Attachment 1 - C-SCRM Questionnaire.xlsx

XLSX spreadsheet 169 KB Posted

Attached to
Software License Subscription Renewal and Support Services Federal contract opportunity
Solicitation number
19TH2026Q0057
Issued by
Department of State US Embassy Bangkok

About this file

This is a Cybersecurity Supply Chain Risk Management (C-SCRM) Questionnaire template designed for vendors to complete as part of their offer submission for the Software License Subscription Renewal and Support Services solicitation (19TH2026Q0057) issued by the Department of State US Embassy Bangkok. The questionnaire requires vendors to provide contact information for their primary point-of-contact, including name, title, phone number, and email address, and to respond to questions addressing three core areas: vendor risk management practices, supplier threat identification and mapping, contractual SCRM requirements, and verification mechanisms. The questionnaire also addresses physical and personnel security controls, including background check policies, information and communications technology equipment tampering prevention procedures, and insider threat literacy training programs. Responses must be provided in designated gray-shaded cells within the template, with the government reserving the right to request documentation to validate vendor responses. The questionnaire references NIST SP 800-53 security controls for each question and includes implementation status tracking across multiple General Services Administration contract vehicles including Alliant, Alliant 2, Small Business, HUBZone, 8(a) STARS II, Women Owned Small Business, and VETS programs.

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Amendment_No. 0001_ 19TH2026Q0057.pdf PDF
Questions and Answers_19TH2026Q0057.pdf PDF
RFQ no. 19TH2026Q0057 Software Licenses Renewal and Support Services.pdf PDF

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Text version

C-SCRM Questionnaire

CYBERSECURITY SUPPLY CHAIN RISK MANAGEMENT (C-SCRM) QUESTIONNAIRE
Instructions:

- This worksheet shall be completed by the vendor responsible for submitting the offer. References to "organization" refer to the offering entity. If the offering entity is a joint venture (JV), the response may come from either the JV or from the JV managing partner.

- Provide the requested inputs in the gray shaded lines of the template under column D, Vendor Response, for all Items Numbers for Sections 1-3. Offerors are advised that the Government may request documentation from the Offerors to validate the responses provided.

SECTION 1 - CONTACT INFORMATION
ITEM NO.ITEM DESCRIPTIONVENDOR RESPONSE
1.1Enter the name of your company.
1.2Enter the name of the primary Point-Of-Contact (POC) for your company that the Government may contact to discuss the vendor inputs on this questionnaire.
1.3Enter the job title of the primary POC.
1.4Enter the phone number of the primary POC in the following format: (555) 555-5555
1.5Enter the e-mail address of the primary POC.
SECTION 2 VENDOR RISK MANAGEMENT PLAN
ITEM NO.ITEM DESCRIPTIONVENDOR RESPONSENIST SP 800-53 Reference
2.1Does your organization identify its key supply chain threats? (Note: if you do not have suppliers, answer "Yes")IR-8, SR-7
2.2Does your organization map key suppliers to your supply chain threats? (Note: if you do not have suppliers, answer "Yes")IR-8, SR-7
2.3Does your organization have written SCRM requirements in contracts with your key suppliers? (Note: if you do not have suppliers, answer "Yes")SA-4
2.4Does your organization verify that your suppliers meet SCRM requirements through contractual terms and conditions? (Note: if you do not have suppliers, answer "Yes")SR-6
SECTION 3 PHYSICAL AND PERSONNEL SECURITY
ITEM NO.ITEM DESCRIPTIONVENDOR RESPONSENIST SP 800-53 Reference
3.1Does your organization have policies for conducting background checks of your employees as permitted by the country in which your organization operates?PE-2, PE-3

PS-3

3.2 Does your organization have procedures in place to prevent tampering of Information and Communications Technology (ICT) equipment stored as supply chain inventory? SR-9

AC-1

3.3 Do you provide literacy training on recognizing and reporting potential indicators of insider threat? AT-2(2)

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Data (HIDE)

StatusScoreStatusNot ReviewedYesNoNot ApplicableAlternativeTotal
ERROR:#REF!ERROR:#REF!CountsERROR:#REF!ERROR:#REF!ERROR:#REF!ERROR:#REF!ERROR:#REF!ERROR:#REF!
PctERROR:#REF!ERROR:#REF!ERROR:#REF!ERROR:#REF!ERROR:#REF!ERROR:#REF!

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Counts Not Reviewed Yes No Not Applicable Alternative 0 0 0 0 0

DL (HIDE)

GWACSPoolImplementation StatusAnswer
Alliant/ Alliant 2Small Business (SB) PoolSatisfiedYes
Alliant SBHUBZone SB (HUBZone) PoolPartially SatisfiedNo
8(a) STARS IIWomen Owned SB (WOSB) PoolNot Satisfied
VETS/ VETS2OtherNot Applicable
TBD
Not Reviewed

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File details come from the government source that posted it. Updated .