(Insert Company Name) VA MOU ISA Checklist 2017.12.18.xlsx

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7A21--VISN 22 POC Middleware
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36C26221Q0044
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36C26221Q0044 0002 - RFQ Amendment.docx DOCX document
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(Insert Company Name) VA MOU Appendix A POC List 2017.12.18 - TEMPLATE.docx DOCX document
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36C26221Q0044 0001_1.docx DOCX document
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Attachment B - Middleware SOW v2.docx DOCX document
Attachment A - Schedule.xlsx XLSX spreadsheet
36C26221Q0044.docx DOCX document
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Attachment C - VA Directive 6550.pdf PDF
Attachment D - VA Handbook 6500.6 Appendix C.pdf PDF
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MOU ISA Checklist

Section / CriteriaStatusCommentsRecommendations
General
Instructions in template you are using should state document published on 12/11/17.[Select Status]
The document draft has been renamed to correct naming convention (Company Name) (Facility Code or VA National) MOU ISA - (Working Document)[Select Status]
Template basic instructions text box is deleted from title page.[Select Status]
The title page is correctly completed with VA Organization 1 (must be a VA component).[Select Status]
The title page is correctly completed with Organization 2 (a non-VA entity, confirm it is a contract primary).[Select Status]
Confirm that VA Organization 1 and Organization 2 are not under same approving authority (or else no agreement needed).[Select Status]
The title page has the date documented.[Select Status]
The title page has the version number documented.[Select Status]
Template color key text box is deleted from title page.[Select Status]
The Document Control Change Sheet contains a VA Author and Organization 2 Author.[Select Status]
The Document Control Change Sheet is updated as appropriate according to either Option A or B.[Select Status]
The Document Control Change Sheet entry in the formatting of the example entry.[Select Status]
Acronyms are defined the first time they are mentioned throughout the document.[Select Status]
The same name for VA Organization 1 is used throughout the MOU/ISA.[Select Status]
The same name for Organization 2 is used throughout the MOU/ISA.[Select Status]
Ensure VA Organization 1 System or Informational Asset are correctly filled-in as appropriate throughout the MOU/ISA.[Select Status]
Ensure Organization 2 System or Informational Asset fields are correctly filled-in as appropriate throughout the MOU/ISA.[Select Status]
Confirm no changes to the boilerplate language have been made throughout the document.[Select Status]
For National Agreements, Asset Name / Facility name must be sufficiently vague. Too specific and it is no longer a national agreement.[Select Status]
For cloud connections, VA has the requirement to only use Fed Ramp (FEDRAMP) certified cloud solutions.[Select Status]
Executive Summary
Confirm a high level description of the interconnection is covered in the Executive Summary to include devices and what kind of information is being transferred is included. Should not be more than a few paragraphs.[Select Status]
The basic Purpose and scope of the interconnection is covered in the Executive Summary.[Select Status]
1.1 Introduction
For new agreements, state it is a brand new MOU / ISA and therefore does not supersede any previous MOU/ISAs (Option A Selected).[Select Status]
For Renewals / Updates to Existing Agreements, Insert the date of the original MOU/ISA agreement (Option B Selected). Confirm Date matches Change Log Date.[Select Status]
1.2 Authority
Verify ISO listed all other relevant legislative, regulatory, or policy authorities not included in the template list.[Select Status]
Verify PO listed all authorities to share data not included in the template list.[Select Status]
Content Checklist - Memorandum of Understanding (MOU)
2.1 Background
Modify paragraph to best describe interconnection, replace all [required fields].[Select Status]
Benefits to be derived from the interconnection are included.[Select Status]
Ensure Name of VA Organization 1's System or Information Asset is filled out.[Select Status]
Ensure Function of VA Organization 1 IT system is filled out.[Select Status]
Ensure Location of VA Organization 1 IT System is filled out.[Select Status]
Ensure Description of data being transmitted from VA Organization 1 to Organization 2 is filled in correctly; Include if any PII/PHI or state if no sensitive data is processed. List the relevant data fields.[Select Status]
Ensure the Data Flow Description bring transmitted transmitted from VA Organization 1 to Organization 2 is filled in correctly; including "how" it handled, and Describe if it is collected, transmitted and/or stored.[Select Status]
The FIPS 199 Sensitivity Categorization Level of the VA Organization 1 System.[Select Status]
Ensure Name of Organization 2's System or Information Asset is filled out.[Select Status]
Ensure Function of Organization 2 IT system is filled out.[Select Status]
Ensure Location of Organization 2 IT System is filled out, including street, city, and zip.[Select Status]
Ensure Description of data being transmitted from Organization 2 to VA Organization 1 is filled in correctly; include "what" types are handled and if any PII/PHI is transmitted. List the relevant data fields or state if no sensitive data is processed.[Select Status]
Ensure Description of dataflow bring transmitted transmitted from Organization 2 to VA Organization 1 is filled in correctly; including "how" it is handled.[Select Status]
The FIPS 199 Sensitivity Categorization Level of the Organization 2 System.[Select Status]
2.2.6 Security
If VA owned sensitive data is stored, processed, or transmitted on external system, ensure the recommended verbiage in quotes is included.[Select Status]
If text is included, ensure that text color is changed to black.[Select Status]
Content Checklist - Interconnection Security Agreement (ISA)
3.1.1 System Description
A description of the system and scope is included (this should correlate with section 2.1.).[Select Status]
A description of the interconnection between the 2 systems is included.[Select Status]
3.1.2 System Hardware and Software Requirements
Required hardware to support the interconnection is listed.[Select Status]
All listed hardware requirements must be clearly labeled as "need to be obtained" if not already in place.[Select Status]
Required software to support the interconnection is listed.[Select Status]
All listed software requirements must be clearly labeled as "need to be obtained" if not already in place.[Select Status]
3.2.1 System Security Documentation
Confirm the types of security control reviews are documented for VA Organization 1.[Select Status]
Confirm the frequency of the reviews is discussed for VA Organization 1.[Select Status]
Confirm the date of the last review is discussed for VA Organization 1.[Select Status]
Confirm the types of security control reviews are specified for Organization 2.[Select Status]
Confirm the frequency of the reviews is specified for Organization 2.[Select Status]
Confirm the date of the last review is specified for Organization 2.[Select Status]
3.2.2 General Information/Data Description
Select "one-way" or "two-way" as indicated in the template.[Select Status]
3.2.3 Services Offered
Ensure a listing of the information services offered over the interconnection by each organization, and that each service is briefly described.[Select Status]
3.2.5 Sensitivity Categorization
Verify that a data sensitivity category is documented for the sensitivity of data to be exchanged. I.e. Low, Med, or High. (This should correlate with section 2.1.)[Select Status]
3.2.6 User Community
Ensure Community of users who will access, exchange, and/or receive data across the interconnection is described.[Select Status]
3.2.7 Information Exchange Security
Ensure Organization 2's FIPS 140-2 certificate # is documented.[Select Status]
Confirm that the FIPS 140-2 certificate is active on the NIST website.[Select Status]
3.2.9 Formal Security Policy
Ensure Organization 2's policy name(s) and identifier(s) are specified.[Select Status]
3.2.11 Security Parameters
VA Organization 1's patch management policy is detailed.[Select Status]
VA Organization 1's malware prevention/virus scanning policy is detailed.[Select Status]
VA Organization 1's audit policy is detailed.[Select Status]
VA Organization 1's incident response/security breach notification policy is detailed.[Select Status]
VA Organization 1's user certification, identification, and authentication policy is detailed.[Select Status]
VA Organization 1's password policy is detailed.[Select Status]
VA Organization 1's account management policy is detailed.[Select Status]
VA Organization 1's physical and environmental security policy is detailed.[Select Status]
VA Organization 1's firewall, IDS, and encryption policy is detailed.[Select Status]
VA Organization 1's contingency plans are detailed.[Select Status]
Organization 2's patch management policy is detailed.[Select Status]
Organization 2's malware prevention/virus scanning policy is detailed.[Select Status]
Organization 2's audit policy is detailed.[Select Status]
Organization 2's incident response/security breach notification policy is detailed.[Select Status]
Organization 2's user certification, identification, and authentication policy is detailed.[Select Status]
Organization 2's password policy is detailed.[Select Status]
Organization 2's account management policy is detailed.[Select Status]
Organization 2's physical and environmental security policy is detailed.[Select Status]
Organization 2's firewall, IDS, and encryption policy is detailed.[Select Status]
Organization 2's contingency plans are detailed.[Select Status]
3.3 Topological Drawing
Topological drawing is included.[Select Status]
Topological drawing illustrates the systems described in section 2.1, including all communication paths, circuits, and other components used for the interconnection.[Select Status]
All data flows are clearly showed with arrows as either a one or two way path.[Select Status]
Topological drawing depicts the logical location of all major components (e.g., firewalls, servers, and computer workstations or system components).[Select Status]
If required, mark the top and bottom of each page with an appropriate handling requirement.[Select Status]
Ensure no IP Addresses are included in the drawing.[Select Status]
Diagram clearly shows any VPN Tunnels.[Select Status]
Topological drawing indicates which components are part of VA Organization 1, and which are part of Organization 2 on each end.[Select Status]
Ensure any abbreviations used are labeled in drawing itself or a legend in this section.[Select Status]
4. Duration
Confirm Duration Text matches VA MOU ISA Addendum Section 4 Duration 2016.07.26. (Template 12/11/2017 langauge)[Select Status]
5. Signatory Authority
Confirm authority of signers matches the organization titles (Local by facility staff, Territory level agreements signed by a Territory level ISO, National agreements signed at enterprise level, etc.).[Select Status]
Insert VA Organization 1 System Owner name and title (Note: One Person can be listed and sign for multiple roles).[Select Status]
Insert VA Organization 1 ISSO name and title.[Select Status]
Insert VA Organization 1 Privacy Officer name and title.[Select Status]
Insert VA Organization 1 Privacy Officer Boiler Plate paragraph (if missing).[Select Status]
Insert Organization 2 System Owner and title.[Select Status]
Insert Organization 2 ISO name and title.[Select Status]
Insert Organization 2 Privacy Officer name and title.[Select Status]
Ensure VA Organization 1 System Owner has signed and dated the agreement.[Select Status]
Ensure VA Organization 1 ISSO has signed and dated the agreement.[Select Status]
Ensure VA Organization 1 Privacy Officer has signed and dated the agreement.[Select Status]
Ensure Organization 2 System Owner has signed and dated the agreement.[Select Status]
Ensure Organization 2 ISO has signed and dated the agreement.[Select Status]
Ensure Organization 2 Privacy Officer has signed and dated the agreement.[Select Status]
For National Agreements only, ensure current Signed DOA added as its own page (replace template placeholder after signatories page and prior to Appendix A).CompleteNo Longer Required.
Before Finalizing
All comments / tracked changes have been accepted and/or closed.[Select Status]
Remove all "Draft" watermarks.[Select Status]
Ensure all instructional text (in colors other than black) is deleted and replaced with the appropriate information in accordance with the template.[Select Status]
The document has been spell / grammar checked.[Select Status]
Confirm that page breaks / formatting is clean throughout the agreement.[Select Status]
The Table of Contents is updated as appropriate.[Select Status]
Complete Appendices Tab

ISA/MOU Checklist

ISA/MOU Checklist

ISA/MOU Checklist

ISA/MOU Checklist

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Appendices

Content Checklist - Appendices
Section / CriteriaStatusCommentsRecommendations
Appendix A: Points of Contact
Ensure VA FSS BRD contact information is included in both sections of Appendix A (for National Agreements Only).[Select Status]
Ensure BAA POC information is included (when applicable).[Select Status]
System POC: Ensure list includes signing System Owner.[Select Status]
System POC: Ensure list includes signing ISSO.[Select Status]
System POC: Ensure list includes signing Privacy Officer.[Select Status]
System POC: Ensure list includes a few key technical POCs who understand the system.[Select Status]
System POC: Ensure list includes Document Author listed in Change Log[Select Status]
System POC: Identify name of responsible parties for each system.[Select Status]
System POC: Identify company for each responsible party for each system.[Select Status]
System POC: Identify title for each responsible party for each system (Privacy Officer, Technical staff, System Owner, ISO, etc.).[Select Status]
System POC: Identify office phone for each responsible party for each system.[Select Status]
System POC: Identify email for each responsible party for each system.[Select Status]
Security Incident POC: Ensure VA-CSOC contact information is included (along with * notation).[Select Status]
Security Incident POC: Ensure list includes Primary ISSO.[Select Status]
Security Incident POC: Ensure list includes Backup ISSO.[Select Status]
Security Incident POC: Ensure list includes 24/7 support desk.[Select Status]
Security Incident POC: Ensure list includes Key Technical Staff.[Select Status]
Security Incident POC: Identify name of responsible parties to contact during a security incident for each system.[Select Status]
Security Incident POC: Identify company for each responsible party for each security incident.[Select Status]
Security Incident POC: Identify title for each responsible party for each security incident (Primary ISO, Backup ISO, 24/7 Support Desk, Technical staff, System Owner, etc.).[Select Status]
Security Incident POC: Identify office phone for each responsible party for each security incident.[Select Status]
Security Incident POC: Identify email for each responsible party for each security incident.[Select Status]
Appendix B: Questionnaire – Transmission of VA Sensitive Information Utilizing a System Interconnection
If this is N/A, list as such at top of questionnaire and do not fill in Items 1-7 and/or POC blocks. Delete instruction text from document, ignore next few checklist items and move to Appendix C below.[Select Status]
Fill in Item 1. Describe the sensitive information to be transferred (e.g., clinical images with protected health information; financial information with names and social security numbers; identifiable data collected for research). The data listed should be the same as in section 2.1.[Select Status]
Fill in Item 2. Describe the purpose of the data transfer (e.g., access to clinical images by off-site radiologists; financial information used to generate billing information; subject data to be analyzed under a VA or a non-VA research protocol). Should be the same as what is described in the Executive Summary and/or 2.1 Background.[Select Status]
Fill in Item 3. Identify the non-VA Storage location of the transmitted information (e.g., Medical Center *name* Department of Radiology servers, *Name* Financial Institution servers).[Select Status]
Fill in Item 4. Identify the supporting document(s) describing the transfer of the data to the recipient: (e.g., Contract#, Protocol#, MOU, HIPAA authorization, Data Use Agreement, etc.).[Select Status]
Fill in Item 5. Describe the provisions for the return to VA or destruction of the sensitive information at the completion of the contract, project, clinical application/evaluation, etc., if applicable.[Select Status]
Fill in VA point of contact name, signature, and date signed.[Select Status]
Fill in VA Information System Security Officer name, signature, and date signed.[Select Status]
Appendix C: VA Annual Review Documentation
Confirm latest copy of sheet is present, and complete following 4 steps only if performing an annual review. Otherwise move to Appendix E below.[Select Status]
Identify date of VA annual review filled in if this is now going though an annual review.[Select Status]
The change status of the review field has been filled in if this is now going though an annual review.[Select Status]
Additional comments field has been filled in if this is now going though an annual review.[Select Status]
ISO signature field for annual review present and filled in if this is now going though an annual review.[Select Status]
Confirm MOU/ISA has been reviewed no later than one year after last date on signature (unless new).[Select Status]
Confirm MOU/ISA has been reviewed annually (every year) to determine if interconnection is still required and that there have not been significant changes.[Select Status]
Appendix E: Interconnection Ports and Protocols
Connection Type is documented.[Select Status]
Connection ID# is documented (may be left blank if only a new agreement and still pending ESCCB).[Select Status]
Gateway has been documented (may be left blank if only a new agreement and still pending ESCCB).[Select Status]
Ensure Port and Protocol Table covers all data transmissions shown in section 2.1.[Select Status]
Ensure Port and Protocol Table matches 3.2.2 in terms of it being a one-way or two-way path.[Select Status]
Ensure Port and Protocol Table shows everything from Topological Drawing (Section 3.3).[Select Status]
Port and Protocol table has been completed and completely filled in to include columns for direction, protocol, port, and purpose.[Select Status]
Complete MOU ISA Checklist Tab

ISA/MOU Checklist

ISA/MOU Checklist

ISA/MOU Checklist

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