Attachment 2 Cybersecurity Supply Chain Risk Management Questionnaire.xlsx

XLSX spreadsheet 170 KB Posted

Attached to
Internet Data Service Consolidation at U. S. Embassy JAKARTA
Solicitation number
PR15676619
Issued by

About this file

This is a Cybersecurity Supply Chain Risk Management (C-SCRM) Questionnaire template designed to assess vendor compliance with supply chain security requirements for federal contracts. The questionnaire is organized into three sections: Section 1 requires vendors to provide basic contact information including company name, primary point of contact details, job title, phone number, and email address. Section 2 focuses on Vendor Risk Management Plans and requires vendors to confirm whether their organization identifies key supply chain threats, maps suppliers to those threats, includes written SCRM requirements in supplier contracts, and verifies supplier compliance with SCRM requirements through contractual terms and conditions. Section 3 addresses Physical and Personnel Security, asking vendors to confirm whether they conduct background checks on employees as permitted by local law, have procedures to prevent tampering with Information and Communications Technology (ICT) equipment in supply chain inventory, and provide insider threat literacy training to personnel.

The questionnaire references NIST SP 800-53 controls for each requirement and is designed to be completed by the vendor submitting the offer or, in the case of joint ventures, by the JV managing partner. All responses must be provided in the gray-shaded Vendor Response column in column D for Items 1-10. The government reserves the right to request documentation to validate vendor responses. The template includes a scoring section for tracking responses as satisfied, partially satisfied, not satisfied, or not applicable, and is marked as Sensitive But Unclassified. This questionnaire serves as an appendix to solicitations and does not specify particular products or services but rather establishes security baseline requirements applicable to this Department of State Internet Data Service Consolidation solicitation at the U.S. Embassy in Jakarta.

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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 .