ETSI TR 103 305-4 V1.1.1 (2016-08)
CYBER; Critical Security Controls for Effective Cyber Defence; Part 4: Facilitation Mechanisms
CYBER; Critical Security Controls for Effective Cyber Defence; Part 4: Facilitation Mechanisms
DTR/CYBER-0012-4
General Information
Standards Content (Sample)
ETSI TR 103 305-4 V1.1.1 (2016-08)
TECHNICAL REPORT
CYBER;
Critical Security Controls for Effective Cyber Defence;
Part 4: Facilitation Mechanisms
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2 ETSI TR 103 305-4 V1.1.1 (2016-08)
Reference
DTR/CYBER-0012-4
Keywords
Cyber Security, Cyber-defence, information
assurance
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3 ETSI TR 103 305-4 V1.1.1 (2016-08)
Contents
Intellectual Property Rights . 4
Foreword . 4
Modal verbs terminology . 4
Executive summary . 4
Introduction . 4
1 Scope . 5
2 References . 5
2.1 Normative references . 5
2.2 Informative references . 5
3 Definitions and abbreviations . 6
3.1 Definitions . 6
3.2 Abbreviations . 6
4 Critical Security Controls: Privacy Impact Assessment . 6
4.0 Description . 6
4.1 Privacy Impact Assessment of the Critical Security Controls . 7
4.1.1 Overview . 7
4.1.2 Authorities . 7
4.1.3 Characterizing Control-Related Information . 8
4.1.4 Uses of Control-Related Information . 8
4.1.5 Security . 9
4.1.6 Notice . 9
4.1.7 Data Retention . 10
4.1.8 Information Sharing . 10
4.1.9 Redress . 10
4.1.10 Auditing and Accountability . 10
5 Critical Security Controls: Mapping to Well-Known Cyber Security Frameworks. 11
6 Critical Security Controls: Cyber Hygiene Programs . 12
7 Critical Security Controls: Management Governance . 12
7.0 General . 12
7.1 How the Critical Security Controls Can Help . 13
7.1.0 Introduction. 13
7.1.1 Governance item #1: Identify the most important information assets and the impact on business or
mission if they are compromised . 13
7.1.2 Governance Item #2: Manage the known cyber vulnerabilities of your information and make sure
the necessary security policies are in place to manage the risk. 13
7.1.3 Governance Item #3: Clearly identify the key threats to your information and assess the weaknesses
in your defense . 13
7.1.4 Governance Item #4: Confirm and control who has access to the most important information . 14
7.2 Developing an Overall Governance Strategy . 14
History . 16
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4 ETSI TR 103 305-4 V1.1.1 (2016-08)
Intellectual Property Rights
IPRs essential or potentially essential to the present document may have been declared to ETSI. The information
pertaining to these essential IPRs, if any, is publicly available for ETSI members and non-members, and can be found
in ETSI SR 000 314: "Intellectual Property Rights (IPRs); Essential, or potentially Essential, IPRs notified to ETSI in
respect of ETSI standards", which is available from the ETSI Secretariat. Latest updates are available on the ETSI Web
server (https://ipr.etsi.org/).
Pursuant to the ETSI IPR Policy, no investigation, including IPR searches, has been carried out by ETSI. No guarantee
can be given as to the existence of other IPRs not referenced in ETSI SR 000 314 (or the updates on the ETSI Web
server) which are, or may be, or may become, essential to the present document.
Foreword
This Technical Report (TR) has been produced by ETSI Technical Committee Cyber Security (CYBER).
The present document is part 4 of a multi-part deliverable. Full details of the entire series can be found in part 1 [i.6].
Modal verbs terminology
In the present document "should", "should not", "may", "need not", "will", "will not", "can" and "cannot" are to be
interpreted as described in clause 3.2 of the ETSI Drafting Rules (Verbal forms for the expression of provisions).
"must" and "must not" are NOT allowed in ETSI deliverables except when used in direct citation.
Executive summary
The present document is an evolving repository for diverse facilitation mechanism guidelines for Critical Security
Control implementations. These mechanisms initially include privacy impact assessment, mapping to well-known
cybersecurity frameworks, Cyber Hygiene programs, and management governance.
Introduction
The Critical Security Controls ("the Controls") exist within a larger cyber security ecosystem that relies on the Controls
as critically important defensive measures. There are a variety of facilitation mechanisms that facilitate and encourage
their use. This document provides a placeholder for such mechanisms, and initially includes four of them: Privacy
Impact Assessment, Mapping to Well-Known Cyber Security Frameworks, Cyber Hygiene Programs, Management
Governance.
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5 ETSI TR 103 305-4 V1.1.1 (2016-08)
1 Scope
The present document is an evolving repository for diverse facilitation mechanism guidelines for Critical Security
Control implementations. These mechanisms initially include privacy impact assessment, mapping to well-known cyber
security frameworks, Cyber Hygiene programs, and management governance.
The present document is also technically equivalent and compatible with the 6.0 version of the CIS Companion Guides
and Controls appendices C, D, E and F which can be found at the website https://www.cisecurity.org/critical-controls/
[i.1], [i.2].
2 References
2.1 Normative references
Normative references are not applicable in the present document.
2.2 Informative references
References are either specific (identified by date of publication and/or edition number or version number) or
non-specific. For specific references, only the cited version applies. For non-specific references, the latest version of the
reference document (including any amendments) applies.
NOTE: While any hyperlinks included in this clause were valid at the time of publication, ETSI cannot guarantee
their long term validity.
The following referenced documents are not necessary for the application of the present document but they assist the
user with regard to a particular subject area.
[i.1] The Center for Internet Cybersecurity: "Toward A Privacy Impact Assessment (PIA) Companion
to the CIS Critical SecurityControls" version 6, October 15, 2015.
NOTE: Available at https://www.cisecurity.org/critical-controls.cfm.
[i.2] The Center for Internet Cybersecurity: "Critical Security Controls for Effective Cyber Defense
Version 6.0" October 15, 2015.
NOTE: Available at https://www.cisecurity.org/critical-controls.cfm.
[i.3] U.S. Department of Homeland Security: "Fair Information Practice Principles (FIPPS)". See also,
NIST, "National strategy for trusted identities in cyberspace, Fair Information Practice Principles
(FIPPs)".
NOTE: Available at http://www.dhs.gov/publication/fair-information-practice-principles-fipps and
http://www.nist.gov/nstic/NSTIC-FIPPs.pdf.
[i.4] Information and Privacy Commissioner of Ontario: "Introduction to PbD".
NOTE: Available at https://www.privacybydesign.ca.
[i.5] CIS National Campaign for Cyber Hygiene.
NOTE: Available at https://www.cisecurity.org/cyber-pledge/.
[i.6] ETSI TR 103 305-1: "CYBER; Critical Security Controls for Effective Cyber Defence; Part 1: The
Critical Security Controls".
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3 Definitions and abbreviations
3.1 Definitions
For the purposes of the present document, the following terms and definitions apply:
Critical Security Control (CSC): specified capabilities that reflect the combined knowledge of actual attacks and
effective defences of experts that are maintained by the Center for Internet Cybersecurity and found at the website
https://www.cisecurity.org/critical-controls/
3.2 Abbreviations
For the purposes of the present document, the following abbreviations apply:
AC Access Control (NIST)
AE Anomalies and Events (NIST)
AM Asset Management (NIST)
AN Analysis (NIST)
ASD Australian Signals Directorate
AT Awareness and Training (NIST)
CDM Continuous Diagnostic and Mitigation
CIS Center for Internet Security
CM Continuous Monitoring (NIST)
CSC Critical Security Control or Capability
CSF Cybersecurity Framework (NIST)
DHS Department of Homeland Security
DP Detection Processes (NIST)
DS Data Security (NIST)
FIP Fair Information Practice principles
IM Improvements
IP Information Protection
IT Information Technology
MI Mitigation (NIST)
NIST National Institute of Standards and Technology
NIST National Institute of Standards and Technology
PIA Privacy Impact Assessment
PII Personally identifiable information
PT Principle of Transparency; Protective Technology (NIST)
RA Risk Assessment
RP Recovery Planning
SORN Statement of Records Notice
4 Critical Security Controls: Privacy Impact
Assessment
4.0 Description
An effective posture of enterprise cybersecurity need not, and, indeed, should not compromise individual privacy. Many
laws, regulations, guidelines, and recommendations exist to safeguard privacy, and enterprises will, in many cases,
adapt their existing policies on privacy as they apply the Controls.
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At a minimum, use of the Controls should conform to the general principles embodied in the Fair Information Practice
principles (FIPs) [i.3] and in Privacy by Design [i.4]. All enterprises that apply the Controls should undertake - and
make available to stakeholders - privacy impact assessments of relevant systems to ensure that appropriate protections
are in place as the Controls are implemented. Every enterprise should also regularly review these assessments as
material changes to its cybersecurity posture are adopted. The aim is to assess and mitigate the major potential privacy
risks associated with implementing specific Controls as well as evaluate the overall impact of the Controls on individual
privacy.
To assist enterprises in efforts to conduct a privacy impact assessment when implementing the Controls and to
contribute to the establishment of a more general reference standard for privacy and the Controls, the CIS convenes
technical and privacy experts to review each Control and offer recommendations for best practice. The following
framework guides this efforts and provides an outline for a Privacy Impact Assessment.
4.1 Privacy Impact Assessment of the Critical Security Controls
4.1.1 Overview
Outline the purpose of each Control and provide justification for any actual or potential intersection with privacy-
sensitive information:
• Where possible, identify how technologies, procedures, and data flows are used to implement the Control.
Provide a brief description of how the Control generally collects and stores information. Identify the type of
data collected by the Control and the kinds of information that can be derived from this data. In discussing
how the Control might collect and use PII, include a typical transaction that details the life cycle of that PII
from collection to disposal.
• Describe the measures necessary to protect privacy data and mitigate any risks of unauthorized access or
inadvertent disclosure of the data. The aim here is not to list every possible risk to privacy, but rather, to
provide a holistic view of the risks to privacy that could arise from implementation of the Control.
• Describe any potential ad-hoc or routine information sharing that will result from the implementation of the
Control both within the enterprise and with external sharing partners. Also describe how such external sharing
is compatible with the original collection of the information, and what agreements would need to be in place to
support this sharing.
4.1.2 Authorities
Identify the legal authorities or enterprise policies that would permit or, conversely, limit or prohibit the collection or
use of information by the Control:
• List the statutory and regulatory authorities that would govern operation of the Control, including the
authorities to collect the information identified above. Explain how the statutory and regulatory authorities
permit or would limit collection and use of the information or govern geographic storage requirements. If the
Control would conceivably collect Personally Identifiable Information (PII), also identify the specific statutory
authority that would permit such collection.
• Would the responsible office of an enterprise be able to rely on authorities of another parent organization,
subsidiary, partner or agency?
• Might the information collected by the Control be received from a foreign user, organization or government?
If so, do any international agreement, contract, privacy policy or memorandum of understanding exist to
support or otherwise govern this collection?
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4.1.3 Characterizing Control-Related Information
Identify the type of data the Control collects, uses, disseminates, or maintains:
• For each Control, identify both the categories of technology sources, logs, or individuals from whom
information would be collected, and, for each category, list any potential PII, that might be gathered, used, or
stored to support the Control:
- Relevant information here includes (but is not limited to): name; date of birth; mailing address; telephone
numbers; social security number; e-mail address; mother's maiden name; medical records locators; bank
account numbers; health plan beneficiaries; any other account numbers; certificates or other license
numbers; vehicle identifiers, including license plates; marriage records; civil or criminal history
information; medical records; device identifiers and serial numbers; education records; biometric
identifiers; photographic facial images; or any other unique identifying number or characteristic.
• If the output of the Control, or system on which it operates, creates new information from data collected (for
example, a scoring, analysis, or report), might this new information have privacy implications? If so, perform
the same above analysis on the newly created information.
• If the Control uses information from commercial sources or publicly available data to enrich other data
collected, explain how this information might be used:
- Commercial data includes information from data aggregators (such as threat feeds, or malware
databases), or from social networking sources where the information was originally collected by a private
organization.
- Publicly available data includes information obtained from the internet, news feeds, or from state or local
public records, such as court records where the records are received directly from the state or local
agency, rather than from a commercial data aggregator.
- Identify scenarios with this enriched data might derive data that could have privacy implications. If so,
perform the same above analysis on the newly created information.
• Identify and discuss the privacy risks for Control information and explain how they are mitigated. Specific
risks may be inherent in the sources or methods of collection.
• Consider the following Fair Information Practice principles (FIPs):
- Principle of Purpose Specification: Explain how the collection of PII by the Control links to the
cybersecurity needs of the enterprise.
- Principle of Minimization: Is the PII data directly relevant and necessary to accomplish the specific
purposes of the Control?
- Principle of Individual Participation: Does the Control, to the extent possible and practical, collect PII
directly from individuals?
4.1.4 Uses of Control-Related Information
Describe the Control's use of PII or privacy protected data. Describe how and why the Control uses this data:
• List likely uses of the information collected or maintained, both internal and external to the enterprise. Explain
how and why different data elements will be used. If Social Security numbers are collected for any reason, for
example, describe why such collection is necessary and how such information would be used. Describe types
of procedures and protections to be in place to ensure that information is handled appropriately, and policies
that need to be in place to provide user notification.
• Does the Control make use of technology to conduct electronic searches, queries, or analyses in a database to
discover or locate a predictive pattern or an anomaly? If so, describe what results would be achieved and if
there would be possibility of privacy implications.
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• Some Controls require the processing of large amounts of information in response to user inquiry or
programmed functions. The Controls may help identify data that were previously not identifiable and may
generate the need for additional research by analysts or other employees. Some Controls are designed to
perform complex analytical tasks resulting in other types of data, matching, relational analysis, scoring,
reporting, or pattern analysis.
• Discuss the results generated by the uses described above, including link analysis, scoring, or other analyses.
These results may be generated electronically by the information system, or manually through review by an
analyst. Would these results potentially have privacy implications?
• Are there other offices or departments within or connected to the enterprise that would receive any data
generated? Would there be privacy implications to their use or collection of this data?
• Consider the following FIPs:
- Principle of Transparency: Is the PIA and related policies clear about the uses of information generated
by the Control?
- Principle of Use Limitation: Is the use of information contained in the system relevant to the mission of
the Control?
4.1.5 Security
Complete a security plan for the information system(s) supporting the Control:
• Is there appropriate guidance when implementing the Control to ensure that appropriate physical, personnel,
IT, and other safeguards are in place to protect privacy protected data flowing to and generated from the
Control?
• Consider the following Fair Information Practice principle:
- Principle of Security: Is the security appropriate and proportionate to the protected data?
4.1.6 Notice
Identify if any notice to individuals should be put in place regarding implementation of the Control, PII collected, the
right to consent to uses of information, and the right to decline to provide information (if practicable):
• Define how the enterprise might require notice to individuals prior to the collection of information.
• Enterprises often provide written or oral notice to employees, customers, shareholders, and other stakeholders
before they collect information from individuals. In the U.S. government, that notice may include a posted
privacy policy, a Privacy Act statement, a Privacy Impact Assessment, or a Statement of Records Notice
(SORN) published in the U.S. Federal Register. For private companies, collecting information from
consumers, publicly available privacy policies are used. Describe what notice might be relevant to individuals
whose information might be collected by the Control.
• If notice might not, or cannot be provided, define if one is required or how it can be mitigated. For certain law
enforcement operations, notice may not be appropriate - enterprises would then explain how providing direct
notice to the individual at the time of collection would undermine a law enforcement mission.
• Discuss how the notice provided corresponds to the purpose of the Control and the declared uses. Discuss how
the notice given for the initial collection is consistent with the stated use(s) of the information. Describe how
implementation of the Control mitigates the risks associated with potentially insufficient notice and
opportunity to decline or consent.
• Consider the following FIPs:
- Principle of Transparency: Will this Control allow sufficient notice to be provided to individuals?
- Principle of Use Limitation: Is the information used only for the purpose for which notice was provided
either directly to individuals or through a public notice? What procedures can be put in place to ensure
that information is used only for the purpose articulated in the notice?
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- Principle of Individual Participation: Will the enterprise be required to provide notice to individuals
regarding redress, including access and correction, including other purposes of notice such as types of
information and controls over security, retention, disposal, etc.?
4.1.7 Data Retention
Will there be a requirement to develop a records retention policy, subject to approval by the appropriate enterprise
authorities (e.g. management, Board), to govern information gathered and generated by the Control?
• Consider the following FIPs below to assist in providing a response:
- Principle of Minimization: Does the Control have the capacity to use only the information necessary for
declared purposes? Would the Control be able to manage PII retained only for as long as necessary and
relevant to fulfil the specified purposes?
- Principle of Data Quality and Integrity: Does the PIA describe policies and procedures required by an
organization for how PII is purged once it is determined to be no longer relevant and necessary?
4.1.8 Information Sharing
Describe the scope of the information sharing within and external to the enterprise that could be required to support the
Control. External sharing encompasses sharing with other businesses, vendors, private sector groups, or federal, state,
local, tribal, and territorial government, as well as with governments or official agencies of other countries:
• For state or local government agencies, or private sector organizations list the general types that might be
applicable for the Control, rather than the specific names.
• Describe any agreements that might be required for an organization to conduct information sharing as part of
normal enterprise operations.
• Discuss the privacy risks associated with the sharing of information outside of the enterprise. How can those
risks be mitigated?
• Discuss how the sharing of information is compatible with the stated purpose and use of the original collection
for the Control.
4.1.9 Redress
Enterprises should have in place procedures for individuals to seek redress if they believe their PII may have been
improperly or inadvertently disclosed or misused through implementation of the Controls. These procedures may
include allowing them to file complaints about what data is collected or how it is used:
• Consider the following issue that falls under the FIP principle of Individual Participation:
- Can a mechanism be applied by which an individual can prevent PII obtained for one purpose from being
used for other purposes without the individual's knowledge?
4.1.10 Auditing and Accountability
Describe what technical and policy based safeguards and security measures might be needed to support the Control.
Include an examination of technical and policy safeguards, such as information sharing protocols, special access
restrictions, and other controls:
• Discuss whether the Control allows for self-audits, permits third party audits, or allows real time or forensic
reviews by a
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