1. Basic information

1.1    AI use case profile

Complete the information below:
•    Name of AI use case.
•    Reference number.
•    Lead agency.
•    Assessment contact officer (name and email).
•    Executive sponsor (name and email).

1.2    AI use case description

In plain language, briefly explain how you are using or intend to use AI. 200 words or less.

1.3    Type of AI technology

Briefly explain what type of AI technology you are using or intend to use. 100 words or less.

1.4    Lifecycle stage

These stages can take place in an iterative manner and are not necessarily sequential. They are adapted from the OECD’s definition of the AI system lifecycle. Refer to guidance for further information. Select only one.

Which of the following lifecycle stages best describes the current stage of your AI use case?

  • Early experimentation (note: assessment not required).
  • Design, data and models
  • Verification and validation
  • Deployment
  • Operation and monitoring
  • Retirement

1.5    Review date

Assessments must be reviewed when use cases either move to a different stage of their lifecycle or significant changes occur to the scope, function or operational context of the use case. Consult the Guidance and, if in doubt, consult the DTA.

Indicate next date/milestone that will trigger the next review of the AI use case.

1.6    Assessment review history

Record the review history for this assessment. Include the review dates and brief summaries of changes arising from reviews (50 words or less).

2. Purpose and expected benefits

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