Privacy Act Memo

Appendix 5 Privacy Act Memo.pdf

Collection of Customer Service, Demographic and Smoking/Tobacco Use Information from NCI's Contact Center, Cancer Information Service (CIS) Clients (NCI)

Privacy Act Memo

OMB: 0925-0208

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DATE:

March 17, 2025

TO:

Candace Deaton Maynard
Branch Chief, Cancer Information Service
Office of Communications and Public Liaison
National Cancer Institute (NCI)

FROM:

NIH Privacy Act Officer

SUBJECT: Applicability of the Privacy Act: Cancer Information Service (CIS)
I have reviewed the OMB renewal submission, Collection of Customer Service, Demographic, Smoking/Tobacco
Use Information from the National Cancer Institute’s CIS Clients. The purposes of the proposed collection are to 1)
properly plan, implement, and evaluate cancer education efforts. 2) Evaluate smoking/tobacco use behavior of
individuals seeking NCI’s smoking cessation assistance to provide tailored cessation services. And 3) For NCI to
assess client satisfaction with services provided by CIS through customer satisfaction questions.
I have determined that the Privacy Act will apply because the application involves the collection of personally
identifiable information (PII) such as: name, email address, phone number, education records, mailing address, age,
sex, ethnicity, and race. Additionally, PII is used as unique identifiers to retrieve records.
This data collection is covered by the following Privacy Act System of Records
09-25-0156 Records of Participants in Programs and Respondents in Surveys Used to Evaluate Programs of the
Public Health Service
09-90-1901, HHS Correspondence, Comment, Customer Service, and Contact List Records
If you have questions, please contact me at (301) 402-6469.

Dustin B.
Close -S
Dustin Close
NIH Privacy Act Officer

CC: Melissa Park

Digitally signed by
Dustin B. Close -S
Date: 2025.03.17
07:44:56 -04'00'


File Typeapplication/pdf
File TitleMicrosoft Word - NCI CIS
Authorclosedb
File Modified2025-03-17
File Created2025-03-17

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