Privacy Act Statements Included On Separate Forms, v1.0

Defines conformance and assessment criteria for verifying that an organization includes U.S. Privacy Act Statements on separate forms that can be retained by individuals to provide additional formal notice to individuals from whom the information is being collected.
If an assessment step references organization-defined elements (E.g. <organization-defined personnel or roles>, <organization-defined frequency>, etc.), corresponding citations/excerpts must be provided to confirm that the organization has established and documented these values and that they apply as referenced in the conformance criteria.

Similarly, if a "Selection" among multiple options (e.g. [Selection (one or more): as needed; ]) is specified, evidence must be provided to establish that the option(s) implemented by the organization have been defined and documented.

The assessment step shall not be marked as satisfied without this evidence.

Assessment Step

1
Privacy Act Statements Included On Separate Forms (PrivacyActStatementsIncludedOnSeparateForms)
Does the organization include U.S. Privacy Act Statements on separate forms that can be retained by individuals to provide additional formal notice to individuals from whom the information is being collected?
Artifact
A1
Provide evidence (e.g. organizational policies, procedures, compliance/assessment reports, etc.) that support the assessor's response to this assessment step.
If conformance criteria reference organization-defined elements (e.g. <organization-defined personnel or roles>, <organization-defined frequency>, etc.), these values must be defined and documented by the organization.

Similarly, if the criteria specify a "Selection" among multiple options (e.g. [Selection (one or more): as needed; ]), the option(s) implemented by the organization must also be defined and documented.

Conformance Criteria (1)

C1
The organization includes Privacy Act Statements on separate forms that can be retained by individuals to provide additional formal notice to individuals from whom the information is being collected.
Citation
SP800-53R4
Appendix J, TR-2 [c]