Finding 1205329 (2025-003)

Material Weakness Repeat Finding
Requirement
N
Questioned Costs
-
Year
2025
Accepted
2026-03-31

AI Summary

  • Core Issue: The University has not implemented essential components of the Gramm-Leach-Bliley Act (GLBA), specifically lacking a formal data inventory and regular risk assessments.
  • Impacted Requirements: GLBA mandates financial institutions to maintain a comprehensive information security program, including specific elements for those with over 5,000 customers, and to conduct regular penetration testing and vulnerability assessments.
  • Recommended Follow-Up: Management should establish a documented process for data inventory and implement an annual risk assessment to enhance compliance and safeguard sensitive information.

Finding Text

2025 – 003: Gramm-Leach-Bliley Act Federal Agency: U.S. Department of Education Federal Program Title: Student Financial Aid Cluster ALN Numbers: 84.063, 84.033, 84.007, 84.268, 84.038, 93.364 Award Period: July 1, 2024 – June 30, 2025 Type of Finding: Significant Deficiency in Internal Control over Compliance, Other Matters Criteria or Specific Requirement: The Gramm-Leach-Bliley Act (Public Law 106-102) requires financial institutions to explain their information-sharing practices to their customers and to safeguard sensitive data. (16 CFR 314) The Federal Trade Commission considers Title IV-eligible institutions that participate in Title IV Educational Assistance Programs as “financial institutions” and subject to the Gramm-Leach-Bliley Act (16 CFR 313.3(k)(2)(vi). Institutions are required to develop, implement, and maintain a comprehensive information security program that is written in one or more readily accessible parts. The regulations require the written information security program to include eight elements for institutions with 5,000 or more customers (16 CFR 314.3(a)). The elements that an institution must address in its written information security program are at 16 CFR 314.4. Additionally, institutions must conduct penetration testing and vulnerability assessments to ensure the effectiveness of their safeguards. Condition: The University has not implemented key components of the GLBA Safeguards Rule, including maintaining a formal data inventory and performing a periodic risk assessment of information. Questioned costs: None Context: 1. The University has not identified their process in how they identify and manage data, personnel, devices, systems, and facilities within a defined data inventory. 2. The University has not performed a risk assessment within the audit period to assist in the adjustment of their managerial, technical, and operational controls. Cause: The underlying cause of these conditions is the absence of formal data governance practices and a structured, recurring risk assessment process. Effect: As a result of the lack of a defined data inventory and a current risk assessment, the Organization may not effectively identify, assess, or mitigate risks to information, increasing the risk of inadequate safeguards, data compromise, and noncompliance with GLBA requirements. Repeat Finding: Yes Recommendation: We recommend that management establish and document a formal process to identify and maintain an inventory of data, personnel, devices, systems, and facilities that support or process customer information. Additionally, we recommend that management implement a formal, documented risk assessment process that is performed at least annually and updated as needed. Views of responsible officials: There is no disagreement with the audit finding.

Corrective Action Plan

Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: WAU agrees with the recommendation to update our formal process to identify and maintain an inventory of data, devices, and systems that support or process customer financial aid information. While we currently use the Spiceworks Inventory System to track hardware and software assets and Google Workspace to manage user cloud access and data storage, we acknowledge that a formal, documented inventory process covering all required categories has not yet been fully established. The IT Director has been assigned to develop and document this process within 30 days. We acknowledge this finding and the associated risk arising from the absence of an independent risk assessment. As of March 25, 2026, the University has engaged TeamLogic Cybersecurity to strengthen our managerial, technical, and operational controls and to (1) develop and document a formal, GLBA aligned risk assessment process; (2) conduct annual independent, comprehensive risk assessment of our information systems and data environment; and (3) provide written findings and recommendations. Based on these results, we will implement appropriate safeguards, and institutionalize an annual risk assessment cycle to ensure that risks are consistently identified, assessed, mitigated, and monitored in accordance with GLBA requirements. Name(s) of the contact person(s) responsible for corrective action: Rosalee Pedapudi, IT Director, Information Technology Services Planned completion date for corrective action plan: April 26, 2026

Categories

Student Financial Aid Subrecipient Monitoring Significant Deficiency Equipment & Real Property Management Internal Control / Segregation of Duties

Other Findings in this Audit

  • 1205318 2025-002
    Material Weakness Repeat
  • 1205319 2025-002
    Material Weakness Repeat
  • 1205320 2025-002
    Material Weakness Repeat
  • 1205321 2025-002
    Material Weakness Repeat
  • 1205322 2025-002
    Material Weakness Repeat
  • 1205323 2025-002
    Material Weakness Repeat
  • 1205324 2025-003
    Material Weakness Repeat
  • 1205325 2025-003
    Material Weakness Repeat
  • 1205326 2025-003
    Material Weakness Repeat
  • 1205327 2025-003
    Material Weakness Repeat
  • 1205328 2025-003
    Material Weakness Repeat
  • 1205330 2025-004
    Material Weakness Repeat
  • 1205331 2025-004
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
84.268 FEDERAL DIRECT STUDENT LOANS $3.71M
84.063 FEDERAL PELL GRANT PROGRAM $1.22M
84.038 FEDERAL PERKINS LOAN PROGRAM_FEDERAL CAPITAL CONTRIBUTIONS $590,413
84.033 FEDERAL WORK-STUDY PROGRAM $84,979
64.028 POST-9/11 VETERANS EDUCATIONAL ASSISTANCE $82,510
84.007 FEDERAL SUPPLEMENTAL EDUCATIONAL OPPORTUNITY GRANTS $81,358
93.364 NURSING STUDENT LOANS $55,922