Privacy Impact Assessment Template
Privacy Impact Assessment Template xls template report process (pia) is an analysis of how information handled assessments canada ico hipaa guide bc nhs checklist example definition uk guidelines and risk management working party threat air force avepoint anpr a some approaches issues examples its origins development for the automated targeting system
Privacy Impact Assessment (PIA) Template
1. Project/System/Processing Activity Information
1.1 Name of Project/System/Processing Activity:
1.2 Project/System/Processing Activity Owner: [Name, Role, Department, Contact Information]
1.3 Date of Assessment:
1.4 Version: (e.g., 1.0, 1.1)
1.5 Data Protection Officer (DPO) Contact: [Name, Contact Information]
2. Project/System/Processing Activity Description
2.1 Summary: [Briefly describe the purpose and key features.]
2.2 Objectives: [What are the goals of this project/system/activity?]
2.3 Scope: [Clearly define what personal data is processed and how. Include:]
Categories of personal data: (e.g., names, addresses, financial data, health information)
Data subjects: (e.g., customers, employees, website visitors)
Data sources: (e.g., forms, databases, devices)
Processing activities: (e.g., collection, storage, use, disclosure)
Data recipients (internal/external): (e.g., employees, third-party vendors)
Data transfers: (Will data be transferred to other countries?)
3. Legal Basis and Purpose of Processing
3.1 Legal Basis: Identify the legal basis for processing personal data under relevant data protection laws (e.g., GDPR, CCPA). This often includes:
Consent: The data subject has freely given specific, informed, and unambiguous consent.
Contract: Processing is necessary for the performance of a contract.
Legal Obligation: Processing is necessary to comply with a legal obligation.
Vital Interests: Processing is necessary to protect the vital interests of the data subject or another person.
Public Interest/Official Authority: Processing is necessary for the performance of a task carried out in the public interest.
Legitimate Interests: Processing is necessary for the purposes of the legitimate interests pursued by the controller or a third party.
3.2 Purpose: [Clearly define the specific, explicit, and legitimate purpose(s) for processing the data.]
4. Necessity and Proportionality
4.1 Necessity: [Explain why the processing is necessary to achieve the stated purpose(s). Are there less intrusive means to achieve the same goal?]
4.2 Proportionality: [Explain whether the processing is proportionate to the purpose(s). Are you collecting and processing only the data that is absolutely necessary?]
5. Privacy Risks and Mitigation Measures
5.1 Identify Risks: [Analyze potential privacy risks to data subjects throughout the data lifecycle (collection, storage, use, disclosure, retention, and deletion). Consider:]
Unauthorized access
Accidental loss or destruction
Unlawful processing
Profiling and automated decision-making
5.2 Mitigation Measures: [Describe the safeguards and controls in place (or to be implemented) to mitigate the identified risks. Examples:]
Technical measures: (e.g., encryption, access controls, pseudonymization)
Organizational measures: (e.g., policies, procedures, training)
Legal measures: (e.g., data processing agreements with third parties)
6. Data Subject Rights
6.1 Rights Addressed: [Explain how the project/system/activity ensures data subjects can exercise their rights:]
Privacy Impact Assessment Template :
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