+DORA Ch. II Sec. II Art. 11 3.
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DORA Ch. II Sec. II Art. 11 3.
3. As part of the ICT risk management framework referred to in Article 6(1), financial entities shall implement associated ICT response and recovery plans which, in the case of financial entities other than microenterprises, shall be subject to independent internal audit reviews.
1. Overview
1.1 References
1.2 Identified Requirements
1.3 Related Standards
2. Identified Requirements
Requirements
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Requirement |
3. Related Standards
Standards
| Source |
Requirement |
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NOREA
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Critical and Important Functions
Identify, classify and adequately document all critical and important functions. This process involves determining which functions are essential for the entity's operational stability and continuity. Review as needed, and at least yearly, the adequacy of this classification.
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NOREA
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Clear Segregation of Duties (SoD)
Establish Segregation of Duties (SoD) with regard to risk management functions, following the three lines of defence model or internal risk management and control model.
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NOREA
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ICT Risk management framework
A sound, comprehensive and well-documented ICT risk management framework is in place. Which as goal to address all ICT risks properly and ensure a high level of digital resilience. The reponsibility for risk management is properly assigned to a control function.
The ICT risk management framework shall be documented and reviewed at least annually, or periodically for microenterprises, with immediate reviews triggered by major ICT-related incidents or supervisory feedback. Continuous improvement will be ensured by incorporating lessons learned from implementation, monitoring, and audits. The report of the review will be prepared according to the requirements as stated in chapter 5 (Article 27) of the RTS RM and will be made available for submission to the competent authority upon request.
Assess new standards and relevant technology developments in the field of information security, cybersecurity and resilience on a continuous basis and make proposals on how they can strengthen the information security and cybersecurity control measures of the institution.
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NOREA
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Annual Framework Review and Audit Process
The effectiveness of the risk management framework is monitored based on the risk exposure over time to critical or important business functions. Implement a reviewing and auditing process, with a minimum yearly review of the framework, triggered by major ICT incidents, regulator instructions, or major audit findings.
The tasks of verifying compliance with ICT risk management requirements may be outsourced to intra-group or external undertakings. In case of such outsourcing, the financial entity remains fully responsible for the verification of compliance with the ICT risk management requirements.
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NOREA
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Third-Party (Multi-vendor) Risk Management Program
Maintain a comprehensive third-party risk management program which includes:
- A register of information related to the use of thirdparty service providers, especially those supporting critical or important functions (see also control 17.3).
- Put in place a policy on the management of ICT third-parties, including the criteria for determining the criticality of service providers and the internal responsibilities for managing third-parties.
- Ensuring that senior management reviews the policy and designate a member to monitor relations with the third-parties and the contractual arrangements.
- A (holistic) multi-vendor strategy, if deemed relevant, showing key dependencies on ICT third-party service providers and explaining the rationale behind the procurement mix of ICT third-party service providers.
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NOREA
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Audit approach and frequency
The Internal audit department shall conduct audits on the following domains:
- Risk management framework, policies, related processes, and procedures
- ICT Response and recovery plans
- ICT Third-party service providers
Adjust audit frequency and focus based on the entity's ICT risk profile.
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NOREA
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Auditor requirements
Ensure that the internal audit staff possess sufficient ICT risk knowledge, skills, and expertise to perform the audits. Also, ensure the independence of the audit function.
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NOREA
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Audit findings
Establish a follow-up process for audit findings, including rules for timely verification and remediation of critical findings. Maintain a continuous learning and improvement process based on risk assessment results, resilience testing, (cyber) incidents, and testing of business continuity plans. The results of this process shall be reported to the management body and is input for the yearly “Report on the ICT risk management framework review” as stated in Chapter 5 (Article 27) of RTS RM.
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NOREA
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Reliance Third-Party Assurance and Certifications
Use, where appropriate, third-party certifications, third-party or internal audit reports made available by the ICT third-party service provider, or own audit reports to confirm adherence of contractual requirements on information access, inspection, audit, and ICT testing with the third-party. Rely on third-party certifications and audit reports from ICT third-party service providers only if the following specific conditions are met: the audit plan is aligned with contractual arrangements, the audit scope is comprehensive and covers identified systems and key controls, ongoing assessment of certification/report content are performed and validated, key systems and controls are covered in future versions of the certification or audit report, there is confidence in the certifying/auditing party's capabilities, certifications/audits adhere to recognized professional standards, the right to request scope expansion is covered in the contract, and right to perform discretionary audits is retained.
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NOREA
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Protection Measures
Implement policies and procedures to protect all information, ICT assets, and relevant physical ICT components and infrastructures. At least the following policies shall be established and maintained.
- Security policy
- Human resources policy
- Encryption and cryptographic control policy
- Identity and access management (IAM) policy
- Change management policy
- Network security policy
- ICT operating policies and procedures
- (Crisis) Communication policy
- Vulnerability and patch management policy
- Back up policy
- Project management policy
- Physical and environmental security policy
- Business continuity policy with response and recovery plans (including testing plans), see control1.4 *
- ICT third-party service providers management policy, see control 1.1. *
- Operations of ICT assets (ensuring network security, protect against intrusions and data misuse and defining how the entity operates, monitors, controls, and restores ICT assets, including the documentation of ICT operations).
* must be approved by the Management body
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SCF
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Business Continuity Management System (BCMS)
Description
Mechanisms exist to facilitate the implementation of contingency planning controls to help ensure resilient Technology Assets, Applications and/or Services (TAAS) (e.g., Continuity of Operations Plan (COOP) or Business Continuity & Disaster Recovery (BC/DR) playbooks).
Possible Solutions & Considerations
Micro-Small Business (<10 staff) / BLS Firm Size Classes 1-2
∙ Continuity of Operations Plan (COOP)
∙ Business Continuity Plan (BCP)
∙ Disaster Recovery Plan (DRP)
∙ Business Impact Analysis (BIA)
∙ Criticality assessments
Small Business (10-49 staff) / BLS Firm Size Classes 3-4
∙ Continuity of Operations Plan (COOP)
∙ Business Continuity Plan (BCP)
∙ Disaster Recovery Plan (DRP)
∙ Business Impact Analysis (BIA)
∙ Criticality assessments
Medium Business (50-249 staff) / BLS Firm Size Classes 5-6
∙ Continuity of Operations Plan (COOP)
∙ Business Continuity Plan (BCP)
∙ Disaster Recovery Plan (DRP)
∙ Business Impact Analysis (BIA)
∙ Criticality assessments
Large Business (250-999 staff) / BLS Firm Size Classes 7-8
∙ Continuity of Operations Plan (COOP)
∙ Business Continuity Plan (BCP)
∙ Disaster Recovery Plan (DRP)
∙ Business Impact Analysis (BIA)
∙ Criticality assessments
Enterprise (> 1,000 staff) / BLS Firm Size Class 9
∙ Continuity of Operations Plan (COOP)
∙ Business Continuity Plan (BCP)
∙ Disaster Recovery Plan (DRP)
∙ Business Impact Analysis (BIA)
∙ Criticality assessments
SCR-CMM
Level 0 Not Performed
Practices are non-existent, based on the inability to demonstrate an implemented and operational capability. A reasonable person would conclude the control is not being performed.
Level 1 Performed Informally
Business Continuity & Disaster Recovery (BCD) domain capabilities are ad hoc and inconsistent. Capability criteria associated with this control may include:
▪ Policies, standards & procedures associated with BCD domain capabilities provide limited coverage due to the depth and breadth of the existing documentation.
▪ Contingency management-related activities are decentralized (e.g., a localized/regionalized function) and uses non-standardized methods to implement secure, resilient and compliant practices.
▪ Limited technologies exist to support near real-time network infrastructure failover (e.g., redundant ISPs, redundant power, etc.).
▪ IT and/or cybersecurity personnel develop limited Disaster Recovery Plans (DRP) to recover business-critical Technology Assets, Applications and/or Services (TAAS) and services.
Level 2 Planned Tracked
Business Continuity & Disaster Recovery (BCD) capabilities are requirements-driven, but are not standardized across the entity (e.g., local/regional level consistency). Capability criteria associated with this control reasonably expect the following criteria to exist:
▪ Policies and standards associated with BCD domain capabilities are formally documented and centrally-managed by the entity.
▪ Standardized Operating Procedures (SOP) associated with BCD domain capabilities are documented and maintained by process owners.
▪ IT and/or cybersecurity personnel work with business stakeholders and process owners to appropriately scope and reasonably implement cybersecurity and data protection controls associated with BCD domain capabilities to address applicable statutory, regulatory and/or contractual requirements for Technology Assets, Applications, Services and/or Data (TAASD).
▪ Business Continuity / Disaster Recovery (BC/DR)-related controls are primarily administrative and preventative in nature (e.g., policies, standards, procedures & guidelines).
▪ BC/DR may be a defined function (e.g., team or department) or assigned as an additional duty to existing IT and/or cybersecurity personnel.
▪ Business stakeholders and process owners identify business-critical TAASD and External Service Providers (ESPs).
▪ IT and/or cybersecurity personnel work with business stakeholders and process owners to identify single points of failure from a TAASD perspective.
▪ IT and/or cybersecurity personnel work with business stakeholders and process owners to develop BC/DR plans to recover business-critical TAASD.
▪ Data/process owners conduct a Business Impact Analysis (BIA) at least annually, or after any major technology or process change, to identify TAASD that are critical to the business, as well as single points of failure.
▪ Business stakeholders and process owners designate alternative decision-makers if primary decision-makers are unavailable.
Level 3 Well Defined
Business Continuity & Disaster Recovery (BCD) capabilities are standardized across the entity for applicability to People, Processes, Technologies, Data and/or Facilities (PPTDF) to ensure consistency for Technology Assets, Applications, Services and/or Data (TAASD). Capability criteria associated with this control reasonably expect the following criteria to exist:
▪ Policies and standards associated with BCD domain capabilities are formally documented and centrally-managed by the entity's Governance, Risk & Compliance (GRC) team, or similar function.
▪ Standardized Operating Procedures (SOP) associated with BCD domain capabilities are well-documented and kept current by process owners.
▪ A Business Continuity & Disaster Recovery (BC/DR) team, or similar function, is appropriately staffed and supported to implement and maintain BCD domain capabilities.
▪ Technology is leveraged to enhance the efficiency and accuracy of BC/DR operations (e.g., BC/DR planning software, Disaster Recovery as a Service (DRaaS), Orchestration and Automation Tools, etc.).
▪ The entity's Governance, Risk & Compliance (GRC) team, or similar function, works with business stakeholders and process owners to appropriately scope and reasonably implement cybersecurity and data protection controls associated with BCD domain capabilities to address Minimum Compliance Requirements (MCR) (e.g., applicable statutory, regulatory and/or contractual requirements) and Discretionary Security Requirements (DSR) (e.g., entity-required controls).
▪ An implemented and operational capability exists to facilitate the implementation of contingency planning controls to help ensure resilient Technology Assets, Applications and/or Services (TAAS) (e.g., Continuity of Operations Plan (COOP) or BC/DR playbooks).
Level 4 Quantitatively Controlled
Business Continuity & Disaster Recovery (BCD) capabilities, in addition to being standardized across the entity and centrally managed to ensure consistency across Technology Assets, Applications, Services and/or Data (TAASD), efforts are metrics driven to provide sufficient insight for decision makers to predict optimal performance, ensure continued operations and/or identify areas for improvement. Capability criteria associated with this control reasonably expect the following criteria to exist:
▪ Applicable SCR-CMM Level 3 (Well Defined) capabilities are implemented and operational.
▪ Metrics reporting includes quantitative analysis of Key Performance Indicators (KPIs).
▪ Metrics reporting includes quantitative analysis of Key Risk Indicators (KRIs).
▪ Scope of metrics, KPIs and KRIs covers organization-wide cybersecurity and data protection controls, including functions performed by third-parties.
▪ Organizational leadership maintains a formal process to objectively review and respond to metrics, KPIs and KRIs (e.g., monthly or quarterly review).
▪ Based on metrics analysis, process improvement recommendations are submitted for review and are handled in accordance with change control processes.
▪ Business and technical stakeholders are involved in reviewing and approving proposed changes to evolve capabilities.
Level 5 Continuously Improving
Utilize SCR-CMM Level 3 or Level 4 (if available) criteria definitions:
▪ There are no defined Level 5 criteria, since it is reasonable to assume a continuously-improving process is not necessary to operationalize this control.
▪ Level 5 capabilities should be considered “world-class” where the control builds on Level 4 capabilities, but are continuously improving through Artificial Intelligence (AI) and/or Machine Learning (ML) technologies.
▪ While it may be possible to develop responsive capabilities for this control through the use of AI and/or ML technologies, the criteria would be organization-specific to define.
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