Attachment J- Selected Controls (Low) (Amd 0003).xlsx
XLSX spreadsheet 5 MB Posted
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- Legal Services for Unaccompanied Alien Children (UAC) Federal contract opportunity
- Solicitation number
- 75P00126R00003
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About this file
This file is an Attachment J document detailing selected low-impact security controls for a federal information system. The document provides a comprehensive overview of security control requirements across multiple control families, with a detailed focus on Access Control (AC) technical controls. The controls outline specific implementation requirements for various system access and authentication processes, including account management, logon attempts, system use notifications, and remote access policies.
Key highlights include requirements for defining account types, establishing authentication mechanisms, monitoring account usage, and enforcing access restrictions. For example, the AC-2 control mandates defining allowed account types, assigning account managers, specifying user authorization levels, and implementing processes for account review and termination. The document also provides specific guidance on multi-factor authentication, unsuccessful logon attempt limits, system use notifications, and remote access authorization. Each control includes detailed implementation statements, supplemental guidance, and organizational-specific parameters for implementing security measures across different system impact levels.
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Instructions
| How to Use the Security Controls tab: |
| Columns I and M are what change based on the system. All other columns do not change. |
| Instructions for Column M: |
[Bold and bracketed] text = should be replaced with details Yellow background = Security Control requried by FedRAMP Orange background = Guidance or instructions
Low Control Catalog
| Key | |||||||||||
| Family | Class | Family of Control | Control Number | Enhancement Number | Control | Control Name | Control Description | Supplemental Guidance | Security Control Type | Control Status | Control Implementation Statement |
| Access Control | Technical | AC- | 1 | AC-1 | Policy and Procedures | a. Develop, document, and disseminate to [HHS/ACF users, contractors and users authorized to access HHS/ACF systems or systems operated or maintained on behalf of HHS or HHS information and all ACF personnel]: |
1. [Selection (one or more): Organization-level; Mission/business process-level; System-level] access control policy that:
(a) Addresses purpose, scope, roles, responsibilities, management commitment, coordination among organizational entities, and compliance; and
(b) Is consistent with applicable laws, executive orders, directives, regulations, policies, standards, and guidelines; and
2. Procedures to facilitate the implementation of the access control policy and the associated access controls;
b. Designate an [the ACF CISO or other ACF-defined official] to manage the development, documentation, and dissemination of the access control policy and procedures; and
c. Review and update the current access control:
1. Policy [at least every three (3) years and following ACF-defined events] and following [Assignment: organization-defined events]; and
2. Procedures [at least every three (3) years] and following [ACF-defined events]. Access control policy and procedures address the controls in the AC family that are implemented within systems and organizations. The risk management strategy is an important factor in establishing such policies and procedures. Policies and procedures contribute to security and privacy assurance. Therefore, it is important that security and privacy programs collaborate on the development of access control policy and procedures. Security and privacy program policies and procedures at the organization level are preferable, in general, and may obviate the need for mission- or system-specific policies and procedures. The policy can be included as part of the general security and privacy policy or be represented by multiple policies reflecting the complex nature of organizations. Procedures can be established for security and privacy programs, for mission or business processes, and for systems, if needed. Procedures describe how the policies or controls are implemented and can be directed at the individual or role that is the object of the procedure. Procedures can be documented in system security and privacy plans or in one or more separate documents. Events that may precipitate an update to access control policy and procedures include assessment or audit findings, security incidents or breaches, or changes in laws, executive orders, directives, regulations, policies, standards, and guidelines. Simply restating controls does not constitute an organizational policy or procedure. Part (a1): ACF has developed and documented an Access Control Policy which has been disseminated to all ACF personnel. It can be found at: https://connect.acf.hhs.gov/sites/default/files/assets/access_control_policy_04172020_v10.pdf. The access control policy addresses purpose, scope, roles, responsibilities, management commitment, coordination among organizational entities, and compliance; and Part (a2): Procedures to facilitate the implementation of the access control policy and associated access controls; and Part (b1): Reviews and updates the current access control policy at least every 3 years Part (b2): Reviews and updates the current access control procedures at least every 3 years.
Access Control Technical AC- 2 AC-2 Account Management a. Define and document the types of accounts allowed and specifically prohibited for use within the system [(e.g., individual, shared, group, system, guest/anonymous, emergency, developer/manufacturer/vendor, temporary, and service)];
b. Assign account managers;
c. Require [the Information System Owner or Information System Security Officer to define prerequisites and criteria (based on user role(s) matrix defined in system SSP)] for group and role membership;
d. Specify:
1. Authorized users of the system;
2. Group and role membership; and
3. Access authorizations (i.e., privileges) and [the following attributes as defined in the user role(s) matrix in SSP System Description Narrative Template: User Types: Internal or External; Privileged (P), Non-Privileged (NP), or No Logical Access (NLA); FIPS199 and other system attributes such as HVA, Financial or Privacy designated systems; Authorized Privileges; and the system purpose or functions performed (as required)] for each account;
e. Require approvals by [ACF-defined personnel or roles] for requests to create accounts;
f. Create, enable, modify, disable, and remove accounts in accordance with [i. Favorable suitability adjudication, as appropriate for Federal and contractor employees.
ii. Completion of the HHS RoB and, as needed, system-specific RoB.
iii. Completion of HHS/ACF cybersecurity and privacy awareness training.
iv. Individual and unique assignment of user credentials.];
g. Monitor the use of accounts;
h. Notify account managers and [ACF-defined personnel or roles] within:
1. [ACF-defined time period] when accounts are no longer required;
2. [ACF-defined time period] when users are terminated or transferred; and
3. [ACF-defined time period] when system usage or need-to-know changes for an individual;
i. Authorize access to the system based on:
1. A valid access authorization;
2. Intended system usage; and
3. [ACF-defined attributes (as required)];
j. Review accounts for compliance with account management requirements [at least within every 365 days];
k. Establish and implement a process for changing shared or group account authenticators (if deployed) when individuals are removed from the group; and
l. Align account management processes with personnel termination and transfer processes. Examples of system account types include individual, shared, group, system, guest, anonymous, emergency, developer, temporary, and service. Identification of authorized system users and the specification of access privileges reflect the requirements in other controls in the security plan. Users requiring administrative privileges on system accounts receive additional scrutiny by organizational personnel responsible for approving such accounts and privileged access, including system owner, mission or business owner, senior agency information security officer, or senior agency official for privacy. Types of accounts that organizations may wish to prohibit due to increased risk include shared, group, emergency, anonymous, temporary, and guest accounts.
Where access involves personally identifiable information, security programs collaborate with the senior agency official for privacy to establish the specific conditions for group and role membership; specify authorized users, group and role membership, and access authorizations for each account; and create, adjust, or remove system accounts in accordance with organizational policies. Policies can include such information as account expiration dates or other factors that trigger the disabling of accounts. Organizations may choose to define access privileges or other attributes by account, type of account, or a combination of the two. Examples of other attributes required for authorizing access include restrictions on time of day, day of week, and point of origin. In defining other system account attributes, organizations consider system-related requirements and mission/business requirements. Failure to consider these factors could affect system availability.
Temporary and emergency accounts are intended for short-term use. Organizations establish temporary accounts as part of normal account activation procedures when there is a need for short-term accounts without the demand for immediacy in account activation. Organizations establish emergency accounts in response to crisis situations and with the need for rapid account activation. Therefore, emergency account activation may bypass normal account authorization processes. Emergency and temporary accounts are not to be confused with infrequently used accounts, including local logon accounts used for special tasks or when network resources are unavailable (may also be known as accounts of last resort). Such accounts remain available and are not subject to automatic disabling or removal dates. Conditions for disabling or deactivating accounts include when shared/group, emergency, or temporary accounts are no longer required and when individuals are transferred or terminated. Changing shared/group authenticators when members leave the group is intended to ensure that former group members do not retain access to the shared or group account. Some types of system accounts may require specialized training.
| Access Control | Technical | AC- | 3 | AC-3 | Access Enforcement | Enforce approved authorizations for logical access to information and system resources in accordance with applicable access control policies. | Access control policies control access between active entities or subjects (i.e., users or processes acting on behalf of users) and passive entities or objects (i.e., devices, files, records, domains) in organizational systems. In addition to enforcing authorized access at the system level and recognizing that systems can host many applications and services in support of mission and business functions, access enforcement mechanisms can also be employed at the application and service level to provide increased information security and privacy. In contrast to logical access controls that are implemented within the system, physical access controls are addressed by the controls in the Physical and Environmental Protection (PE) family. |
| Access Control | Technical | AC- | 7 | AC-7 | Unsuccessful Logon Attempts | a. Enforce the following limits of consecutive invalid logon attempts by a user: |
[1. For user ID and Password:
Low - for normal users: OpDiv-defined parameters; and for privileged users: five user/account attempts within 120 minutes.
Moderate - for all users: five user/account attempts within 120 minutes.
High - for all users: three user/account attempts within 120 minutes.
2. For all two-factor authentications using a PIV card, configure the maximum allowable login attempts as specified by the type of card and trusting certificate. The maximum allowed PIN attempts for each PIV card stock is specified below:
• Fifteen (15) attempts – for 64k card stock in either Cybertrust / Verizon Business CA or those converted to Entrust certificates (64k card stock only); and •Ten (10) attempts – for modern 128k cards issued by the Entrust CA.]; and
b. When the maximum number of unsuccessful attempts is exceeded, automatically enforces the following:
[Low - locks the account/node for 15 minutes.
Moderate - locks the account/node for 15 minutes High - locks the account/node until released by an administrator].
| Note: The maximum Personal Identification Number (PIN) attempts allowed for PIV cards is specified by policies implemented within the Smart Card Management System (SCMS) during issuance. These policies vary depending on a combination of card stock (64k, 128k), and certificate issuer for HHS (Cybertrust/Verizon Business CA or Entrust) and type of credential (PIV, RLA, ALT) | The need to limit unsuccessful logon attempts and take subsequent action when the maximum number of attempts is exceeded applies regardless of whether the logon occurs via a local or network connection. Due to the potential for denial of service, automatic lockouts initiated by systems are usually temporary and automatically release after a predetermined, organization-defined time period. If a delay algorithm is selected, organizations may employ different algorithms for different components of the system based on the capabilities of those components. Responses to unsuccessful logon attempts may be implemented at the operating system and the application levels. Organization-defined actions that may be taken when the number of allowed consecutive invalid logon attempts is exceeded include prompting the user to answer a secret question in addition to the username and password, invoking a lockdown mode with limited user capabilities (instead of full lockout), allowing users to only logon from specified Internet Protocol (IP) addresses, requiring a CAPTCHA to prevent automated attacks, or applying user profiles such as location, time of day, IP address, device, or Media Access Control (MAC) address. If automatic system lockout or execution of a delay algorithm is not implemented in support of the availability objective, organizations consider a combination of other actions to help prevent brute force attacks. In addition to the above, organizations can prompt users to respond to a secret question before the number of allowed unsuccessful logon attempts is exceeded. Automatically unlocking an account after a specified period of time is generally not permitted. However, exceptions may be required based on operational mission or need. | ||||||
| Access Control | Technical | AC- | 8 | AC-8 | System Use Notification | a. Display [HHS standard warning banner] to users before granting access to the system that provides privacy and security notices consistent with applicable laws, executive orders, directives, regulations, policies, standards, and guidelines and state that: |
1. Users are accessing a U.S. Government system;
2. System usage may be monitored, recorded, and subject to audit;
3. Unauthorized use of the system is prohibited and subject to criminal and civil penalties; and
4. Use of the system indicates consent to monitoring and recording;
b. Retain the notification message or banner on the screen until users acknowledge the usage conditions and take explicit actions to log on to or further access the system; and
c. For publicly accessible systems:
1. Display system use information [ACF-defined conditions], before granting further access to the publicly accessible system;
2. Display references, if any, to monitoring, recording, or auditing that are consistent with privacy accommodations for such systems that generally prohibit those activities; and
| 3. Include a description of the authorized uses of the system. | System use notifications can be implemented using messages or warning banners displayed before individuals log in to systems. System use notifications are used only for access via logon interfaces with human users. Notifications are not required when human interfaces do not exist. Based on an assessment of risk, organizations consider whether or not a secondary system use notification is needed to access applications or other system resources after the initial network logon. Organizations consider system use notification messages or banners displayed in multiple languages based on organizational needs and the demographics of system users. Organizations consult with the privacy office for input regarding privacy messaging and the Office of the General Counsel or organizational equivalent for legal review and approval of warning banner content. | ||||||
| Access Control | Technical | AC- | 14 | AC-14 | Permitted Actions Without Identification or Authentication | a. Identify [System owners must determine any user action] that can be performed on the system without identification or authentication consistent with organizational mission and business functions; and | |
| b. Document and provide supporting rationale in the security plan for the system, user actions not requiring identification or authentication. | Specific user actions may be permitted without identification or authentication if organizations determine that identification and authentication are not required for the specified user actions. Organizations may allow a limited number of user actions without identification or authentication, including when individuals access public websites or other publicly accessible federal systems, when individuals use mobile phones to receive calls, or when facsimiles are received. Organizations identify actions that normally require identification or authentication but may, under certain circumstances, allow identification or authentication mechanisms to be bypassed. Such bypasses may occur, for example, via a software-readable physical switch that commands bypass of the logon functionality and is protected from accidental or unmonitored use. Permitting actions without identification or authentication does not apply to situations where identification and authentication have already occurred and are not repeated but rather to situations where identification and authentication have not yet occurred. Organizations may decide that there are no user actions that can be performed on organizational systems without identification and authentication, and therefore, the value for the assignment operation can be none. | ||||||
| Access Control | Technical | AC- | 17 | AC-17 | Remote Access | a. Establish and document usage restrictions, configuration/connection requirements, and implementation guidance for each type of remote access allowed [(including access to internal networks by VPN)]; and |
b. Authorize each type of remote access to the system prior to allowing such connections.
[c. Access to HHS Webmail using personally-owned equipment is authorized. Access to other systems/networks using personally-owned equipment is prohibited without written authorization from the appropriate OpDiv CIO, or an approved policy allowing the use of personally-owned equipment. If the OpDiv allows the use of personally-owned equipment on Department systems or networks:
1. Personally-owned equipment must be scanned before being connected to Department systems or networks to ensure compliance with OpDiv system requirements (such as patch management requirements); and
| 2. Personally-owned equipment must be prohibited from processing, accessing, or storing Department sensitive information unless it is approved in writing by the OpDiv SOP and employs latest version of FIPS 140-compliant encryption capabilities.] | Remote access is access to organizational systems (or processes acting on behalf of users) that communicate through external networks such as the Internet. Types of remote access include dial-up, broadband, and wireless. Organizations use encrypted virtual private networks (VPNs) to enhance confidentiality and integrity for remote connections. The use of encrypted VPNs provides sufficient assurance to the organization that it can effectively treat such connections as internal networks if the cryptographic mechanisms used are implemented in accordance with applicable laws, executive orders, directives, regulations, policies, standards, and guidelines. Still, VPN connections traverse external networks, and the encrypted VPN does not enhance the availability of remote connections. VPNs with encrypted tunnels can also affect the ability to adequately monitor network communications traffic for malicious code. Remote access controls apply to systems other than public web servers or systems designed for public access. Authorization of each remote access type addresses authorization prior to allowing remote access without specifying the specific formats for such authorization. While organizations may use information exchange and system connection security agreements to manage remote access connections to other systems, such agreements are addressed as part of CA-3. Enforcing access restrictions for remote access is addressed via AC-3. | ||||||
| Access Control | Technical | AC- | 18 | AC-18 | Wireless Access | a. Establish configuration requirements, connection requirements, and implementation guidance for each type of wireless access; and |
b. Authorize each type of wireless access to the system prior to allowing such connections.
[c. The organization ensures that:
1. For OpDivs that adopt wireless communications, OpDiv CIOs approve and distribute the overall wireless plan for his or her respective organization;
2. OpDivs adhere to the HHS Policy for Securing Wireless Local Area Networks; and
| 3. Mobile and wireless devices, systems, and networks are not connected to wired Department networks except through appropriate controls (e.g., VPN port) or unless specific authorization from Department network management has been received.] | Wireless technologies include microwave, packet radio (ultra-high frequency or very high frequency), 802.11x, and Bluetooth. Wireless networks use authentication protocols that provide authenticator protection and mutual authentication. | |||||||
| Access Control | Technical | AC- | 18 | (1) | AC-18(1) | Wireless Access | Authentication and Encryption | Protect wireless access to the system using authentication of [users and/or devices] and encryption. |
| Note: Consult HHS Policy for Securing Wireless Local Area Networks, and HHS Standard for Encryption of Computing Devices and Information. In addition, the NIST SP 800-153, Guidelines for Securing Wireless Local Area Networks (WLANs), specifies various requirements that impact the selection of specific security controls that are currently not selected in the IS2P. | Wireless networking capabilities represent a significant potential vulnerability that can be exploited by adversaries. To protect systems with wireless access points, strong authentication of users and devices along with strong encryption can reduce susceptibility to threats by adversaries involving wireless technologies. | ||||||||
| Access Control | Technical | AC- | 18 | (3) | AC-18(3) | Wireless Access | Disable Wireless Networking | Disable, when not intended for use, wireless networking capabilities embedded within system components prior to issuance and deployment. | Wireless networking capabilities that are embedded within system components represent a significant potential vulnerability that can be exploited by adversaries. Disabling wireless capabilities when not needed for essential organizational missions or functions can reduce susceptibility to threats by adversaries involving wireless technologies. | |
| Access Control | Technical | AC- | 18 | (4) | AC-18(4) | Restrict Configuration by Users | Identify and explicitly authorize users allowed to independently configure wireless networking capabilities. | Organizational authorizations to allow selected users to configure wireless networking capabilities are enforced, in part, by the access enforcement mechanisms employed within organizational systems. | |
| Access Control | Technical | AC- | 18 | (5) | AC-18(5) | Antennas and Transmission Power Levels | Select radio antennas and calibrate transmission power levels to reduce the probability that signals from wireless access points can be received outside of organization-controlled boundaries. | Actions that may be taken to limit unauthorized use of wireless communications outside of organization-controlled boundaries include reducing the power of wireless transmissions so that the transmissions are less likely to emit a signal that can be captured outside of the physical perimeters of the organization, employing measures such as emissions security to control wireless emanations, and using directional or beamforming antennas that reduce the likelihood that unintended receivers will be able to intercept signals. Prior to taking such mitigating actions, organizations can conduct periodic wireless surveys to understand the radio frequency profile of organizational systems as well as other systems that may be operating in the area. | |
| Access Control | Technical | AC- | 19 | AC-19 | Access Control for Mobile Devices | a. Establish configuration requirements [(including password-protection consistent with the Department’s password requirements, up-to-date system patches, current anti-virus software, and functionality that prevents automatic code execution)], connection requirements, and implementation guidance for organization-controlled mobile devices, to include when such devices are outside of controlled areas; and | |||
| b. Authorize the connection of mobile devices to organizational systems. | A mobile device is a computing device that has a small form factor such that it can easily be carried by a single individual; is designed to operate without a physical connection; possesses local, non-removable or removable data storage; and includes a self-contained power source. Mobile device functionality may also include voice communication capabilities, on-board sensors that allow the device to capture information, and/or built-in features for synchronizing local data with remote locations. Examples include smart phones and tablets. Mobile devices are typically associated with a single individual. The processing, storage, and transmission capability of the mobile device may be comparable to or merely a subset of notebook/desktop systems, depending on the nature and intended purpose of the device. Protection and control of mobile devices is behavior or policy-based and requires users to take physical action to protect and control such devices when outside of controlled areas. Controlled areas are spaces for which organizations provide physical or procedural controls to meet the requirements established for protecting information and systems. |
Due to the large variety of mobile devices with different characteristics and capabilities, organizational restrictions may vary for the different classes or types of such devices. Usage restrictions and specific implementation guidance for mobile devices include configuration management, device identification and authentication, implementation of mandatory protective software, scanning devices for malicious code, updating virus protection software, scanning for critical software updates and patches, conducting primary operating system (and possibly other resident software) integrity checks, and disabling unnecessary hardware.
Usage restrictions and authorization to connect may vary among organizational systems. For example, the organization may authorize the connection of mobile devices to its network and impose a set of usage restrictions, while a system owner may withhold authorization for mobile device connection to specific applications or impose additional usage restrictions before allowing mobile device connections to a system. Adequate security for mobile devices goes beyond the requirements specified in AC-19. Many safeguards for mobile devices are reflected in other controls. AC-20 addresses mobile devices that are not organization-controlled.
Access Control Technical AC- 20 AC-20 Use of External Systems a. Identify [ACF-defined controls asserted to be implemented on external systems], consistent with the trust relationships established with other organizations owning, operating, and/or maintaining external systems, allowing authorized individuals to:
1. Access the system from external systems; and
2. Process, store, or transmit organization-controlled information using external systems; or
b. Prohibit the use of [ACF-defined types of external systems]. External systems are systems that are used by but not part of organizational systems, and for which the organization has no direct control over the implementation of required controls or the assessment of control effectiveness. External systems include personally owned systems, components, or devices; privately owned computing and communications devices in commercial or public facilities; systems owned or controlled by nonfederal organizations; systems managed by contractors; and federal information systems that are not owned by, operated by, or under the direct supervision or authority of the organization. External systems also include systems owned or operated by other components within the same organization and systems within the organization with different authorization boundaries. Organizations have the option to prohibit the use of any type of external system or prohibit the use of specified types of external systems, (e.g., prohibit the use of any external system that is not organizationally owned or prohibit the use of personally-owned systems).
For some external systems (i.e., systems operated by other organizations), the trust relationships that have been established between those organizations and the originating organization may be such that no explicit terms and conditions are required. Systems within these organizations may not be considered external. These situations occur when, for example, there are pre-existing information exchange agreements (either implicit or explicit) established between organizations or components or when such agreements are specified by applicable laws, executive orders, directives, regulations, policies, or standards. Authorized individuals include organizational personnel, contractors, or other individuals with authorized access to organizational systems and over which organizations have the authority to impose specific rules of behavior regarding system access. Restrictions that organizations impose on authorized individuals need not be uniform, as the restrictions may vary depending on trust relationships between organizations. Therefore, organizations may choose to impose different security restrictions on contractors than on state, local, or tribal governments.
External systems used to access public interfaces to organizational systems are outside the scope of AC-20. Organizations establish specific terms and conditions for the use of external systems in accordance with organizational security policies and procedures. At a minimum, terms and conditions address the specific types of applications that can be accessed on organizational systems from external systems and the highest security category of information that can be processed, stored, or transmitted on external systems. If the terms and conditions with the owners of the external systems cannot be established, organizations may impose restrictions on organizational personnel using those external systems.
Access Control Technical AC- 22 AC-22 Publicly Accessible Content a. Designate individuals authorized to make information publicly accessible;
b. Train authorized individuals to ensure that publicly accessible information does not contain nonpublic information;
c. Review the proposed content of information prior to posting onto the publicly accessible system to ensure that nonpublic information is not included; and
| d. Review the content on the publicly accessible system for nonpublic information [bi-weekly] and remove such information, if discovered. | In accordance with applicable laws, executive orders, directives, policies, regulations, standards, and guidelines, the public is not authorized to have access to nonpublic information, including information protected under the PRIVACT and proprietary information. Publicly accessible content addresses systems that are controlled by the organization and accessible to the public, typically without identification or authentication. Posting information on non-organizational systems (e.g., non-organizational public websites, forums, and social media) is covered by organizational policy. While organizations may have individuals who are responsible for developing and implementing policies about the information that can be made publicly accessible, publicly accessible content addresses the management of the individuals who make such information publicly accessible. | ||||||
| Awareness and Training | Operational | AT- | 1 | AT-1 | Policy and Procedures | a. Develop, document, and disseminate to [all personnel/roles within HHS and ACF]: |
1. [HHS or ACF] awareness and training policy that:
(a) Addresses purpose, scope, roles, responsibilities, management commitment, coordination among organizational entities, and compliance; and
(b) Is consistent with applicable laws, executive orders, directives, regulations, policies, standards, and guidelines; and
2. Procedures to facilitate the implementation of the awareness and training policy and the associated awareness and training controls;
b. Designate an [either an HHS or ACF defined official] to manage the development, documentation, and dissemination of the awareness and training policy and procedures; and
c. Review and update the current awareness and training:
1. Policy [annually] and following [ACF-defined events]; and
| 2. Procedures [annually] and following [ACF-defined events]. | Awareness and training policy and procedures address the controls in the AT family that are implemented within systems and organizations. The risk management strategy is an important factor in establishing such policies and procedures. Policies and procedures contribute to security and privacy assurance. Therefore, it is important that security and privacy programs collaborate on the development of awareness and training policy and procedures. Security and privacy program policies and procedures at the organization level are preferable, in general, and may obviate the need for mission- or system-specific policies and procedures. The policy can be included as part of the general security and privacy policy or be represented by multiple policies that reflect the complex nature of organizations. Procedures can be established for security and privacy programs, for mission or business processes, and for systems, if needed. Procedures describe how the policies or controls are implemented and can be directed at the individual or role that is the object of the procedure. Procedures can be documented in system security and privacy plans or in one or more separate documents. Events that may precipitate an update to awareness and training policy and procedures include assessment or audit findings, security incidents or breaches, or changes in applicable laws, executive orders, directives, regulations, policies, standards, and guidelines. Simply restating controls does not constitute an organizational policy or procedure. | ||||||
| Awareness and Training | Operational | AT- | 2 | AT-2 | Literacy Training and Awareness | a. Provide security and privacy literacy training to system users (including managers, senior executives, and contractors): |
1. As part of initial training for new users and [Annually] thereafter; and
2. When required by system changes or following [ACF-defined events];
b. Employ the following techniques to increase the security and privacy awareness of system users [phishing emails and other ACF defined techniques];
c. Update literacy training and awareness content [annually] and following [ACF-defined events]; and
d. Incorporate lessons learned from internal or external security incidents or breaches into literacy training and awareness techniques. Organizations provide basic and advanced levels of literacy training to system users, including measures to test the knowledge level of users. Organizations determine the content of literacy training and awareness based on specific organizational requirements, the systems to which personnel have authorized access, and work environments (e.g., telework). The content includes an understanding of the need for security and privacy as well as actions by users to maintain security and personal privacy and to respond to suspected incidents. The content addresses the need for operations security and the handling of personally identifiable information.
Awareness techniques include displaying posters, offering supplies inscribed with security and privacy reminders, displaying logon screen messages, generating email advisories or notices from organizational officials, and conducting awareness events. Literacy training after the initial training described in AT-2a.1 is conducted at a minimum frequency consistent with applicable laws, directives, regulations, and policies. Subsequent literacy training may be satisfied by one or more short ad hoc sessions and include topical information on recent attack schemes, changes to organizational security and privacy policies, revised security and privacy expectations, or a subset of topics from the initial training. Updating literacy training and awareness content on a regular basis helps to ensure that the content remains relevant. Events that may precipitate an update to literacy training and awareness content include, but are not limited to, assessment or audit findings, security incidents or breaches, or changes in applicable laws, executive orders, directives, regulations, policies, standards, and guidelines.
| Awareness and Training | Operational | AT- | 2 | (2) | AT-2(2) | Literacy Training and Awareness | Insider Threat | Provide literacy training on recognizing and reporting potential indicators of insider threat. | Potential indicators and possible precursors of insider threat can include behaviors such as inordinate, long-term job dissatisfaction; attempts to gain access to information not required for job performance; unexplained access to financial resources; bullying or harassment of fellow employees; workplace violence; and other serious violations of policies, procedures, directives, regulations, rules, or practices. Literacy training includes how to communicate the concerns of employees and management regarding potential indicators of insider threat through channels established by the organization and in accordance with established policies and procedures. Organizations may consider tailoring insider threat awareness topics to the role. For example, training for managers may be focused on changes in the behavior of team members, while training for employees may be focused on more general observations. |
| Awareness and Training | Operational | AT- | 3 | AT-3 | Role-based Training | a. Provide role-based security and privacy training to personnel with the following roles and responsibilities [in accordance with HHS Memorandum detailing Requirements for Role-Based Training of Personnel with Significant Security Responsibilities (current version) and any ACF Defined Requirements]: |
1. Before authorizing access to the system, information, or performing assigned duties, and [annually] thereafter; and
2. When required by system changes;
b. Update role-based training content [annually] and following [ACF-defined events]; and
c. Incorporate lessons learned from internal or external security incidents or breaches into role-based training.
Reference:
Requirements for Role-Based Training of Personnel with Significant Security Responsibilities Organizations determine the content of training based on the assigned roles and responsibilities of individuals as well as the security and privacy requirements of organizations and the systems to which personnel have authorized access, including technical training specifically tailored for assigned duties. Roles that may require role-based training include senior leaders or management officials (e.g., head of agency/chief executive officer, chief information officer, senior accountable official for risk management, senior agency information security officer, senior agency official for privacy), system owners; authorizing officials; system security officers; privacy officers; acquisition and procurement officials; enterprise architects; systems engineers; software developers; systems security engineers; privacy engineers; system, network, and database administrators; auditors; personnel conducting configuration management activities; personnel performing verification and validation activities; personnel with access to system-level software; control assessors; personnel with contingency planning and incident response duties; personnel with privacy management responsibilities; and personnel with access to personally identifiable information.
Comprehensive role-based training addresses management, operational, and technical roles and responsibilities covering physical, personnel, and technical controls. Role-based training also includes policies, procedures, tools, methods, and artifacts for the security and privacy roles defined. Organizations provide the training necessary for individuals to fulfill their responsibilities related to operations and supply chain risk management within the context of organizational security and privacy programs. Role-based training also applies to contractors who provide services to federal agencies. Types of training include web-based and computer-based training, classroom-style training, and hands-on training (including micro-training). Updating role-based training on a regular basis helps to ensure that the content remains relevant and effective. Events that may precipitate an update to role-based training content include, but are not limited to, assessment or audit findings, security incidents or breaches, or changes in applicable laws, executive orders, directives, regulations, policies, standards, and guidelines.
| Awareness and Training | Operational | AT- | 4 | AT-4 | Training Records | a. Document and monitor information security and privacy training activities, including security and privacy awareness training and specific role-based security and privacy training; and | |
| b. Retain individual training records for [a minimum of five (5) years after completing a specific training course]. | Documentation for specialized training may be maintained by individual supervisors at the discretion of the organization. The National Archives and Records Administration provides guidance on records retention for federal agencies. | ||||||
| Audit and Accountability | Technical | AU- | 1 | AU-1 | Policy and Procedures | a. Develop, document, and disseminate to [all HHS employees, contractor, and users that are authorized with access to HHS/ACF information systems, or systems operated or maintained on behalf of HHS/ACFexecutives]: |
1. [HHS/ACF] audit and accountability policy that:
(a) Addresses purpose, scope, roles, responsibilities, management commitment, coordination among organizational entities, and compliance; and
(b) Is consistent with applicable laws, executive orders, directives, regulations, policies, standards, and guidelines; and
2. Procedures to facilitate the implementation of the audit and accountability policy and the associated audit and accountability controls;
b. Designate an [ACF-defined official] to manage the development, documentation, and dissemination of the audit and accountability policy and procedures; and
c. Review and update the current audit and accountability:
1. Policy [annually] and following [the identification of evolving threats, issuance of new or significantly changed existing Federal laws, executive orders, directives, regulations, and HHS/ACF policies, identification of emerging technology and information technology service delivery models and determination that adjustments are deemed necessary to improve its effectiveness based upon feedback from the HHS/ACF System personnel]; and
| 2. Procedures [annually] and following [the identification of evolving threats, issuance of new or significantly changed existing Federal laws, executive orders, directives, regulations, and HHS/ACF policies, identification of emerging technology and information technology service delivery models and determination that adjustments are deemed necessary to improve its effectiveness based upon feedback from the HHS/ACF System personnel.]. | Audit and accountability policy and procedures address the controls in the AU family that are implemented within systems and organizations. The risk management strategy is an important factor in establishing such policies and procedures. Policies and procedures contribute to security and privacy assurance. Therefore, it is important that security and privacy programs collaborate on the development of audit and accountability policy and procedures. Security and privacy program policies and procedures at the organization level are preferable, in general, and may obviate the need for mission- or system-specific policies and procedures. The policy can be included as part of the general security and privacy policy or be represented by multiple policies that reflect the complex nature of organizations. Procedures can be established for security and privacy programs, for mission or business processes, and for systems, if needed. Procedures describe how the policies or controls are implemented and can be directed at the individual or role that is the object of the procedure. Procedures can be documented in system security and privacy plans or in one or more separate documents. Events that may precipitate an update to audit and accountability policy and procedures include assessment or audit findings, security incidents or breaches, or changes in applicable laws, executive orders, directives, regulations, policies, standards, and guidelines. Simply restating controls does not constitute an organizational policy or procedure. | ||||||
| Audit and Accountability | Technical | AU- | 2 | AU-2 | Event Logging | a. Identify the types of events that the system is capable of logging in support of the audit function: |
[i. The following events must be identified within server audit logs:
• Server startup and shutdown;
• Loading and unloading of services;
• Installation and removal of software;
• System alerts and error messages;
• User logon and logoff (successful or unsuccessful);
• System administration activities;
• Accesses to sensitive information, files, and systems
• Account creation, modification, or deletion;
• Modifications of privileges and access controls; and,
• Additional security-related events, as required by the System Owner (SO) or to support the nature of the supported business and applications.
ii. The following events must be identified within application and database audit logs:
• Modifications to the application;
• Application alerts and error messages;
• User logon and logoff (successful or unsuccessful);
• System administration activities;
• Accesses to information and files
• Account creation, modification, or deletion; and,
• Modifications of privileges and access controls.
• (Moderate and High only) Read access to sensitive information
• (Moderate and High only) Modification to sensitive information
• (Moderate and High only) Printing sensitive information
iii. The following events must be identified within network device (e.g., router, firewall, switch, wireless access point) audit logs:
• Device startup and shutdown;
• Administrator logon and logoff (successful or unsuccessful);
• Configuration changes;
• Account creation, modification, or deletion;
• Modifications of privileges and access controls; and,
• System alerts and error messages.];
b. Coordinate the event logging function with other organizational entities requiring audit-related information to guide and inform the selection criteria for events to be logged;
c. Specify the following event types for logging within the system: [Unsuccessful log-on attempts that result in a locked account/node; Configuration changes; Application alerts and error messages; System administration activities; Modification of privileges and access; and Account creation, modification, or deletion];
d. Provide a rationale for why the event types selected for logging are deemed to be adequate to support after-the-fact investigations of incidents; and
e. Review and update the event types selected for logging [within every 365 days and whenever there is a significant system modification]. An event is an observable occurrence in a system. The types of events that require logging are those events that are significant and relevant to the security of systems and the privacy of individuals. Event logging also supports specific monitoring and auditing needs. Event types include password changes, failed logons or failed accesses related to systems, security or privacy attribute changes, administrative privilege usage, PIV credential usage, data action changes, query parameters, or external credential usage. In determining the set of event types that require logging, organizations consider the monitoring and auditing appropriate for each of the controls to be implemented. For completeness, event logging includes all protocols that are operational and supported by the system.
To balance monitoring and auditing requirements with other system needs, event logging requires identifying the subset of event types that are logged at a given point in time. For example, organizations may determine that systems need the capability to log every file access successful and unsuccessful, but not activate that capability except for specific circumstances due to the potential burden on system performance. The types of events that organizations desire to be logged may change. Reviewing and updating the set of logged events is necessary to help ensure that the events remain relevant and continue to support the needs of the organization. Organizations consider how the types of logging events can reveal information about individuals that may give rise to privacy risk and how best to mitigate such risks. For example, there is the potential to reveal personally identifiable information in the audit trail, especially if the logging event is based on patterns or time of usage.
Event logging requirements, including the need to log specific event types, may be referenced in other controls and control enhancements. These include AC-2(4), AC-3(10), AC-6(9), AC-17(1), CM-3f, CM-5(1), IA-3(3)(b), MA-4(1), MP-4(2), PE-3, PM-21, PT-7, RA-8, SC-7(9), SC-7(15), SI-3(8), SI-4(22), SI-7(8), and SI-10(1). Organizations include event types that are required by applicable laws, executive orders, directives, policies, regulations, standards, and guidelines. Audit records can be generated at various levels, including at the packet level as information traverses the network.
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