OIT Project ICT Security Review (Form B)

Please complete the following to indicate types of CU Boulder data that is to be collected, shared, accessed/transmitted, or stored on premise or by an outside entity, supplier, third party or subcontracting agent of supplier.

Indicates required field
CU Contact Information
This number will be provided in the email confirmation once the OIT Project Compliance Review Request (Form A) has been received.
Does your application store or process payments, credit cards, or financial data?
 
 
Please select all that apply:
 
 
 
 
Does your application store or process patient medical information?
 
 
Please select all that apply:
 
 
 
 
Does your application store or process any of the following student data: social security number, national ID, financial aid, loan and bank account numbers, health information, disability, race, ethnicity, citizenship, legal presence, visa information, or religion?
 
 
Does your application store process any of the following student data: Military status, veteran's status, GPA, probation, suspension, COF, service indicators, all non-directory data not listed, work study information, gender, birth date, dorm, emergency info, student ID, UUID, residency?
 
 
Does your application store or process other student or academic data (including but not limited to grades, courses taken, transcripts, homework assignment, etc.)?
 
 
Does your application store or process personally identifiable information?
 
 
Please check all that apply:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Does your application store or process employee data (including student employee data)?
 
 
Please check all that apply:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Will University data be stored only in the United States?
 
 
Will University data be encrypted while in transit?
 
 
Will University data be encrypted while in storage?
 
 
Please be specific, and use examples if needed.
Please be specific, and use examples if needed.
Please be specific, and use examples if needed.
Are you the CU Requestor of this product/service?
 
 
Does the University have to accept a Terms of Use, User Agreement, or similar document to use or access this product/service?
 
 
Do users (students, faculty, staff) have to accept a Terms of Use, User Agreement, or similar document to use or access this product/service?
 
 
One file only.
2 MB limit.
Allowed types: pdf, doc, docx, xls, xlsx, zip.
Is there a Privacy Policy in place?
 
 
(optional)

No further information is needed. Please submit the form by clicking the button below.