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Security and Privacy Assessment Report

Security and Privacy Assessment Report template: The results of one control assessment, with a finding of satisfied or other than satisfied for each control and the evidence behind it, following the key elements in SP 800-53A Rev. 5 Appendix E; its findings feed the POA&M (CA-5) and the authorization package (CA-6).

TypeProgram stageStatusTemplate versionNIST basis
ReportOperateDraft1.0.0SP 800-53 release 5.2.0

The results of one control assessment, with a finding of satisfied or other than satisfied for each control and the evidence behind it, following the key elements in SP 800-53A Rev. 5 Appendix E; its findings feed the POA&M (CA-5) and the authorization package (CA-6).

ControlTitle
CA-2Control Assessments
CA-2(1)Independent Assessors
CA-5Plan of Action and Milestones
CA-6Authorization
CA-7Continuous Monitoring
VariantReady to adoptAnnotated
All baselinesWord · MarkdownWord · Markdown
System nameSystem identifierSecurity categorizationAssessment datesReport versionLead assessor
Fill in: system name, or the common controls assessedFill in: unique system identifierFill in: low, moderate or highFill in: first and last dayFill in: draft or final, with versionFill in: name and organization
  • Assessment: Fill in: the reason for the assessment, for example initial authorization, and whether it was complete or partial
  • Results: Fill in: the number of controls assessed, the number satisfied, and the number other than satisfied
  • Most significant weaknesses: Fill in: the weaknesses that matter most to the authorizing official, one or two sentences each
  • Assessor’s recommendations: Fill in: the priorities for correction, in order
ItemDescription
Assessment planFill in: plan version and the date the authorizing official or designated representative approved it
Sites assessed and datesFill in: sites, environments and dates
Assessors and independenceFill in: names, organizations, and the independence the authorizing official required (CA-2(1))
Changes from the planFill in: controls, methods or dates that changed, and why, or “none”
Previous results reusedFill in: the controls, the earlier assessment and its date, or “none”
Inherited common controlsFill in: the provider assessments relied on, with their dates
LimitationsFill in: anything the assessors could not see or test, and its effect on the findings

Every control and control enhancement assessed, with its overall status (CA-2e):

Control or enhancementImplementation (system-specific, hybrid or inherited)Methods usedOverall resultFinding IDs
Fill in: for example AC-2Fill in: implementationFill in: examine, interview, testFill in: satisfied or other than satisfiedFill in: IDs from section 4, or “none”

Each determination statement in the assessment procedures produced a finding of “satisfied” or “other than satisfied”. A statement the assessors could not determine, for example because evidence was not provided or a parameter is not defined, is recorded as other than satisfied, with the reason.

Finding IDControl and determination statementMethods and objectsDepth and coverageResultAssessor commentsPotential impactRecommendationSeverity
Fill in: IDFill in: for example AC-02d.01Fill in: what was examined, who was interviewed, what was testedFill in: for example focused, focusedFill in: satisfied or other than satisfiedFill in: for other than satisfied: which part of the control is affected, and how the actual state differs from the expected stateFill in: the potential for compromise of confidentiality, integrity or availability, or the privacy riskFill in: the recommended correction or improvementFill in: the organization’s severity scale, if it defines one

Fill in: for a system that processes personally identifiable information, the privacy control results and the privacy risks they indicate, or a reference to a separate privacy assessment report; otherwise “the system does not process personally identifiable information”

6. Weaknesses corrected before the final report

Section titled “6. Weaknesses corrected before the final report”

The System owner reviewed the draft report and corrected the weaknesses below. The assessors reassessed each control before issuing this final report.

Finding IDCorrection madeDate reassessedResult after reassessment
Fill in: IDFill in: correctionFill in: dateFill in: satisfied or other than satisfied
  • The System owner shall enter each weakness found in this assessment, and not corrected under section 6, in the system’s plan of action and milestones, unless the authorizing official accepts the risk (RA-7). (CA-5a)
  • The System owner shall update the plan of action and milestones Fill in: the frequency at which to update an existing plan of action and milestones based on the findings from control assessments, independent audits or reviews, and continuous monitoring activities Typical: at least monthly, and whenever an assessment, audit, scan or monitoring activity finds a new weakness, including the items this report adds. (CA-5b)
  • The System owner shall include this report in the authorization package, with the security and privacy plans, the plan of action and milestones and an executive summary, for the authorizing official’s decision. (CA-6c.2)
  • The System owner shall update the security and privacy plans where the assessment showed that the implementation differs from what they describe. (CA-2)
Finding IDPlan of action and milestones item, or risk acceptance reference
Fill in: IDFill in: item ID or acceptance reference and date

The results of this assessment are provided to Fill in: individuals or roles to whom control assessment results are to be provided Typical: the authorizing official, the system owner and the Chief Information Security Officer (CA-2f). For a system that processes personally identifiable information, the privacy control results are also provided to the Senior privacy official (CA-2f). This report describes the system’s weaknesses: it is marked Fill in: the organization’s handling marking and shared only with these recipients and the people they designate.

RecipientDate provided
Fill in: name and titleFill in: date

OMB Circular A-130, Appendix I, section 4.c(13), requires agencies to conduct and document assessments of all selected and implemented security and privacy controls. Section 4.c(15) requires plans of action and milestones for weaknesses and deficiencies not associated with accepted risks, available to OMB, DHS, inspectors general and the U.S. Government Accountability Office on request. Section 5.f requires the agency to consider the Senior Agency Official for Privacy’s input in the authorization decision. As of September 2026.

  • The System owner shall record in the plan of action and milestones each weakness in this report that is not associated with an accepted risk, as OMB Circular A-130, Appendix I, section 4.c(15), requires. (CA-5a)
  • For a system that processes personally identifiable information, the lead assessor shall provide the privacy control results to the Senior Agency Official for Privacy in time to inform the authorization decision, as OMB Circular A-130, Appendix I, section 5.f, requires. (CA-2f)

The findings in this report are an impartial record of what the assessors found.

NameRoleSignatureDate
Fill in: nameLead assessorFill in: date

Fill in: the documents examined, the people interviewed by role, and the tests run with tool names and versions, or where the assessment records are kept

Fill in: the vulnerability and configuration scan results and any penetration test report, or where they are kept

Independent guidance, not an official NIST publication. Control text is from NIST SP 800-53 Rev. 5 and SP 800-53A (public domain). Original content is licensed CC BY 4.0; program templates and the downloadable kit are dedicated to the public domain under CC0 1.0.