Undefined
Question 6 Comment
7. Is this a new or existing
system?
New
8. Does the system have
Security Authorization
Yes
For Official Use Only (FOUO)
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(SA)?
Accept / Reject Status
Undefined
Question 8 Comment
8a. Date of Security
Authorization
11. Describe the purpose of
the system.
Accept / Reject Status
12/31/2020
The National Institute on Drug Abuse (NIDA) Adolescent Brain
Cognitive Development (ABCD) Study (ABCD Study) collects
feedback from parents/caregivers and adolescents who are peers of
the ABCD Study 7th Year Follow Up Study (Study) cohort (similar
age, from the racial and ethnic groups represented in the Study).
Participants will provide feedback on how the questions, themselves,
are written (whether questions are missing potential answer choices
or are offensive to specific populations). Insights from these
discussions will then be used to refine the questions in the Study
protocol.
Undefined
Question 11 Comment
ABCD Study participants submit the following personally
identifiable information (PII): name, email address, and phone
number in order to schedule discussions and send/receive consent
12. Describe the type of
forms. The collection of this personally identifiable information
information the system will (PII) is covered under the unique NIH Information Security
collect, maintain (store), or (INFOSEC) Program general support system (GSS) Contact Info
share. (Subsequent questions privacy impact assessment (PIA). Actual contact information is
will identify if this
managed by the respective Institute or Center (IC), or the NIH Center
information is PII and ask
for Information Technology (CIT), and follows security procedures
about the specific data
to secure the platform, and all PII retained, using administrative,
elements.)
technical, and physical controls.
Contact information will never be stored with any study records or
study data, including eligibility screener data.
Accept / Reject Status
Undefined
Question 12 Comment
13. Provide an overview of
The NIDA ABCD Study collects feedback from parents/caregivers
For Official Use Only (FOUO)
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the system and describe the
information it will collect,
maintain (store), or share,
either permanently or
temporarily.
and adolescents who are peers of the Study cohort (similar age, from
the racial and ethnic groups represented in the Study). Specifically,
the ABCD Study is collecting feedback on the clarity and
appropriateness of question wording and level of comfort with the
proposed Study measures.
ABCD Study participants submit the following PII: name, email
address, and phone number in order to schedule discussions and
send/receive consent forms. The collection of this PII is covered
under the unique NIH INFOSEC Program GSS Contact Info PIA.
Actual contact information is managed by the respective IC, or the
NIH CIT, and follows security procedures to secure the platform, and
all PII retained, using administrative, technical, and physical controls.
Contact information will never be stored with any study records or
study data, including eligibility screener data.
Participants will provide feedback on how the questions, themselves,
are written (whether questions are missing potential answer choices
or are offensive to specific populations). Insights from these
discussions will then be used to refine the questions in the ABCD
Study 7th Year Follow Up protocol.
Accept / Reject Status
Undefined
Question 13 Comment
14. Does the system collect,
No
maintain, use or share PII?
General Comments
This module is under the National Institute on Drug Abuse (NIDA)
Intramural Research Program (IRP) Network General Support
System whose Universal Unique Identifier (UUID) is: E4F35ADF260D-44B6-B2E2-07E8407ECE1D
Status and Approvals
OPDIV Senior Official for
Privacy Signature
signed by Dustin B. Close -S
Dustin B. Close -S Digitally
Date: 2023.03.24 12:40:52 -04'00'
HHS Senior Agency Official
for Privacy
Bridget M.
Guenther -S
Digitally signed by Bridget M.
Guenther -S
Date: 2023.03.31 16:56:34 -04'00'
For Official Use Only (FOUO)
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File Type | application/pdf |
Author | Tucker, Susan (NIH/OD) [C] |
File Modified | 2023-03-31 |
File Created | 2023-03-24 |