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Request Privacy Impact Assessments
First Name
Last Name
Email
Telephone
Organisation Name
Website
Eg: http://www.yourwebsite.com
PIA Type
Select
Organisation
Project
Change
Business unit
Information asset
Are you registered with the information commissioner
Select
Yes
No
Registration Number
Description
Description of type of data held
Have you registered data within your business purpose with the ICO?
Select
Yes
No
Do you have an information asset register
Select
Yes
No
Do you have an information security team
Select
Yes
No
Does the information security team carry out a risk assessment functions?
Select
Yes
No
Where is the information is held
What data security features are implemented where the data is held
Classification of information handled by the project
Select
Public
Confidential
Restricted
Personal data
Financial data
Customer identifying data
Annonymized data
Company confidential data
Quantity of data/No. of records
3rd Party details
Is the data shared with a 3rd party
Select
Yes
No
Information about the 3rd party
Company Name
Contact Name
Company Address
Company Email
Company Telephone
How do you intend to share the data with the 3rd party
What security measures are available to support the sharing method
Have you audited the 3rd party
Select
Yes
No
Do you have an information sharing agreement with the 3rd party
Select
Yes
No
Do you have an incident register for reporting data loss
Select
Yes
No
Do you have a minimum information security policy
Select
Yes
No
What is the retention period for the data
Select
Days
Weeks
Months
Years
Do you have a data disposal policy
Select
Yes
No
Copyright @ Data Protection Officer 2011.