Finding 541110 (2024-003)

Significant Deficiency Repeat Finding
Requirement
N
Questioned Costs
-
Year
2024
Accepted
2025-03-31
Audit: 350688
Organization: Bethany Lutheran College, Inc. (MN)

AI Summary

  • Core Issue: The Corporation lacks a documented data inventory and multi-factor authentication for accessing sensitive student information, violating GLBA requirements.
  • Impacted Requirements: Compliance with the Gramm-Leach-Bliley Act mandates a comprehensive information security program that includes specific safeguards for protecting student financial aid information.
  • Recommended Follow-Up: Review and update the Written Information Security Program to align with GLBA requirements and implement necessary security measures.

Finding Text

Federal Agency: U.S. Department of Education Federal Program Name: Student Financial Assistance Cluster Assistance Listing Number: 84.007 – Federal Supplemental Educational Opportunity Grants 84.033 – Federal Work-Study Program 84.038 – Federal Perkins Loan Program 84.063 – Federal Pell Grant Program 84.268 – Federal Direct Student Loans Award Period: July 1, 2023 to June 30, 2024 Type of Finding: • Significant Deficiency in Internal Control over Compliance • Other Matters Criteria or Specific Requirement: The Gramm-Leach-Bliley Act (GLBA) requires financial institutions to explain their information-sharing practices to their customers and to safeguard sensitive data (16 CFR 314). 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 nine elements for institutions with 5,000 or more customers, (16 CFR 314.3(a)). The written information security program (WISP) for institutions with fewer than 5,000 customers must address seven elements (16 CFR 314.3(a) and 16 CFR 314.6). The elements that an institution must address in its written information security program are at 16 CFR 314.4. At a minimum, the institution’s written information security program must address the implementation of the minimum safeguards identified in 16 CFR 314.4(c)(1) through (8) including: Assess apps developed by the institution. In addition, the written security program provides for the institution to regularly test or otherwise monitor the effectiveness of the safeguards it has implemented (16 CFR 314.4(d)). Condition: Under a college’s Program Participation Agreement with the Department of Education and the Gramm-Leach-Bliley Act, schools must protect student financial aid information, with particular attention to information provided to institutions by the Department or otherwise obtained in support of the administration of the federal student financial aid programs. Questioned Costs: None Context: During our audit procedures, it was noted that the Corporation did not have documented in its Written Information Security Program a description of the use of a data inventory that includes how is the Corporation identifies and manages data, personnel, devices, systems and facilities. In addition, there was no evidence that a multi-factor authentication process was used for individuals accessing sensitive information across systems. Cause: There was not a formal process in place to review against all the new GLBA requirements to ensure compliance. Effect: The Corporation’s students’ personal information could be vulnerable. Repeat Finding: Yes Auditor’s Recommendation: We recommend that the Corporation review each element of GLBA to ensure compliance with all necessary requirements. Views of Responsible Officials and Planned Corrective Actions: There is no disagreement with the audit finding.

Corrective Action Plan

Title: Student Financial Assistance Cluster – Assistance Listing Nos. 84.038, 84.268, 84.033, 84.007, 84.063 Recommendation: We recommend that the Corporation review each element of GLBA to ensure compliance with all necessary requirements. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: The College will update its Written Information Security Program to include a description of the use of a data inventory that includes how we identify and manage data, personnel, devices and facilities. Some of these items can be found in the other documents submitted but we will merge them into our WISP. Multi-factor authentication is in use for individuals accessing sensitive information but that also was not clearly identified in the WISP and will be added. To ensure GLBA compliance going forward, the College has contracted FRSecure to develop a risk assessment and roadmap which will do system scan for issues, an assessor will interview staff including IT, HR, Finance Leaders and others to learn more about the currentstate of overall security program. Compliance with GLBA will be part of their review. Finally,FRSecure will issue an assessment ‘Roadmap Plan’ for the department to review andpending results, implement as feasible.

Categories

Student Financial Aid Equipment & Real Property Management Matching / Level of Effort / Earmarking Internal Control / Segregation of Duties Significant Deficiency

Other Findings in this Audit

  • 541105 2024-002
    Significant Deficiency Repeat
  • 541106 2024-002
    Significant Deficiency Repeat
  • 541107 2024-002
    Significant Deficiency Repeat
  • 541108 2024-002
    Significant Deficiency Repeat
  • 541109 2024-002
    Significant Deficiency Repeat
  • 541111 2024-003
    Significant Deficiency Repeat
  • 541112 2024-003
    Significant Deficiency Repeat
  • 541113 2024-003
    Significant Deficiency Repeat
  • 541114 2024-003
    Significant Deficiency Repeat
  • 1117547 2024-002
    Significant Deficiency Repeat
  • 1117548 2024-002
    Significant Deficiency Repeat
  • 1117549 2024-002
    Significant Deficiency Repeat
  • 1117550 2024-002
    Significant Deficiency Repeat
  • 1117551 2024-002
    Significant Deficiency Repeat
  • 1117552 2024-003
    Significant Deficiency Repeat
  • 1117553 2024-003
    Significant Deficiency Repeat
  • 1117554 2024-003
    Significant Deficiency Repeat
  • 1117555 2024-003
    Significant Deficiency Repeat
  • 1117556 2024-003
    Significant Deficiency Repeat

Programs in Audit

ALN Program Name Expenditures
84.268 Federal Direct Student Loans $2.86M
84.063 Federal Pell Grant Program $991,486
84.038 Federal Perkins Loans Outstanding, Beginning of Year $122,466
84.033 Federal Work-Study Program $36,806
84.007 Federal Supplemental Educational Opportunity Grants $34,899