Acknowledgement of Completion of Cybersecurity Training
This document is used to acknowledge the completion of a cybersecurity training program as required by Texas Government Code 2054.5192. It must be completed by contractors, including their employees, officers, and subcontractors, who have access to Texas Health and Human Services systems. The form certifies that the training was completed and will continue to be completed annually.
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How do I fill this out?
To fill out this form, ensure that all employees, officers, and subcontractors who have access to relevant systems complete the certified cybersecurity training program. Then, gather their information and the details of your legal entity for entry on the form. Finally, sign and date the form to certify compliance.
How to fill out the Acknowledgement of Completion of Cybersecurity Training?
1
Ensure employees, officers, and subcontractors complete the required training.
2
Gather their information and legal entity details.
3
Complete the form with the gathered information.
4
Sign the form.
5
Date the form.
Who needs the Acknowledgement of Completion of Cybersecurity Training?
1
Contractors working with Texas Health and Human Services who need to comply with cybersecurity training requirements.
2
Employees of contractors who have access to Texas Health and Human Services systems and need to prove training completion.
3
Officers of contracting entities for certification of their cybersecurity training completion.
4
Subcontractors who work on projects involving Texas Health and Human Services systems and must complete the training.
5
Managers ensuring their teams meet Texas’s cybersecurity training compliance.
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What are the instructions for submitting this form?
To submit this form, email the completed document to HHSInfoSec@hhs.texas.gov. Alternatively, you can fax it to (512) 533-3139, or submit it through an online submission form provided on Texas Health and Human Services' official website. Ensure all fields are accurately populated and the form is signed by an authorized representative before submission. For physical mail submission, address your envelope to: Texas Health and Human Services, Information Security Office, P.O. Box 13247, Austin, TX 78711-3247. Confirm submission before specified deadlines to maintain compliance.
What are the important dates for this form in 2024 and 2025?
For 2024, ensure to complete and submit the form by May. In 2025, repeat the process annually to stay in compliance with the Texas Government Code.
What is the purpose of this form?
The purpose of this form is to ensure that all contractors working with Texas Health and Human Services comply with mandated cybersecurity training requirements. Contractors, including their employees, officers, and subcontractors, must complete this form to certify that they have completed a training program certified by the Department of Information Resources. The form serves as an annual record of compliance, required under Section 2054.519, Texas Government Code.
Tell me about this form and its components and fields line-by-line.
- 1. Name of Legal Entity: This field should contain the full legal name of the contracting entity.
- 2. Texas Identification No.: Enter the unique Texas Identification Number assigned to the entity.
- 3. Signature of Legal Entity Representative: The designated representative of the legal entity must sign here to certify the information.
- 4. Date: Provide the date when the form was signed.
- 5. Printed Name: Print the full name of the legal entity representative who is signing the form.
- 6. Title: Specify the title or position of the legal entity representative.
What happens if I fail to submit this form?
Failure to submit this form may result in non-compliance with Texas Government Code 2054.519. This could lead to various penalties and restrictions.
- Non-Compliance Penalties: Entities may face penalties for not adhering to the compliance regulations.
- Contract Restrictions: Failure to submit may lead to restrictions or loss of contracts with Texas Health and Human Services.
- Legal Repercussions: There may be legal repercussions for not fulfilling the cybersecurity training certification requirement.
How do I know when to use this form?
- 1. Annual Compliance: Submit this form annually to certify compliance with training requirements.
- 2. New Contractors: New contractors must submit this form upon initial completion of the required training.
- 3. System Access: Use this form when personnel gain access to Texas Health and Human Services systems for the first time.
- 4. Training Updates: If training components or requirements change, submit an updated form.
- 5. Audit Purposes: Keep this form on file for auditing to demonstrate compliance with cybersecurity training mandates.
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