HT0011-16-R-0040-Global_NAL-Attachment_11-Written_Determination-12-13-16.doc

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HT0011-16-R-0040
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Written Determination <Insert Reference #> in Support of DoDI 8582.01Checklist

<Insert Date>

Contract Reference #

Contractor Name

Street Address

City, ST ZIP

Information Assurance (IA) Control #:
<Enter the specific IA Control # from the “Checklist”>
IA Control Nomenclature:
<Enter the specific IA Control’s Nomenclature>
Compliance Statement:
<Restate the Contractor’s compliance with the IA Control.>

Issue:

<Provide basic “business” description for why the contractor cannot / will not meet the requirements of the NIST 800-53/A rev 3 IA control as listed on DHA’s DoDI 8582.01 .>

Contractor-identified Solution:

<Provide a business-level description of the contractor’s alternative plan to satisfy the security requirements associated with the Checklist’s specific IA control.>

Mitigation / Remediation Plan:

<As appropriate, provide a business-level description of the contractor’s plan of action and milestone for implementing the solution listed above.>

Risk Acceptance Statement

<Provide a statement the contractor accepts the risk of either implementing a technical solution different from the NIST guidance or contract operations until the NIST control can be implemented.>

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