Who decides…
Who approves a policy, a standard and a procedure?
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The short answer
- Recommendation
- Approve each document at its tier's level: executive management for policies, the Head of Information Security for standards and procedures after consulting the owner, and information security for guidelines. The top policy goes to the board or its equivalent, and nobody approves a document they own or wrote.
- Reasoning
- The tiers are approved at different levels because they change at different speeds and need different judgement. A policy commits the organisation, so the people who can commit it approve it. Standards and procedures change with the technology, so the security function that can judge them approves them. Approval is the only independent look at a document, which is why an owner or author never approves their own work, and the document goes to the conflict approver for its tier instead. Every version, minor or major, is approved in writing and dated, and a document is not in force until it is approved and published.
- Considerations
- The approvers are the defaults in the CISO Times policy pack. Your own framework standard names the actual roles. An approver of a higher tier may approve a lower-tier document; the reverse is never allowed.
- The top policy goes to the board, a board risk committee it delegates to, the management board in a two-tier structure, or executive management where there is no board. A NIS2 or DORA entity has the management body approve it itself; if unsure whether you are in scope, do that.
- When the usual approver owns or wrote the document, a policy goes to the rest of executive management without that member, and any other tier goes to executive management. In a small organisation, that may mean the other directors, or the board.
- Where another document sets its own approval rule, the stricter of the two applies: the higher approver.
The decision, step by step
Select any step for the reasoning behind it and where the pack covers it.
- Start
- Step
- Decision
- Outcome
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. 13 steps.
Start
A security document is ready for approval
Every version needs approval at its tier's level, minor or major, and so does a retirement. A document is not in force until it is approved and published. Approval is in writing and dated: a minute, a signed approval page, or the approval record in your document system. That date is the document's approval date.
In the pack
- P04-A02 Policy Framework StandardApproval (rule PF-03)
Decision
Which tier is the document?
A policy says what the organisation commits to and why. A standard sets measurable requirements: settings, deadlines, minimums. A procedure says how a task is done, step by step, by named roles. A guideline is recommended practice and is not mandatory. Each document states its tier on its first page.
- Policy: Is it the top information security policy?
- Standard: The Head of Information Security approves; owner consulted
- Procedure: The Head of Information Security approves; process owner consulted
- Guideline: Information security approves it
In the pack
- P04-A02 Policy Framework StandardThe document hierarchy (rule PF-01)
- P04-A09 Policy Development & Approval Responsibility MatrixBy Document Type
Decision
Is it the top information security policy?
The top policy is the one every other security document sits under. It must be approved by the body that can commit the organisation. Topic policies, such as acceptable use or access control, are approved by executive management.
In the pack
- P04-A02 Policy Framework StandardApproval
- P04-A02 Policy Framework StandardParent policy and authority
Decision
Is the organisation a NIS2 or DORA entity?
Under NIS2 the management body approves the cybersecurity risk-management measures, and under DORA it is responsible for the ICT risk management framework. A regulated entity therefore names the management body itself as approver of the top policy, not a delegate. If you are not sure whether you are in scope, take the stricter route.
- Yes, or not known: The management body itself approves it, in its minutes
- No: The board, or a board risk committee it delegates to, approves it
In the pack
- P04-A02 Policy Framework StandardRegulated entity (NIS2 or DORA)
Step
The management body itself approves it, in its minutes
The management body is the body that directs the organisation. Where there is a board, that is the board; in a two-tier structure, the management board; where there is no board, as in an owner-managed company, executive management. A delegate is not enough here. Its minutes give the approval date the policy shows.
In the pack
- P04-A02 Policy Framework StandardRegulated entity (NIS2 or DORA)
- P04-A02 Policy Framework StandardAppendix A — Definitions
- P04-A09 Policy Development & Approval Responsibility MatrixInstructions
Step
The board, or a board risk committee it delegates to, approves it
Outside NIS2 and DORA, the top policy is approved by the board or its equivalent. Who that is depends on how you are governed: the board, or a board risk committee it has delegated this to; in a two-tier structure, the management board; where there is no board, such as in an owner-managed company, executive management.
In the pack
- P04-A02 Policy Framework StandardApproval (rule PF-03)
- P04-A02 Policy Framework StandardParent policy and authority
Step
Executive management approves it
Every other policy is approved by executive management, and the decision is minuted. The owner presents the final text and takes no part in the decision. A minor version may be approved in writing without a meeting.
In the pack
- P04-A09 Policy Development & Approval Responsibility MatrixResponsibility Matrix (rule PD-06)
- P04-A02 Policy Framework StandardApproval
- P04-A09 Policy Development & Approval Responsibility MatrixRole Combinations
Step
The Head of Information Security approves; owner consulted
A standard turns a policy into measurable requirements, so the security function approves it after consulting the document's owner. An approver of a higher tier, such as executive management, may approve a standard instead. The reverse is never allowed.
In the pack
- P04-A02 Policy Framework StandardThe document hierarchy
- P04-A02 Policy Framework StandardApproval
Step
The Head of Information Security approves; process owner consulted
A procedure is usually drafted by the process owner's team and consulted on with the people who carry it out. The Head of Information Security approves it. The process owner then communicates it to the people who use it; it is not acknowledged individually.
In the pack
- P04-A09 Policy Development & Approval Responsibility MatrixBy Document Type
Step
Information security approves it
A guideline is recommended practice: nobody is non-compliant for not following it, so information security approves it. A guideline may not contain a 'must' statement. If something must be done, it belongs in a standard or procedure, with that tier's approver.
In the pack
- P04-A02 Policy Framework StandardThe document hierarchy
- P04-A09 Policy Development & Approval Responsibility MatrixBy Document Type
Decision
Does the usual approver own the document, or did they write it?
Approval is the only independent look at the document, so nobody approves a document they own or wrote. This comes up often: the Head of Information Security owns or drafts many standards, and executives own policies. In a small organisation one approver may cover two tiers, but this rule never bends.
In the pack
- P04-A09 Policy Development & Approval Responsibility MatrixRole Combinations
- P04-A02 Policy Framework StandardSmall organisation
Outcome
Send it to the conflict approver for its tier
For a policy, the rest of executive management approves, without the member who owns or wrote it. For a standard, procedure or guideline, executive management approves. In a small organisation where the managing director owns or wrote a policy, that means the other directors, or the board.
In the pack
- P04-A02 Policy Framework StandardApproval (rule PF-03)
- P04-A02 Policy Framework StandardSmall organisation
- P04-A09 Policy Development & Approval Responsibility MatrixBy Document Type
Outcome
Approve in writing and dated, then publish
The approver approves, returns with required changes, or rejects, and confirms whether the change is material. In the pack's defaults the decision comes at the next meeting or within 20 working days, and publication follows within 5 working days. The document is in force from its effective date, which is no earlier than publication.
In the pack
- P04-A03 Policy Lifecycle Operating ProcedureStage 4 — Approval by tier
- P04-A03 Policy Lifecycle Operating ProcedureStage 5 — Publication and withdrawal of the old version
Practical checklist
- Confirm the document's tier from its first page.
- For a policy, check whether it is the top information security policy, and whether you are a NIS2 or DORA entity.
- Send the approval pack to the tier's approver: the final text, a summary of changes, the material-change classification and the comment log.
- If that approver owns or wrote the document, send it to the conflict approver for its tier instead.
- Have the approver approve, return with required changes, or reject, in writing and dated, and confirm whether the change is material.
- Set the version, approval date and next review date, then publish the approved version and update the register.
Evidence to have ready
- For each version, the dated approval record: a minute, a signed approval page or the approval record in your document system.
- For the top policy in a NIS2 or DORA entity, the management body's own minutes approving it.
- Evidence that no approver owned or wrote the document they approved.
- The register, showing each document's approver and approval date.
Assumptions
- Your organisation uses four tiers of security document: policy, standard, procedure and guideline.
- The approvers shown are the defaults in the CISO Times policy governance pack. Your own framework standard names the actual roles.
Not covered here
- How to tell which tier a document belongs in. That is “How do we separate what belongs in a policy, a standard and a procedure?”.
- Whether a change needs re-approval and fresh acknowledgement. That is “When does a policy change need re-approval and fresh acknowledgement?”.
- What else changes for a NIS2 or DORA entity. That is “If we are a NIS2 or DORA entity, what changes in how policies are governed?”.
Related questions
- How do we separate what belongs in a policy, a standard and a procedure?
- When does a policy change need re-approval and fresh acknowledgement?
- If we are a NIS2 or DORA entity, what changes in how policies are governed?
- When do we retire a policy rather than update it?
- If our IT is run by a service provider, whose policies apply?