Appendix R: Sample Certification Statement

ABC System Certification Statement

Background

Between April 18 and April 22, 2011, a security test and evaluation (ST&E) was conducted on the ABC System operated by the XYZ Company, located in Dusty Junction, Arizona. The ST&E was performed by an independent assessment team under the direction of the undersigned certifying agent at the direction of the chief information security officer, XYZ Company, and was conducted in accordance with Office of Management and Budget (OMB) Circular A-130, Appendix III, Security of Federal Automated Information Resources, and XYZ Company policy on accreditation. The purpose of the ST&E was to demonstrate, through selected verification techniques and verification procedures ...

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