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CISO Times

Intelligence for the people behind the defence.

The CISO Decision Brief

Who decides…

Who approves and submits a regulatory notification, including out of hours?

5 decision pointsThe pack behind this answer: Regulatory Incident Notification & Reporting

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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.
  1. 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

  2. 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

  3. 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.

    In the pack

  4. 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

  5. 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

  6. 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

  7. 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.

    In the pack

  8. 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

  9. 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

  10. 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.

    In the pack

  11. 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

  12. 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.

    In the pack

  13. 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

  14. 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

  15. 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.

    In the pack

  16. 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

Practical checklist

  1. Call the notification signatory on duty for every regime that is Reportable or not settled, and confirm they can sign in now.
  2. Draft from the fact base: the incident manager for NIS2 and DORA, the Data Protection Officer for the GDPR.
  3. Send the draft to Legal and the approver together, with the deadline at the top.
  4. Get the approver's written approval with its time, or their named deputy's.
  5. Have a second person check it against the fact base if at least 60 minutes remain.
  6. Submit through the authority's channel, or hand over to the deputy signatory or the fallback route.
  7. 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