Ssn Exemption Request Form - University Of Nebraska, Kearney Page 3
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5Annual Renewal
Exemptions are granted for one year and will be reviewed annually. Exemptions
must be submitted annually.
1. Department and physical campus address of the application:
2. Contact Person and Phone number:
3. Describe the application requiring SSNs.
4. List computing devices and systems your application uses. Describe where and
how SSNs are transmitted, processed and/or stored. For example, what model of
workstation or server running which operating system does the application run on?
What software or database is used in the application? Are the SSNs encrypted at
rest and in transit? If so, name the encryption technology or product. How are the
SSNs transmitted to the application i.e. FTP, SFTP, email attachment, etc.?
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