Attachment 1 - C-SCRM Questionnaire.xlsx

XLSX spreadsheet 171 KB Posted

Attached to
Uninterruptible Power Supply (UPS) Federal contract opportunity
Solicitation number
19TH2026Q0082
Issued by
Department of State US Embassy Bangkok

About this file

This file is a Cybersecurity Supply Chain Risk Management (C-SCRM) Questionnaire template designed to assess vendor compliance with supply chain security requirements for federal contract opportunities.

The questionnaire is organized into three sections: Section 1 requests basic vendor contact information including company name, primary point of contact, job title, phone number, and email address. Section 2 addresses the Vendor Risk Management Plan and requires vendors to confirm whether their organizations identify key supply chain threats, map suppliers to those threats, include written SCRM requirements in supplier contracts, and verify supplier compliance with SCRM requirements through contractual terms and conditions. Section 3 focuses on Physical and Personnel Security, requiring vendors to confirm implementation of background check policies for employees, procedures to prevent tampering of ICT equipment in supply chain inventory, and insider threat literacy training programs. Each question references corresponding NIST SP 800-53 and ISO 27001 standards for regulatory alignment. The template includes response columns for Yes/No/Not Applicable answers and incorporates scoring functionality to track vendor responses across multiple pools including Alliant, Alliant 2 Small Business, SB HUBZone, 8(a) STARS II, Women Owned SB, VETS/VETS2, and other designations. Vendors are instructed to complete only the gray-shaded response areas, and the Government reserves the right to request supporting documentation to validate submitted responses.

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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 or (ISO 27001 Reference)
2.1Does your organization identify its key supply chain threats? (Note: if you do not have suppliers, answer "Yes")IR-8, SR-7 (7.5, A.5.24, A.5.22)
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 (7.5 A.5.24, A.5.22)
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 (A.5.20)
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 (A.5.22)
SECTION 3 PHYSICAL AND PERSONNEL SECURITY
ITEM NO.ITEM DESCRIPTIONVENDOR RESPONSENIST SP 800-53 Reference or (ISO 27001 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 (A.6.1)
3.2Does 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 (A.5.15)
3.3Do you provide literacy training on recognizing and reporting potential indicators of insider threat?AT-2(2) (7.3, A.6.3)

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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 .