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pdfPOA&M Template
OMB Control #: 0938-NEW
Expiration Date: XX/XX/20XX
NON-EXCHANGE ENTITY:
SYSTEM NAME:
SYSTEM ACRONYM:
CURRENT FISCAL YEAR:
0
0
0
0
Plan of Action and Milestone (POA&M) Metrics Totals
(Security, Other & Privacy Combined)
POA&M Findings by Weakness Status
Number of POA&M Items By
Security Control Family
TOTAL Open
Ongoing
Delayed
Completed
Accepted
Risk
Number of POA&M Items
By Privacy Control Family
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
AP
Other
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Gap Analysis Tracking
TOTAL Open
Ongoing
Delayed
Completed
Accepted
Risk
NEE V. 1.0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
AC
0
0
0
0
ONGOING
DELAYED
COMPLETED
ACCEPTED RISK
Total
Open Findings by Risk Level
0
AT
AU
CA
CM
CP
IA
IR
0
0
0
0
CRITICAL
HIGH
MODERATE
LOW
Total
0
0
Total # of Open Findings (Ongoing, Delayed, & Accepted)
MA
MP
PE
PL
PS
RA
SA
SC
SI
Plan of Action and Milestone (POA&M) Metrics Totals
(Security Only)
POA&M Findings by Weakness Status
0
0
0
0
ONGOING
DELAYED
COMPLETED
ACCEPTED RISK
Total
Open Findings by Risk Level
0
NEE V. 1.2
NEE V. 2.0
NEE V. 3.0
NEE V. 4.0
AR
DI
DM
IP
SE
TR
UL
Total Open
Ongoing
Delayed
Completed
Accepted Risk
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
CRITICAL
HIGH
MODERATE
LOW
Total
0
0
Total # of Open Findings (Ongoing, Delayed, & Accepted)
Plan of Action and Milestone (POA&M) Metrics Totals
(Privacy Only)
POA&M Findings by Weakness Status
0
0
0
0
ONGOING
DELAYED
COMPLETED
ACCEPTED RISK
Total
Open Findings by Risk Level
0
0
0
0
CRITICAL
HIGH
MODERATE
LOW
Total
Total # of Open Findings (Ongoing, Delayed, & Accepted)
0
0
0
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control number for this information collection is 0938-NEW, expiration date is XX/XX/20XX. The time required to complete this information collection is estimated to take up to 144,652 hours annually for all
direct enrollment entities. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: CMS, 7500 Security Boulevard, Attn: PRA Reports
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Plan of Action and Milestone (POA&M) Metrics Totals
(Other Only)
POA&M Findings by Weakness Status
0
0
0
0
ONGOING
DELAYED
COMPLETED
ACCEPTED RISK
Total
Open Findings by Risk Level
0
0
0
0
CRITICAL
HIGH
MODERATE
LOW
Total
Total # of Open Findings (Ongoing, Delayed, & Accepted)
0
0
0
NON-EXCHANGE ENTITY:
SYSTEM NAME:
SYSTEM ACRONYM:
CURRENT FISCAL YEAR:
System Name
0
Weakness Identifier
Control Family
System Acronym
0
System Criticality as defined by FIPS
Moderate
Control Details
Weakness Description
Confidentiality
Moderate
Weakness Source
POC
Availability
Moderate
Integrity
Moderate
If no weaknesses identified, provide a reason
Resources Required
Scheduled Completion Date
Milestones With Completion Dates
Risk Subtotal
0
Changes to Milestones Date
Completion Date
Weakness Status
Risk Level
NEE Version
Compensating Controls
Comments
NON-EXCHANGE ENTITY:
SYSTEM NAME:
SYSTEM ACRONYM:
CURRENT FISCAL YEAR:
System Name
System Acronym
0
Weakness Identifier
Control Family
Control Details
System Criticality as defined by
FIPS
Moderate
Weakness Description
Confidentiality
Availability
Integrity
Moderate
Moderate
Moderate
Resources Required
Scheduled Completion Date
Weakness Source
POC
If no weaknesses identified, provide a
reason
Milestones With Completion Dates
1. Non-Exchange Entity: Please enter the name of the Non-Exchange Entity.
2. System Name: Please enter the system name.
3. System Acronym: Please enter the system acronym.
4. Current Fiscal Year: Please enter the current fiscal year.
5. System Name [No Action Required]: This field is auto-filled from the name entered in instruction #2.
6. System Acronym [No Action Required]: This field is auto-filled from the acronym entered in instruction #3.
7. System Criticality: This will be moderate for any system connecting to the Federal Data Services Hub.
8. Confidentiality: This will be moderate for any system connecting to the Federal Data Services Hub.
9. Availability: This will be moderate for any system connecting to the Federal Data Services Hub.
10. Integrity: This will be moderate for any system connecting to the Federal Data Services Hub.
11. If no weaknesses identified, provide a reason [Drop- down list provided]:
Choose from the following six options:
- All weaknesses eliminated
- No review conducted
- No weaknesses found
- System in development
- System reclassified – not a system
- System retired
12. Weakness Identifier: A unique number assigned to each POA&M entry that is used to track the weakness. Typically the weakness identifier is comprised of the following: System name/acronym;
Quarter (A, B C, or D) and Fiscal Year the weakness was first recorded; and a sequence number. (example: SYSTEM_A_2023_3).
13. Control Family [Drop-down list provided]: Please chose the control family or category that best signifies the origin of the finding.
Choose from the following Options:
- Other
- AC
- AT
- AU
- CA
- CM
- CP
- IA
- IR
- MA
- MP
- PE
- PL
- PS
- RA
- SA
- SC
- SI
- Privacy-AP
- Privacy-AR
- Privacy-DI
- Privacy-DM
- Privacy-IP
- Privacy-SE
- Privacy-TR
- Privacy-UL
14. Control Details: Enter the security control(s) in which the weakness was discovered (examples: AC-2, AU-10, IR-2, and SA-9). Multiple controls may be entered if applicable.
15. Weakness Description: Description of the vulnerability or risk identified. This information may be found in the Security Assessment Report (SAR) or other security audit type report.
16. Weakness Source: A source shall be reported for all weaknesses. When recording the weakness source, both the type of review and the date on which the review was conducted or published shall be
provided. If the weakness represents a repeat finding, each source in which the weakness was identified shall be documented.
17. Point of Contact (POC): A POC shall be identified and documented for each weakness. The POC shall at a minimum refer to the position/role responsible for resolving the weakness (examples:
Information System Security Officer [ISSO], Privacy Coordinator, System Owner), a contact telephone number, and/or an email address.
18. Resources Required: The resources required to successfully complete the weakness shall be estimated and documented. The estimate shall be based on the total resources required to fulfill all the
milestones necessary for weakness mitigation. Resources shall be estimated as monetary value and/or staffing requirements. When identifying monetary value, the amount shall be categorized as New
Funding, Existing Funding, or Reallocated Funding. Staffing requirements shall be estimated as staff-hours or full time equivalents (FTEs) and categorized as New Staff or Existing Staff.
19. Scheduled Completion Date: A completion date shall be assigned to every weakness, to include the month, day, and year using the format: MMDDYYYY. This date is the estimated date in which all
milestones for the weakness will be completed and when the weakness will be closed. The scheduled completion date shall not change once recorded.
The expected remediation timeline period is based on the risk level.
Critical: 15 days
High: 30 days
Moderate: 90 days
Low: 365 days
Changes to Milestones Date
Completion Date
Weakness Status
Risk Level
NEE Version
Compensating Controls
Comments
y
20. Milestones with Completion Dates: Each weakness shall have at least one milestone with an associated completion date to facilitate corrective action. A milestone will identify specific requirements or
key steps to correct an identified finding/action item. Milestone(s) with completion date entries, once recorded, shall not be removed or changed. Even if you only have ONE milestone it still needs to
contain a completion date.
For ease of reading and managing, it is recommended you number your milestones as shown in the sample below and on the POA&M Sample Tab. All milestones should be entered in the single cell
provided that corresponds with the identified weakness.
(1) Milestone1 08/10/2024
(2) Milestone2 09/15/2024
(3) Milestone3 10/30/2024
21. Changes to Milestone Completion Dates: Any necessary revisions to the original milestone completion date(s) due to the original date being surpassed because additional time or resources are
required, shall be documented. This revised Milestone Completion Date(s) does not replace the original Milestone Completion Date, but is an amendment.
For ease of reading and managing, it is recommended you number your milestone changes as shown in the sample below and on the POA&M Sample Tab. It is also recommended you start with the
milestone in which the plan has changed. All milestones should be entered in the single cell provided that corresponds with the identified weakness.
(2) Milestone2 10/01/2024
(3) Milestone3 11/15/2024
22. Completion Date: The date that all of the weakness milestones have been completed and the weakness can be closed, to include the month, day, and year using the format: MMDDYYYY. .
23. Weakness Status [Drop-down list provided]: A status shall be assigned to each weakness.
Chose from the following four options:
Ongoing—This status is assigned only when a weakness is in the process of being mitigated and has not yet exceeded the associated Scheduled Completion Date.
Delayed—This status is assigned when a weakness is being mitigated after the associated Scheduled Completion Date has passed. An explanation shall be provided in the Weakness Comments field.
Completed—This status is assigned when all corrective actions have been completed for a weakness such that the weakness is successfully mitigated. Documentation shall be required to demonstrate the
weakness has successfully been resolved. The Date of Completion shall be recorded for a completed weakness.
Accepted Risk—This status is assigned when the a weakness has been been accepted as a risk by the NEE entity. A compensating control and comments explaining why the risk has been accepted and
mitigating factors that have been implemented to minimize their occurance should be provided. Accepted risks will be reviewed by CMS to determine if it is acceptable for CMS.
24. Risk Level [Drop-down list provided]: Risk level of weakness identified in SAR, Audit, or Review. The assignment of risk levels should follow the methodology outlined in NIST 800-30 Appendices G,
H, and I. In assigning risk levels, CMS requires only 4 levels of granularity: Critical, High, Moderate, and Low. (See the Risk Calculation Instructions tab for additional information).
The 4 risk levels can be defined as the following:
Critical: A threat event could be expected to have a multiple severe or catastrophic adverse effect on organizational operations, organizational assets, individuals, other organizations, or the Nation.
High: A threat event could be expected to have a severe or catastrophic adverse effect on organizational operations, organizational assets, individuals, other organizations, or the Nation.
Moderate: A threat event could be expected to have a serious adverse effect on organizational operations, organizational assets, individuals, other organizations, or the Nation.
Low: A threat event could be expected to have a limited adverse effect on organizational operations, organizational assets, individuals, other organizations, or the Nation.
Choose from the following four options:
Critical
High
Moderate
Low
25. NEE Version: This field is provided to identify the version of the NEE Security and Privacy controls being utilized.
Choose from the following options:
NEE V. 1.0
NEE V. 1.2
NEE V. 2.0
NEE V. 3.0
NEE v. 4.0
26. Compensating Controls: Please list and describe any compensating controls that have been put in place in lieu of the prescribed control(s).
27. Comments: Any additional information or details necessary to clarify weakness information, status and/or traceability shall be documented in the Weakness Comments field.
In determining risk levels, please become familiar with the National Institute of Standards and Technology Special Publication (NIST SP) 80030 Revision 1.
Below are tables from NIST SP 800-30 Revision 1 for your reference. When assigning risk levels, CMS requires 4 levels of granularity:
Critical, High, Moderate, and Low. When utilizing the NIST tables from NIST SP 800-30 Revision 1, Appendices G, H, and I, please
consolidate Very High with Critical and Very Low with Low.
From Appendix G
Likelihood of Occurrence
Table G-2: Assessment Scale - Likelihood of Threat Event Initiation (Adversarial)
Qualitative Values
Semi-Quantitative Values Description
Critical
96-100
10
Adversary is almost certain to initiate the threat event.
High
80-95
8
Adversary is highly likely to initiate the threat event.
Moderate
21-79
5
Adversary is somewhat likely to initiate the treat event.
Low
5-20
2
Adversary is unlikely to initiate the threat event.
Very Low
0-4
0
Adversary is highly unlikely to initiate the threat event.
Table G-3: Assessment Scale - Likelihood of Threat Event Occurrence (Non-Adversarial)
Semi-Quantitative Values Description
Qualitative Values
Critical
96-100
10
High
80-95
8
Moderate
21-79
5
Low
5-20
2
Very Low
0-4
0
Error, accident, or act of nature is almost certain to occur; or occurs more than 100 times a year.
Error, accident, or act of nature is highly likely to occur; or occurs between 10-100 times a year.
Error, accident, or act of nature is somewhat likely to occur; or occurs between 1-10 times a year.
Error, accident, or act of nature is unlikely to occur; or occurs less than once a year, but more than once every 10 years.
Error, accident, or act of nature is highly unlikely to occur; or occurs less than once every 10 years.
Table G-4: Assessment Scale - Likelihood of Threat Event Resulting in Adverse Impacts
Semi-Quantitative Values
Qualitative Values
Description
Critical
High
96-100
10
If the threat event is initiated or occurs, it is almost certain to have adverse impacts.
80-95
8
Moderate
If the threat event is initiated or occurs, it is highly likely to have adverse impacts.
21-79
5
Low
If the threat event is initiated or occurs, it is somewhat likely to have adverse impacts.
5-20
2
Very Low
If the threat event is initiated or occurs, it is unlikely to have adverse impacts.
0-4
0
If the threat event is initiated or occurs, it is highly unlikely to have adverse impacts.
Table G-5: Assessment Scale - Overall Likelihood
Likelihood of Threat
Event Initiation or
Occurrence
Very Low
Low
Moderate
High
Critical
Critical
Low
Moderate
High
Critical
Critical
Critical
Likelihood Threat Events Result in Adverse Impacts
High
Low
Moderate
Moderate
High
Moderate
Low
Low
Moderate
Moderate
High
Low
Very Low
Low
Low
Moderate
Moderate
Very Low
Very Low
Very Low
Low
Low
Low
From Appendix H
Impact
Table H-2: Examples of Adverse Impacts
Type of Impact
Impact
Harm to Operations
(1) Inability to perform current missions/business functions.
-In a sufficiently timely manner.
-With sufficient confidence and/or correctness.
-Within planned resource constraints
(2) Inability, or limited ability, to perform missions/business functions in the future.
-Inability to restore missions/business functions.
-In a sufficiently timely manner.
-With sufficient confidence and/or correctness.
-Within planned resource constraints.
(3) Harms (e.g., financial costs, sanctions) due to noncompliance.
-With applicable laws or regulations.
-With contractual requirements or other requirements in other binding agreements (e.g., liability).
(4) Direct financial costs.
(5) Relational harms.
-Damage to trust relationships.
-Damage to image or reputation (and hence future or potential trust relationships).
Type of Impact
Impact
Harm to Assets
(1) Damage to or loss of physical facilities.
(2) Damage to or loss of information systems or networks.
(3) Damage to or loss of information technology or equipment.
(4) Damage to or loss of component parts or supplies.
(5) Damage to or of loss of information assets.
(6) Loss of intellectual property.
(1) Injury or loss of life.
(2) Physical or psychological mistreatment.
(3) Identity theft.
(4) Loss of Personally Identifiable Information.
(5) Damage to image or reputation.
(1) Harms (e.g., financial costs, sanctions) due to noncompliance.
-With applicable laws or regulations.
-With contractual requirements or other requirements in other binding agreements.
(2) Direct financial costs.
(3) Relational harms
-Damage to trust relationships.
-Damage to reputation (and hence future or potential trust relationships).
(1) Damage to or incapacitation of a critical infrastructure sector.
(2) Loss of government continuity of operations.
(3) Relational harms.
-Damage to trust relationships with other governments or with nongovernmental entities.
-Damage to national reputation (and hence future or potential trust relationships).
(4) Damage to current or future ability to achieve national objectives.
-Harm to national security.
Harm to Individuals
Harm to Other Organizations
Harm to Nation
Table H-3: Assessment Scale - Impact of Threat Events
Semi-Quantitative Values
Qualitative Values
Critical
96-100
10
High
80-95
8
Moderate
21-79
5
Low
5-20
2
Very Low
0-4
0
Description
The threat event could be expected to have multiple severe or catastrophic adverse effects on organizational operations,
organizational assets, individuals, other organizations, or the Nation.
The threat event could be expected to have a severe or catastrophic adverse effect on organizational operations,
organizational assets, individuals, other organizations, or the Nation. A severe or catastrophic adverse effect means that,
for example, the threat event might: (i) cause a severe degradation in or loss of mission capability to an extent and
duration that the organization is not able to perform one or more of its primary functions; (ii) result in major damage to
organizational assets; (iii) result in major financial loss; or (iv) result in severe or catastrophic harm to individuals involving
loss of life or serious life-threatening injuries.
The threat event could be expected to have a serious adverse effect on organizational operations, organizational assets,
individuals other organizations, or the Nation. A serious adverse effect means that, for example, the threat event might: (i)
cause a significant degradation in mission capability to an extent and duration that the organization is able to perform its
primary functions, but the effectiveness of the functions is significantly reduced; (ii) result in significant damage to
organizational assets; (iii) result in significant financial loss; or (iv) result in significant harm to individuals that does not
involve loss of life or serious life-threatening injuries.
The threat event could be expected to have a limited adverse effect on organizational operations, organizational assets,
individuals other organizations, or the Nation. A limited adverse effect means that, for example, the threat event might: (i)
cause a degradation in mission capability to an extent and duration that the organization is able to perform its primary
functions, but the effectiveness of the functions is noticeably reduced; (ii) result in minor damage to organizational assets;
(iii) result in minor financial loss; or (iv) result in minor harm to individuals.
The threat event could be expected to have a negligible adverse effect on organizational operations, organizational assets,
individuals other organizations, or the Nation.
From Appendix I
Risk Determination
Table I-2: Assessment Scale - Level of Risk (Combination of Likelihood and Impact)
Likelihood
(Threat Event Occurs and
Results in Adverse
Impact)
Critical
High
Moderate
Low
Very Low
Level of Impact
Very Low
Low
Moderate
High
Critical
Very Low
Very Low
Very Low
Very Low
Very Low
Low
Low
Low
Low
Very Low
Moderate
Moderate
Moderate
Low
Very Low
High
High
Moderate
Low
Low
Critical
Critical
High
Moderate
Low
Table I-3: Assessment Scale - Level of Risk
Semi-Quantitative Values
Qualitative Values
Critical
96-100
10
High
80-95
8
Moderate
21-79
5
Low
5-20
2
Very Low
0-4
0
Description
Critical risk means that a threat event could be expected to have multiple severe or catastrophic adverse effects on
organizational operations, organizational assets, individuals, other organizations, or the Nation.
High risk means that a threat event could be expected to have a severe or catastrophic adverse effect on organizational
operations, organizational assets, individuals, other organizations, or the Nation.
Moderate risk means that a threat event could be expected to have a serious adverse effect on organizational operations,
organizational assets, individuals, other organizations, or the Nation.
Low risk means that a threat event could be expected to have a limited adverse effect on organizational operations,
organizational assets, individuals, other organizations, or the Nation.
Very low risk means that a threat event could be expected to have a negligible adverse effect on organizational
operations, organizational assets, individuals, other organizations, or the Nation.
NON-EXCHANGE ENTITY:
NEE1 SAMPLE
SYSTEM NAME:
NEE1 System 1 SAMPLE
SYSTEM ACRONYM:
CURRENT FISCAL YEAR:
N1S1
2024
System Name
NEE1 System 1 SAMPLE
Weakness Identifier
Control Family
System Acronym
System Critically as defined by FIPS
N1S1
Moderate
Control Details
Weakness Description
Confidentiality
Moderate
Weakness Source
POC
Availability
Integrity
Moderate
Moderate
Resources Required
Scheduled Completion Date
Milestones With Completion Dates
Changes to Milestones Date
Completion Date
Weakness Status
Risk Level
03/15/2023
(1) Create an account management process
02/28/2023
(2) Document process 03/01/2023
(3) Review process with staff 03/10/2023
(4) Implement Process 03/12/2023
(5) Review effective of new process 03/14/2023
(6) Update POA&M 03/15/2023
(1) Create an account management process
02/15/2023
(2) Document process 02/20/2023
(3) Review process with staff 02/25/2023
(4) Implement Process 02/26/2023
(5) Review effective of new process 02/28/2023
(6) Update POA&M 03/01/2023
03/01/2023
Completed
Moderate
N/A
08/01/2023
(1) Solicit vendors to provide EPO solution and
estimate of cost 02/25/2023
(2) Choose vendor to perform work 04/15/2023
(3) Initiate the install of the emergency power shutoff
solution 07/01/2023
(4) Test the implemented EPO solution 07/15/2023
(5) Finalize solution and update POA&M 08/01/2023
(3) Initiate the install of the emergency power
shutoff solution 05/01/2024
(4) Test the implemented EPO solution 05/15/2024
(5) Finalize solution and update POA&M
06/01/2024
Delayed
Moderate
N/A
07/30/2023
(1) Update the implementation standards a-f, h, and I
for IA-5 in the SSP 06/20/2023
(2) Review changes to the SSP with the security staff
07/01/2023
(3) Finalize the implementation standards based on
staff comments and recommendations 07/30/2023
Completed
Low
N/A
Ongoing
Low
N/A
Delayed
High
N/A
Ongoing
High
N/A
8 hours
Existing Staff
If no weaknesses identified, provide a reason
TESTSYS_A_2023_2
AC
AC-2
Account Management process is not
documented.
Initial Security Assessment
Review 02/12/23
John Doe, CISO
TESTSYS_A_2023_1
PE
PE-10
There is no EPO in server room 1.
Initial Security Assessment
Review 02/12/23
John Doe, CISO
TESTSYS_A_2023_1
IA
IA-5
Update the control implementation statement to
document the processes used to implement
control requirements a-f, h, and i.
SSP Review
06/10/2023
John Doe, CISO
Annual Attestation
03/01/2024
John Doe, CISO
20 hours
Existing Staff
05/20/2024
(1) Create a process reviewing physical access logs
at least once every two months and coordinating
results of reviews and investigations with the
organization's incident response capability
03/08/2024
(2) Document process 04/01/2024
(3) Review process with staff 04/15/2024
(4) Implement Process 05/01/2024
(5) Review effective of new process 05/15/2024
(6) Update POA&M 05/20/2024
40 hours
Existing Staff
03/15/2024
(1) Develop a plan and schedule to patch the servers
monthly. Update the SSP to reflect the plan to patch
the servers 03/15/2024
(2) Test the outstanding patches in the test
environment
(3) Implement patches on the production server
04/01/2024
(1) Shop vulnerability scanning tools 03/05/2024
(2) Select vulnerability scanning tool 03/10/2024
(3) Obtain training on the product 03/15/2024
(4) Test product in the test environment 03/20/2024
(5) Implement solution in production and monitor
04/01/2024
20 hours
Existing Staff
TESTSYS_A_2024_3
PE
PE6.2
Lack of processes for: (a) reviewing physical
access logs at least once every two months,
and (b) coordinating results of reviews and
investigations with the organization's incident
response capability.
TESTSYS_A_2024_4
SI
SI-2
Windows server BD1-3 has not been patched in
3 months
Annual Attestation
03/01/2024
John Doe, CISO
TESTSYS_A_2024_5
RA
RA-5
The organization does not employ vulnerability
scanning tools
Annual Attestation
03/01/2024
John Doe, CISO
$65,000
Professional Services and
Equipment
10 hours
Existing Staff
80 hours
Existing Staff
$3000
Tools and Training
07/30/2023
(2) Continuing testing in the test environment
(3) Implement patches on the production server
NEE Version
Compensating Controls
Comments
Awaiting funding to implement EPO
solution
Need additional testing due to
possible adverse affects of applying
the patch. MS24-013 (KB2929961)
Weakness Status
Ongoing
Completed
Delayed
Accepted Risk
Risk Level
Critical
High
Moderate
Low
No weaknesses identified
All weaknesses eliminated
No review conducted
No weaknesses found
System in development
System reclassified – not a system
System retired
Fiscal Year
Control
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
Other
AC
AT
AU
CA
CM
CP
IA
IR
MA
MP
PE
PL
PS
RA
SA
SC
SI
Privacy - AP
Privacy - AR
Privacy - DI
Privacy - DM
Privacy - IP
Privacy - SE
Privacy - TR
Privacy - UL
Non-Exchange Entity Security
and Privacy Version
NEE V. 1.0
NEE V. 1.2
NEE V. 2.0
NEE V. 3.0
NEE V. 4.0
Number
Date
Reference
A = Add
M = Modify
D = Delete
1.00
22-Jan-2018
M
1.20
1.21
1-Feb-2018
20-Jun-2018
M
M
1.22
7-Nov-2018
A, M
1.30
20-Mar-2019
A, M
1.40
3-Dec-2020
A
1.50
11-Feb-2022
A
1.51
18-Feb-2022
M
1.52
10-Oct-2023
M
Record of Changes
Description of Change
Conversion of MARS-E 2.0 POA&M template v4.2 to Non Exchange Entity POA&M template v1.0; Updated Year
range to 2018-2023; Updated Version column F to NEE; updated control families to match NEE controls set;
Removed AE on multiple tabs and replaced with NEE; updated POA&M metrics page for new NEE versioning;
updated changelog and reset; updated datasheet for versioning; updated sample.
description of Change
Corrected hidden row 17 issue with filtering
(1) Errata fixes to POA&M template, POA&M Instructions and Risk Calculation instructions to correct spacing, row
heights, formatting and adjustments to wording for clarity.;
(2) Extending out Fiscal year to 2030, updated Data sheet and POA&M Template sheet;
(3) Update to Metrics and POA&M template sheet for FISCAL Year drop down placement
(4) Added 28 on POA&M Instructions sheet. "Completed POA&M items may be archived 1 year after completion";
(5) Update to Privacy Metrics COUNTIF formula on POA&M Metrics sheet;
(6) Update Metrics sheet to capture data already entered on POA&M Template sheet to reduce replicative entries
1) Extended metric formula range to 5000 rows.
2) Extended filter and drop down ranges to include new rows.
3) Locked Column Name/Filter row.
4) Added Risk Subtotal on the template page.
5) Rows change color based on risk level selected.
6) Updated drop down list for NEE Version column and expanded metric page tracking for additional versions.
7) Spell check updates.
1) Updated Data Sheet and POA&M tab to include "Critical" to Drop down list for risk levels
2) Update to Risk Calculation instructions tab to align with HHS guidance, adding in "Critical" severity to the previously
listed “Very High” from NIST guidance.
3) Updated Metrics tab to include tracking of Critical level risks.
4) Updated POA&M instructions tab for critical findings and NEE versioning selection.
5) Added NEE V. 3.0 for drop down in column N and updated POA&M instructions tabs to include NEE V. 3.0.
6) Updated Metrics tab to include tracking of NEE V. 3.0 statuses.
7) Added remediation timeline based on risk level to the POA&M instructions tab.
1) Updated conditional formatting for risk level findings. High findings have been changed from red to orange. Critical
is now red.
2) Added NEE V. 3.1 for drop down in column N and updated POA&M instructions tabs to include NEE V. 3.1.
3) Updated Metrics tab to include tracking of NEE V. 3.1 statuses.
4) Corrected total findings metric's formulas to include critical findings.
5) Updated cell formatting in the Template, POA&M and Risk Calculation tabs.
6) Updated date formats in the Sample tab.
7) Added new dropdown item "Accepted Risks" for Weakness Status column.
8) Updated metrics tab to include forumla tracking for Accepted Risks.
9) Updated instructions tab to include description for Accepted Risks.
1) Updated all references to note NEE version changes made by MITRE upon finalization of NEE V. 4.0 (previously
said to be V. 3.1).
2) Updated errors in recent Change Log entries
1) Removed watermark on POA&M Sample tab to conform with 508 compliance, and added "SAMPLE" to NONEXCHANGE ENTITY name and SYSTEM NAME.
Change Request #
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
| File Type | application/pdf |
| File Title | POA&M Template |
| Subject | Plan of Action and Milestone, POA&M, Non-Exchange Entity, NEE, Security, Privacy, Office of Information Services, Center for Con |
| Author | Centers for Medicare & Medicaid Services (CMS) |
| File Modified | 2023-10-26 |
| File Created | 2023-10-18 |