Who decides…
Who approves and submits a regulatory notification, including out of hours?
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The short answer
- Recommendation
- The executive incident lead decides whether to report and approves each report, with the Data Protection Officer for the GDPR notification. A named notification signatory with tested access submits it, and named deputies act for anyone who cannot be reached at night or at the weekend.
- Reasoning
- Reporting clocks run through nights, weekends and public holidays, so a report can fall due at 03:00 on a Sunday. Fixed roles and deputies named before the incident settle who may act. Drafting from one fact base keeps reports to different authorities consistent. Legal's review is time-boxed, so it informs a report without holding it past its deadline.
- Considerations
- A decision not to report a Severity 1 or 2 incident is the executive incident lead's. At Severity 3 or 4 the incident manager may record it.
- Legal's time-box is 60 minutes in the pack's default, by night as by day. With no review by then, the report goes on its approver's decision and the log says the review lapsed.
- Where at least 60 minutes remain, a second person checks the approved report against the fact base. The drafter cannot be that person.
- Out of hours, a phone approval is written into the log with its time and confirmed in writing afterwards.
The decision, step by step
Select any step for the reasoning behind it and where the pack covers it.
- Start
- Step
- Decision
- Outcome
- Loop back
Keyboard: Tab to a step, arrow keys move along the flow, Enter pins its explanation, + and − zoom, 0 fits the diagram, Esc closes. The text version below has the same content.
Where a step quotes a number, it is the default in the CISO Times pack. Your own standard may set a different one.
Read as text
The same flow written out: each step, its reasoning and where the pack covers it. 17 steps.
Start
An incident may need a report to an authority
Reporting clocks run on calendar hours, through nights, weekends and public holidays. A report can fall due at 03:00 on a Sunday. So every role in this flow has a named deputy, and the people, access and templates are set up before the incident. The incident manager runs P09's reporting screen within 4 hours of declaration.
In the pack
- P18-A04 Regulatory Notification Operating ProcedureWorking out of hours
- P18-A04 Regulatory Notification Operating ProcedureNP-01 Screen and decide (rule RN-02)
Step
The executive incident lead decides whether to report
Every decision to report is the executive incident lead's, taken on the incident manager's screen, with the Data Protection Officer advising on every GDPR decision. A decision not to report a Severity 1 or 2 incident is the executive incident lead's too. Only for Severity 3 and 4 may the incident manager record a decision not to report. Out of hours, the named deputy holds the same authority.
In the pack
- P18-A04 Regulatory Notification Operating ProcedureWho decides (rule RN-06)
- P09-A03 Incident Response PlanDecision rights
- P09-A03 Incident Response PlanRoles and the crisis team
Decision
Is any regime Reportable, or not yet settled?
Each regime in the profile gets its own recorded decision: Reportable, Not reportable, Not applicable or Not settled. A decision that is not settled still starts the work, because it becomes Reportable 6 hours before the first deadline, the pack's default, if the facts stay unknown. If you are unsure, treat it as yes.
- Yes, or not known: Call the signatory on duty now
- No: Record the decision and its reasons; revisit it at each update
In the pack
- P18-A04 Regulatory Notification Operating ProcedureNP-01 Screen and decide (rules RN-02, RN-04)
- P18-A07 Regulatory Notification LogDecisions
Outcome
Record the decision and its reasons; revisit it at each update
A decision not to report is recorded in the log with the facts relied on and who decided, whether or not a report is made. It is revisited at each incident update and at once when a fact changes. If a regime becomes Reportable later, come back into this flow at the briefing step.
In the pack
- P18-A04 Regulatory Notification Operating ProcedureNP-01 Screen and decide (rule RN-05)
- P18-A04 Regulatory Notification Operating ProcedurePitfalls (rule PF-06)
Step
Call the signatory on duty now
The incident manager calls the notification signatory for each regime that is Reportable or not settled. Out of hours a message alone is not enough. Say which reports are coming, to which authority and when each is due, from the log. The signatory checks at once that they can sign in to the channel; if they cannot, the deputy takes over now, not at the deadline.
In the pack
- P18-A04 Regulatory Notification Operating ProcedureNP-02 Brief the signatory
Step
The incident manager or the DPO drafts from the fact base
The drafter depends on the regime: the incident manager drafts the NIS2 and DORA reports, the Data Protection Officer the GDPR notification and any communication to individuals. Every fact comes from the one fact base, so reports to different authorities agree. Say what is not yet known and when it will follow. Send the draft to Legal and the approver at the same time, with the deadline at the top.
In the pack
- P18-A04 Regulatory Notification Operating ProcedureNP-03 Draft from the fact base (rules RN-07, RN-11)
- P18-A04 Regulatory Notification Operating ProcedureWho does what, by regime
Step
Legal reviews within 60 minutes, or the approver decides
Legal checks the draft against the fact base and for anything that says more than it needs. The review is time-boxed, at 60 minutes in the pack's default, counted from when the draft was sent, by night as by day. Legal never holds a report. If no review has come back by then, the report goes on its approver's decision and the log records that the review lapsed.
In the pack
- P18-A04 Regulatory Notification Operating ProcedureLegal review: the time-box (rule RN-07)
- P18-A04 Regulatory Notification Operating ProcedurePitfalls (rule PF-03)
Decision
Can the report's approver be reached?
The approver is the one P09 names for the report's template, and nobody else may approve a report. In the pack that is the executive incident lead for the NIS2 and DORA reports, and the executive incident lead with the Data Protection Officer for the GDPR notification. A processor's notice to a controller is approved by the executive incident lead, as a customer notice. If they cannot be reached in time, answer no.
- Yes: The approver approves it in writing, with the time
- No, or not known: Their named deputy approves instead
In the pack
- P18-A04 Regulatory Notification Operating ProcedureApproval and the four-eyes check (rule RN-08)
- P18-A04 Regulatory Notification Operating ProcedureWho does what, by regime
- P18-A06 Personal Data Breach Notification TemplatesApprovals
Step
The approver approves it in writing, with the time
Approval is in writing with its time: an email or a message in the case channel. Out of hours, approval by phone is written into the log by the incident manager with the time, and the approver confirms it in writing afterwards.
In the pack
- P18-A04 Regulatory Notification Operating ProcedureApproval and the four-eyes check (rule RN-08)
Step
Their named deputy approves instead
An approver who cannot be reached is replaced by their named deputy, who holds the same authority while acting. The approver is told as soon as they are reached. This works only if each approver's deputy was named and reachable out of hours before the incident.
In the pack
- P18-A04 Regulatory Notification Operating ProcedureEscalation
- P18-A08 Notification Readiness ChecklistChecklist (rule RC-09)
Decision
Are at least 60 minutes left before the deadline?
When time allows, a second person compares the approved report with the fact base line by line before it goes: times, numbers, names, systems and the authority's earlier reference. The threshold is 60 minutes in the pack's default. With less time, the report goes unchecked rather than late.
- Yes: A second person checks it against the fact base
- No: log why the check was skipped: Can the signatory on duty sign in to the channel?
In the pack
- P18-A04 Regulatory Notification Operating ProcedureNP-06 The four-eyes check and submission (rule RN-08)
Step
A second person checks it against the fact base
The drafter cannot be the second person. In a small organisation, name a second person for this check before any incident, even if it is someone outside security.
In the pack
- P18-A04 Regulatory Notification Operating ProcedureNP-06 The four-eyes check and submission
- P18-A04 Regulatory Notification Operating ProcedureAdapting this template
Decision
Can the signatory on duty sign in to the channel?
Only a notification signatory submits: a person named in writing in advance, with the authority to submit in the organisation's name and working access to the authority's channel. The signatory can be the drafter. If the signatory cannot sign in, or cannot be reached, answer no.
- Yes: Submit, log it and set the next due time
- No, or not known: Hand over to the deputy signatory, or the fallback route
In the pack
- P18-A04 Regulatory Notification Operating ProcedureSignatories and deputies (rules RN-08, RN-17)
Step
Hand over to the deputy signatory, or the fallback route
The deputy signatory submits, and the Head of Information Security is told. If no signatory can reach the channel, or the channel itself is down, use the authority's fallback route recorded in the applicability profile, log it, and resubmit through the channel if the authority asks.
In the pack
- P18-A04 Regulatory Notification Operating ProcedureEscalation
- P18-A04 Regulatory Notification Operating ProcedureNP-06 The four-eyes check and submission
Step
Submit, log it and set the next due time
The signatory submits under their own account, then logs the time, channel, who submitted, a copy of what was sent and the authority's reference. The next report's due time goes into the log and the calendars of its drafter and signatory, with a reminder at half the time remaining. A report that will be late is still made, with the reasons, and the executive incident lead is told at once.
In the pack
- P18-A04 Regulatory Notification Operating ProcedureSubmission and the log (rules RN-09, RN-10)
- P18-A04 Regulatory Notification Operating ProcedureLate reports (rule RN-13)
- P18-A07 Regulatory Notification LogSubmissions
Decision
Is another report due, or has the authority asked for one?
NIS2 and DORA reports come in stages: after NIS2's early warning come the incident notification and the final report. A request from the authority for an intermediate report is a new due time at once. Each follow-up is drafted, reviewed, approved, checked, submitted and logged exactly as the first.
- Yes: draft the next one: The incident manager or the DPO drafts from the fact base (back to an earlier step)
- No: Mark the reports complete; give the history to the review
In the pack
- P18-A04 Regulatory Notification Operating ProcedureFollow-up reports and requests from the authority (rule RN-10)
- P18-A07 Regulatory Notification LogFollow-ups
Outcome
Mark the reports complete; give the history to the review
When every Reportable regime has its last report made, every request answered and every correction made, the incident manager marks the incident's reports complete in the log. The report history, with any late or skipped step and why, goes to the post-incident review.
In the pack
- P18-A04 Regulatory Notification Operating ProcedureNP-09 Close
Practical checklist
- Call the notification signatory on duty for every regime that is Reportable or not settled, and confirm they can sign in now.
- Draft from the fact base: the incident manager for NIS2 and DORA, the Data Protection Officer for the GDPR.
- Send the draft to Legal and the approver together, with the deadline at the top.
- Get the approver's written approval with its time, or their named deputy's.
- Have a second person check it against the fact base if at least 60 minutes remain.
- Submit through the authority's channel, or hand over to the deputy signatory or the fallback route.
- Log the submission and its reference, and set the next report's due time in the drafter's and signatory's calendars.
Evidence to have ready
- The decision to report, who made it and when.
- Legal's review time, or the record that it lapsed.
- The written approval, or the logged phone approval and its written confirmation.
- The second check, or why it was skipped.
- The submission record: time, channel, who submitted, a copy of what was sent and the authority's reference.
Assumptions
- You have an incident response plan that names an executive incident lead and an incident manager, each with a deputy, and they are two different people.
- Your applicability profile already says which of NIS2, DORA and the GDPR can apply to you and which authority and channel each report goes to.
- The roles and times shown are the pack's defaults. Your own procedure may name other people or set a different review time, but the second checker should never be the person who drafted the report.
Not covered here
- Whether an incident is reportable at all, and under which regime. That is “When do we have to notify a regulator, and under which regime?”.
- What to do when you cannot tell whether a report is due and the deadline is close. That is “If we can't tell whether an incident is reportable and the deadline is close, then what?”.
- What goes into a NIS2 early warning. That is “How do we write a NIS2 early warning when we still know very little?”.
- Telling the board during an incident. That is “When do we tell the board during an incident?”.
Related questions
- When do we have to notify a regulator, and under which regime?
- When one incident triggers NIS2, DORA and GDPR at once, which clock runs first?
- How do we make sure we can notify a regulator before an incident happens?
- If we can't tell whether an incident is reportable and the deadline is close, then what?
- How do we write a NIS2 early warning when we still know very little?