Privacy Act of 1974; System of Records
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Issuing agencies
Abstract
Pursuant to the Privacy Act of 1974, notice is hereby given that the VA is modifying the system of records titled "Veterans Crisis Line Database--VA" (158VA10NC5). This system of records is used to document contact interactions with the Veterans Crisis Line (VCL), and to assist with follow-up care based on those interactions. Statistical evaluation data from these records will be used for developing suicide prevention efforts, program and quality assurance improvement, and providing reports to VA officials, Congressional members and the public.
Full Text
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<title>Federal Register, Volume 88 Issue 112 (Monday, June 12, 2023)</title>
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[Federal Register Volume 88, Number 112 (Monday, June 12, 2023)]
[Notices]
[Pages 38134-38139]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2023-12401]
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DEPARTMENT OF VETERANS AFFAIRS
Privacy Act of 1974; System of Records
AGENCY: Department of Veterans Affairs (VA), Veterans Health
Administration (VHA).
ACTION: Notice of a modified system of records.
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SUMMARY: Pursuant to the Privacy Act of 1974, notice is hereby given
that the VA is modifying the system of records titled ``Veterans Crisis
Line Database--VA'' (158VA10NC5). This system of records is used to
document contact interactions with the Veterans Crisis Line (VCL), and
to assist with follow-up care based on those interactions. Statistical
evaluation data from these records will be used for developing suicide
prevention efforts, program and quality assurance improvement, and
providing reports to VA officials, Congressional members and the
public.
DATES: Comments on this modified system of records must be received no
later than 30 days after date of publication in the Federal Register.
If no public comment is received during the period allowed for comment
or unless otherwise published in the Federal Register by VA, the
modified system of records will become effective a minimum of 30 days
after date of publication in the Federal Register. If VA receives
public comments, VA shall review the comments to determine whether any
changes to the notice are necessary.
ADDRESSES: Comments may be submitted through <a href="http://www.regulations.gov">www.regulations.gov</a> or
mailed to VA Privacy Service, 810 Vermont Avenue NW, (005X6F),
Washington, DC 20420. Comments should indicate that they are submitted
in response to ``Veterans Crisis Line Database--VA'' (158VA10NC5).
Comments received will be available at <a href="http://regulations.gov">regulations.gov</a> for public
viewing, inspection or copies.
FOR FURTHER INFORMATION CONTACT: Stephania Griffin, VHA Chief Privacy
Officer, Department of Veterans Affairs, 810 Vermont Avenue NW,
Washington, DC 20420; telephone 704-245-2492 (Note: This is not a toll-
free number).
SUPPLEMENTARY INFORMATION: VA is modifying the system of records by
revising the System Name, System Number, System Location, System
Manager, Authority for Maintenance in the System, Purpose of the
System, Categories of Individuals Covered by this System, Categories of
Records in the System, Records Source Categories, Routine Uses of
Records Maintained in the System, Policies and Practices for Storage of
Records, Policies and Practices for Retrievability of Records, Policies
and Practices for Retention and Disposal of Records, and
Administrative, Technical and Physical Safeguards.
VA is modifying the system of records by revising the System Name,
Number and System Location.
The System Name will be changed from ``Veterans Crisis Line
Database--VA'' to ``Veterans Crisis Line Records--VA''.
The System Number will be changed from 158VA10NC5 to 158VA10 to
reflect the current VHA organizational routing symbol.
The System Location is being updated to remove ``back-up copies of
the
[[Page 38135]]
database are maintained in accordance with VA OIT enterprise management
policies.'' This section will include verbiage indicating that records
are maintained at the Health Resource Center (HRC) in Topeka, Kansas
and ``Additional and supplemental data is stored within the Microsoft
Government Community Cloud.''
The System Manager is being updated to replace ``Office of Mental
Health Operations (10NC5)'' with ``Office of Mental Health and Suicide
Prevention, 513-233-1748 (this is not a toll-free number)''.
The Authority for Maintenance in the System is being amended to
include 38 U.S.C. 1720F, Public Law 110-110 (Joshua Omvig Veterans
Suicide Prevention Act); and Public Law 114-247 (No Veterans Crisis
Line Call Should Go Unanswered Act).
The Purpose has been amended to include ``The records and
information may be used for documenting contact interactions with the
VCL and follow-up care; including, but not limited to: services with
the Peer Support Outreach Center; management for Customers with Complex
Needs; collaboration with stakeholders with whom VCL has a documented
partnership, arrangement or agreement; referrals to the VA Medical
Center Suicide Prevention Coordinators; and follow-up verbal or written
correspondence. The records may also be used for statistical
evaluation, reporting, program improvement and quality assurance.''
The Categories of Individuals Covered by the System is being
amended to remove friends and family of Veterans. This section will
include ``Service members and anyone concerned about a Veteran or
Service member who accessed the VCL. The VCL also receives contact from
the general public within the Continental United States (CONUS) and
Outside the Continental United States (OCONUS) and as such would have
records from these contacts. In addition, records include the names and
contact information of the Crisis Line response team and the name and
contact information of the VHA Medical Center Suicide Prevention
Coordinator.''
The Categories of Records in the System is removing ``The records
may include information related to: 1. The Veterans Crisis Line call
logs via the VCL Application include the following information: a.
Identifies, by full name, the Veterans Crisis Line responder; b.
Identifies, by full name, the Suicide Prevention Coordinator; c.
Documents information regarding calls to the Veterans Crisis Line which
may include: (1) Calls from an anonymous person with incomplete
identification information; (2) Calls from a Veteran, including
Veterans who are not registered in VA health care system (non-VA); (3)
Calls from family and friends of the affected Veteran (In this case,
the system shall indicate that the call was not made from the affected
Veteran). d. Identifies the VA Medical Center closest to the caller's
physical location; e. Records Crisis Line referrals in the Veteran's
electronic medical record when the referral is made to a VA Medical
Center for follow-up care; f. Provides a means for Suicide Prevention
Coordinators to document their follow-up measures; g. Provides access
to call log data for reporting purposes: Provides information related
to the number of calls, callers demographic information, the types of
calls, and follow-up care. 2. The suicide attempts and completions data
is collected in the Austin Information Technology Center (AITC)
standard query language (SQL) database. The information includes
attempt or completion, military conflict, VA enrolled, gender, age,
mental health diagnosis, medical diagnosis, previous attempts, month of
event, method used, outcome, intent, seen at a VA within 7 days of
attempt, seen at VA within 30 days of attempt, where seen, had suicide
been addressed, and last recorded pain score.''
For clarification, this section will now state ``These records
include VCL records regarding interactions with VCL staff, including
call recordings and care coordination. These records may include names,
home and mailing addresses, phone numbers, email addresses, internet
Protocol addresses, dates of birth and Social Security Numbers, limited
health information obtained from the customer and/or the VA medical
record, and other personal information related to:
1. Full name of the VCL staff, local emergency personnel and VA
Medical Center employees involved in VCL interactions and care
coordination.
2. Electronic record documentation and audio recordings regarding
contact to the VCL which may include:
(a) Contact with an anonymous person with incomplete identification
information;
(b) Contact from a Veteran, including Veterans who are not
registered in the VA Health Care System;
(c) Contact with the general public within the CONUS and OCONUS;
(d) Contact with family and friends of the affected Veteran;
(e) Contact with Service members and/or their family and friends;
(f) Electronic correspondence from sources such as White House,
Congressional offices, contractors, Office of Inspector General, and
other parties.
3. VA Medical Center closest to the customer's physical location;
4. VCL request to a VA Medical Center for follow-up care;
5. Documentation from VA Medical Center's Suicide Prevention
Coordinators regarding their follow-up measures.
The Record Source Categories has been updated to replace
``Information in this system of records is provided by VHA employees,''
with ``Information in this system of records is provided by persons who
contact VCL through phone, chat, text, email and digital media with
resultant outreach contacts, VHA electronic health records (i.e., Joint
Legacy Viewer, Millennium, Compensation and Pension Record Interchange,
Medora), VHA employees, public records, persons employed at public
safety answering points, and first responder personnel.''
Routine Use number 3 is being updated to replace ``Disclosure may
be made to other Government agencies in support of data exchanges of
electronic medical record information approved by the individual'' with
``Data Breach Response and Remediation, for VA: To appropriate
agencies, entities and persons when (1) VA suspects or has confirmed
that there has been a breach of the system of records; (2) VA has
determined that as a result of the suspected or confirmed breach, there
is a risk to individuals, VA (including its information systems,
programs and operations), the Federal Government, or national security;
and (3) the disclosure made to such agencies, entities or persons is
reasonably necessary to assist in connection with VA efforts to respond
to the suspected or confirmed breach or to prevent, minimize or remedy
such harm.''
The following Routine Uses will be added:
12. Department of Defense (DoD), Defense Health Agency (DHA): To
the DoD for the purpose of VHA health care operations as defined in the
Health Insurance Portability and Accountability Act Privacy Rule, 45
CFR parts 160 and 164 and to the DHA, as a health care provider, for
the purpose of DHA health care operations. VHA, as a health care
provider, must be able to share health care information with other
entities and health care providers for VA to perform certain health
care operations, such as quality assessment and improvement activities
and medical reviews.
13. To an organization with whom VA has a documented partnership,
arrangement or agreement for the
[[Page 38136]]
purpose of identifying and correlating patients.
14. To a Federal agency, Federal entity, or an organization with
whom VA has a documented partnership, arrangement or agreement in
response to its request or at the initiation of VA, in connection with
research initiatives approved by VHA that may include, but is not
limited to, patient outcomes or other health information required for
program accountability.
15. To persons who may prevent a serious and imminent threat to the
safety of an individual or the public as long as the disclosure is to a
person(s) that is in a position reasonably able to prevent or lessen
the threat, including the individual threatened. This Routine Use
provides authority for the VCL to collaborate with law enforcement to
initiate an emergency dispatch when a Veteran has shown an indication
of harm towards self or others.
16. Non-VA Health Care Providers, for Treatment: To a non-VA health
care provider, such as DoD and the Department of Health and Human
Services, for the purpose of treating any VA patient, including
Veterans. This Routine Use gives authority for the VCL to provide
Veteran information to a non-VA health care provider when the VCL has
encouraged the Veteran to seek medical care, and a VA Medical Center is
not the best option.
17. Law Enforcement, for Locating Fugitive: In compliance with 38
U.S.C. 5313B(d), to any Federal, state, local, territorial, tribal or
foreign law enforcement agency in order to identify, locate or report a
known fugitive felon. If the disclosure is in response to a request
from a law enforcement entity, the request must meet the requirements
for a qualifying law enforcement request under the Privacy Act, 5
U.S.C. 552a(b)(7).
18. The Joint Commission (TJC), for Accreditation: To survey teams
of TJC, College of American Pathologists, American Association of Blood
Banks, and similar national accreditation agencies or boards with which
VA has a contract or agreement to conduct such reviews, as relevant and
necessary for the purpose of program review or the seeking of
accreditation or certification.
19. Phone Operators, for the Hearing-Impaired: To telephone company
operators acting in a capacity to facilitate phone calls to or for
hearing-impaired individuals, such as Veterans, Veterans' family
members, non-VA providers, using telephone devices for the hearing-
impaired, including Telecommunications Devices for the Deaf or Text
Telephones.
20. Health/Welfare Agencies, etc., for Veteran's Basic/Emergency
Needs: To health and welfare agencies, housing resources and utility
companies in situations where VA needs to act quickly in order to
provide basic or emergency needs for the Veteran and Veteran's family
where the family resides with the Veteran or serves as a caregiver.
21. Former Employee or Contractor, Representative, for Litigation
Involving Individual: To a former VA employee or contractor, as well as
the authorized representative of a current or former employee or
contractor of VA, in pending or reasonably anticipated litigation
against the individual regarding health care provided during the period
of his or her employment or contract with VA.
The Policies and Practices for Storage of Records is being amended
to remove verbiage indicating that records are maintained on an SQL
server at AITC in Austin, Texas. This section will now state
``Electronic records are maintained and transmitted to Storage Area
Networks at the AITC in Austin, Texas; Storage Area Network at the
Health Resource Center in Topeka, Kansas; and the Microsoft Government
Community Cloud.''
Policies and Practices for Retrievability of Records is being
updated to include telephone numbers.
Policies and Practices for Retention and Disposal of Records is
being updated to remove ``these records are maintained as a permanent
record, pending approval of a new records schedule''. This section will
now state, ``Records in this system are retained and disposed of in
accordance with the schedule approved by the Archivist of the United
States, VHA Records Control Schedule 10-1, Item Number 1930.1.''
The Administrative, Technical and Physical Safeguards is being
amended to remove the following verbiage from number 1, ``Access to VA
working and storage areas is restricted to VA employees on a ``need-to-
know'' basis; strict control measures are enforced to ensure that
disclosure to these individuals is also based on this same principle.
They are required to take annual VA mandatory data privacy and security
training. Generally, VA file areas are locked after normal duty hours
and the facilities are protected from outside access by the Federal
Protective Service or other security personnel.''
Number 2 will also be removed, ``Access to computer rooms at the VA
AITC is limited in accordance with VA OIT national security policies.
Peripheral devices are placed in secure areas (areas that are locked or
have limited access) or are otherwise protected. Information stored on
the Veterans Crisis Line Database-VA may be accessed by authorized VA
employees. Access to file information is controlled at two levels; the
systems recognize authorized employees by series of individually unique
passwords/codes as a part of each data message, and the employees are
limited to only that information in the file which is needed in the
performance of their official duties. Information that is downloaded
from the Veterans Crisis Line Database-VA and maintained on personal
computers is afforded similar storage and access protections as the
data that is maintained in the original files. Access to information
stored on automated storage media at other VA locations is controlled
by individually unique passwords/codes.''
Number 2 will now state, ``Access to and use of national
administrative databases, warehouses and data marts are limited to
those persons whose official duties require such access, and VA has
established security procedures to ensure that access is appropriately
limited. Information security officers and system data stewards review
and authorize data access requests. VA regulates data access with
security software that authenticates users and requires individually-
unique codes and passwords. VA requires information security training
for all staff and instructs staff on the responsibility each person has
for safeguarding data confidentiality.''
The following Safeguards will be added:
3. Physical access to computer rooms housing national
administrative databases, warehouses and data marts is restricted to
authorized staff and protected by a variety of security devices.
Unauthorized employees, contractors and other staff are not allowed in
computer rooms.
4. Data transmissions between operational systems and national
administrative databases, warehouses and data marts maintained by this
system of record are protected by state-of-the-art telecommunication
software and hardware. This may include firewalls, intrusion detection
devices, encryption and other security measures necessary to safeguard
data as it travels across the VA-Wide Area Network.
5. In most cases, copies of back-up computer files are maintained
at off-site locations.
6. VA Enterprise Cloud data storage conforms to security protocols
as stipulated in VA Directives 6500 and 6517. Access control standards
are stipulated in specific agreements with
[[Page 38137]]
cloud vendors to restrict and monitor access.
Signing Authority
The Senior Agency Official for Privacy, or designee, approved this
document and authorized the undersigned to sign and submit the document
to the Office of the Federal Register for publication electronically as
an official document of the Department of Veterans Affairs. Kurt D.
DelBene, Assistant Secretary for Information and Technology and Chief
Information Officer, approved this document on May 2, 2023 for
publication.
Dated: June 6, 2023.
Amy L. Rose,
Program Analyst, VA Privacy Service, Office of Information Security,
Office of Information and Technology, Department of Veterans Affairs.
SYSTEM NAME AND NUMBER:
``Veterans Crisis Line Records--VA'' (158VA10)
SECURITY CLASSIFICATION:
Unclassified.
SYSTEM LOCATION:
Records are maintained at the Department of Veterans Affairs (VA)
Austin Information Technology Center (AITC) in Austin, Texas and Health
Resource Center (HRC) in Topeka, Kansas. In addition, information from
these records or copies of records may be maintained at the Department
of Veterans Affairs, 810 Vermont Avenue NW, Washington, DC. Additional
and supplemental data is stored within the Microsoft Government
Community Cloud.
SYSTEM MANAGER(S):
Official responsible for policies, procedures and system of
records; Acting Executive Director, Office of Mental Health and Suicide
Prevention, 810 Vermont Avenue NW, Washington, DC 20420; (513)-233-1748
(this is not a toll-free number).
AUTHORITY FOR MAINTENANCE OF THE SYSTEM:
38 U.S.C. 501 and 1720F, Public Law 110-110 (Joshua Omvig Veterans
Suicide Prevention Act); and Public Law 114-247 (No Veterans Crisis
Line Call Should Go Unanswered Act).
PURPOSE(S) OF THE SYSTEM:
The records and information may be used for documenting contact
interactions with the Veterans Crisis Line (VCL) and follow-up care
including, but not limited to: services with the Peer Support Outreach
Center; management for Customers with Complex Needs; collaboration with
stakeholders with whom VCL has a documented partnership, arrangement or
agreement; referrals to the VA Medical Center Suicide Prevention
Coordinators; and follow-up verbal or written correspondence. In
addition, the information will be used for statistical reports for the
purpose of evaluating the need for the development of further suicide
prevention efforts to include education and research. The records may
also be used for statistical evaluation, reporting, program improvement
and quality assurance. Additionally, the statistical reports will be
used to provide information related to suicide to the VA officials,
congressional members and the public.
CATEGORIES OF INDIVIDUALS COVERED BY THE SYSTEM:
The records include information concerning Veterans, Service
members and anyone concerned about a Veteran or Service member who
contacted the VCL. The VCL also receives contact from the general
public within the Continental United States (CONUS) and Outside the
Continental United States (OCONUS) and as such would have records from
these contacts. In addition, records include the names and contact
information of the Crisis Line response team and the name and contact
information of the Veterans Health Administration (VHA) Medical Center
Suicide Prevention Coordinator.
CATEGORIES OF RECORDS IN THE SYSTEM:
These records include VCL records regarding interactions with VCL
staff, including call recordings and care coordination. These records
may include names, home and mailing addresses, phone numbers, email
addresses, internet Protocol addresses, dates of birth and Social
Security Numbers, limited health information obtained from the customer
and/or the VA medical record, and other personal information related
to:
1. Full name of the VCL staff, local emergency personnel and VA
Medical Center employees involved in VCL interactions and care
coordination.
2. Electronic record documentation and audio recordings regarding
contact to the VCL which may include:
(g) Contact with an anonymous person with incomplete identification
information;
(h) Contact from a Veteran, including Veterans who are not
registered in the VA Health Care System;
(i) Contact with the general public within the CONUS and OCONUS;
(j) Contact with family and friends of the affected Veteran;
(k) Contact with Service members and/or their family and friends;
(l) Electronic correspondence from sources such as White House,
Congressional offices, contractors, Office of Inspector General and
other parties.
3. VA Medical Center closest to the customer's physical location;
4. VCL request to a VA Medical Center for follow-up care;
5. Documentation from VA Medical Center's Suicide Prevention
Coordinators regarding their follow-up measures.
RECORD SOURCE CATEGORIES:
Information in this system of records may be provided by persons
who contact VCL through phone, chat, text, email and digital media with
resultant outreach contacts, VHA electronic health records (e.g., Joint
Legacy Viewer, Millennium, Compensation and Pension Record Interchange,
Medora), VHA employees, public records, persons employed at public
safety answering points, and first responder personnel.
ROUTINE USES OF RECORDS MAINTAINED IN THE SYSTEM, INCLUDING CATEGORIES
OF USERS AND THE PURPOSES OF SUCH USES:
To the extent that records contained in the system include
information protected by 45 CFR parts 160 and 164, i.e., individually
identifiable health information of VHA or any of its business
associates, and 38 U.S.C. 7332; i.e., medical treatment information
related to drug abuse, alcoholism or alcohol abuse, sickle cell anemia
or infection with the human immunodeficiency virus, that information
cannot be disclosed under a routine use unless there is also specific
statutory authority in both 38 U.S.C. 7332 and 45 CFR parts 160, 161,
and 164.
1. Congress: To a Member of Congress or staff acting upon the
Member's behalf when the Member or staff requests the information on
behalf of, and at the request of, the individual who is the subject of
the record.
2. National Archives and Records Administration (NARA): To NARA in
records management inspections conducted under 44 U.S.C. 2904 and 2906,
or other functions authorized by laws and policies governing NARA
operations and VA records management responsibilities.
3. Data Breach Response and Remediation, for VA: To appropriate
agencies, entities and persons when (1) VA suspects or has confirmed
that there has been a breach of the system of records; (2) VA has
determined that as a result of the suspected or confirmed breach there
is a risk to individuals, VA
[[Page 38138]]
(including its information systems, programs and operations), the
Federal Government or national security; and (3) the disclosure made to
such agencies, entities or persons is reasonably necessary to assist in
connection with VA efforts to respond to the suspected or confirmed
breach or to prevent, minimize or remedy such harm.
4. Law Enforcement: To a Federal, state, local, territorial, tribal
or foreign law enforcement authority or other appropriate entity
charged with the responsibility of investigating or prosecuting such
violation or charged with enforcing or implementing such law, provided
that the disclosure is limited to information that, either alone or in
conjunction with other information, indicates a violation or potential
violation of law, whether civil, criminal or regulatory in nature. The
disclosure of the names and addresses of Veterans and their dependents
from VA records under this Routine Use must also comply with the
provisions of 38 U.S.C. 5701.
5. Department of Justice (DoJ), Litigation and Administrative
Proceeding: To the DoJ, or in a proceeding before a court, adjudicative
body or other administrative body before which VA is authorized to
appear, when:
1. VA or any component thereof;
2. Any VA employee in their official capacity;
3. Any VA employee in their individual capacity where DoJ has
agreed to represent the employee; or
4. The United States, where VA determines that litigation is likely
to affect the agency or any of its components, is a party to such
proceedings or has an interest in such proceedings, and VA determines
that the use of such records is relevant and necessary to the
proceedings.
6. Contractors: To contractors, grantees, experts, consultants,
students and others performing or working on a contract, service,
grant, cooperative agreement or other assignment for VA, when
reasonably necessary to accomplish an agency function related to the
records.
7. Federal Agencies, Fraud and Abuse: To other Federal agencies to
assist such agencies in preventing and detecting possible fraud or
abuse by individuals in their operations and programs.
8. Equal Employment Opportunity Commission (EEOC): To the EEOC in
connection with investigations of alleged or possible discriminatory
practices, examination of Federal affirmative employment programs or
other functions of the Commission as authorized by law.
9. Federal Labor Relations Authority (FLRA): To the FLRA in
connection with the investigation and resolution of allegations of
unfair labor practices, the resolution of exceptions to arbitration
awards when a question of material fact is raised; matters before the
Federal Service Impasses Panel; and the investigation of representation
petitions and the conduct or supervision of representation elections.
10. Merit Systems Protection Board (MSPB): To the MSPB and the
Office of the Special Counsel in connection with appeals, special
studies of the civil service and other merit systems, review of rules
and regulations, investigation of alleged or possible prohibited
personnel practices and such other functions promulgated in 5 U.S.C.
1205 and 1206, or as authorized by law.
11. Data Breach Response and Remediation, for Another Federal
Agency: To another Federal agency or Federal entity, when VA determines
that information from this system of records is reasonably necessary to
assist the recipient agency or entity in (1) responding to a suspected
or confirmed breach or (2) preventing, minimizing or remedying the risk
of harm to individuals, the recipient agency or entity (including its
information systems, programs and operations), the Federal Government
or national security, resulting from a suspected or confirmed breach.
12. Department of Defense (DoD), Defense Health Agency (DHA): To
the DoD for the purpose of VHA health care operations as defined in the
Health Insurance Portability and Accountability Act Privacy Rule, 45
CFR parts 160 and 164 and to the DHA, as a health care provider, for
the purpose of DHA heath care operations.
13. To an organization with whom VA has a documented partnership,
arrangement or agreement for the purpose of identifying and correlating
patients.
14. To a Federal agency, Federal entity or an organization with
whom VA has a documented partnership, arrangement or agreement in
response to its request or at the initiation of VA, in connection with
research initiatives approved by VHA that may include, but is not
limited to, patient outcomes or other health information required for
program accountability.
15. Law Enforcement, for Wellness Check: To law enforcement to
initiate a wellness check or an emergency dispatch when a Veteran has
shown an indication of harm towards self or others during a VCL
contact.
16. Non-VA Health Care Providers, for Treatment: To a non-VA health
care provider, such as the DoD and the Department of Health and Human
Services, for the purpose of treating any VA patient, including
Veterans.
17. Law Enforcement, for Locating Fugitive: In compliance with 38
U.S.C. 5313B(d), to any Federal, state, local, territorial, tribal or
foreign law enforcement agency in order to identify, locate or report a
known fugitive felon. If the disclosure is in response to a request
from a law enforcement entity, the request must meet the requirements
for a qualifying law enforcement request under the Privacy Act, 5
U.S.C. 552a(b)(7).
18. The Joint Commission (TJC), for Accreditation: To survey teams
of TJC, College of American Pathologists, American Association of Blood
Banks and similar national accreditation agencies or boards with which
VA has a contract or agreement to conduct such reviews, as relevant and
necessary for the purpose of program review or the seeking of
accreditation or certification.
19. Phone Operators, for the Hearing-Impaired: To telephone company
operators acting in a capacity to facilitate phone calls to or for
hearing-impaired individuals, such as Veterans, Veterans' family
members, non-VA providers, using telephone devices for the hearing-
impaired, including Telecommunications Devices for the Deaf or Text
Telephones.
20. Health/Welfare Agencies, etc., for Veteran's Basic/Emergency
Needs: To health and welfare agencies, housing resources and utility
companies in situations where VA needs to act quickly in order to
provide basic or emergency needs for the Veteran and the Veteran's
family where the family resides with the Veteran or serves as a
caregiver.
21. Former Employee or Contractor, Representative, for Litigation
Involving Individual: To a former VA employee or contractor, as well as
the authorized representative of a current or former employee or
contractor of VA, in pending or reasonably anticipated litigation
against the individual regarding health care provided during the period
of his or her employment or contract with VA.
POLICIES AND PRACTICES FOR STORAGE OF RECORDS:
Electronic records are maintained and transmitted to Storage Area
Networks at the AITC in Austin, Texas; Storage Area Network at the
Health Resource Center in Topeka, Kansas; and the Microsoft Government
Community Cloud.
[[Page 38139]]
POLICIES AND PRACTICES FOR RETRIEVAL OF RECORDS:
Records are retrieved by name, telephone number, Social Security
Number or other assigned identifiers of the individuals on whom they
are maintained.
POLICIES AND PRACTICES FOR RETENTION AND DISPOSAL OF RECORDS:
Records in this system are retained and disposed of in accordance
with the schedule approved by the Archivist of the United States, VHA
Records Control Schedule 10-1, Item Number 1930.1.
ADMINISTRATIVE, TECHNICAL, AND PHYSICAL SAFEGUARDS:
1. VA will maintain the data in compliance with applicable VA
security policy directives that specify the standards that will be
applied to protect sensitive personal information. VA's security
measures comply with applicable Federal Information Processing
Standards issued by the National Institute of Standards and Technology.
2. Access to and use of national administrative databases,
warehouses and data marts are limited to those persons whose official
duties require such access, and VA has established security procedures
to ensure that access is appropriately limited. Information security
officers and system data stewards review and authorize data access
requests. VA regulates data access with security software that
authenticates users and requires individually-unique codes and
passwords. VA requires information security training for all staff and
instructs staff on the responsibility each person has for safeguarding
data confidentiality.
3. Physical access to computer rooms housing national
administrative databases, warehouses and data marts is restricted to
authorized staff and protected by a variety of security devices.
Unauthorized employees, contractors and other staff are not allowed in
computer rooms.
4. Data transmissions between operational systems and national
administrative databases, warehouses and data marts maintained by this
system of record are protected by state-of-the-art telecommunication
software and hardware. This may include firewalls, intrusion detection
devices, encryption and other security measures necessary to safeguard
data as it travels across the VA-Wide Area Network.
5. In most cases, copies of back-up computer files are maintained
at off-site locations.
6. VA Enterprise Cloud data storage conforms to security protocols
as stipulated in VA Directives 6500 and 6517. Access control standards
are stipulated in specific agreements with cloud vendors to restrict
and monitor access.
RECORD ACCESS PROCEDURE:
Individuals seeking information on the existence and content of
records in this system pertaining to them should contact
<a href="/cdn-cgi/l/email-protection#9ee8f6ffe8fdf2eeecf7e8fffde7dee8ffb0f9f1e8"><span class="__cf_email__" data-cfemail="c3b5aba2b5a0afb3b1aab5a2a0ba83b5a2eda4acb5">[email protected]</span></a>. A request for access to records must contain the
requester's full name, address, telephone number, be signed by the
requester, and describe the records sought in sufficient detail to
enable VA personnel to locate them with a reasonable amount of effort.
CONTESTING RECORD PROCEDURES:
Individuals seeking to contest or amend records in this system
pertaining to them should contact <a href="/cdn-cgi/l/email-protection#a6f0eee7f0e5eaf4c3d7d3c3d5d2d5c0c9d4efc8c0c9d4cbc7d2cfc9c8e6d0c788c1c9d0"><span class="__cf_email__" data-cfemail="65332d243326293700141000161116030a172c0b030a170804110c0a0b2513044b020a13">[email protected]</span></a>.
A request to contest or amend records must state clearly and concisely
what record is being contested, the reasons for contesting it, and the
proposed amendment to the record.
NOTIFICATION PROCEDURE:
Generalized notice is provided by the publication of this notice.
For specific notice, see Record Access Procedure, above.
EXEMPTIONS PROMULGATED FOR THE SYSTEM:
None.
HISTORY:
80 FR 23073 (April 24, 2015).
[FR Doc. 2023-12401 Filed 6-9-23; 8:45 am]
BILLING CODE P
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</html>This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.