The University of Texas of the Permian Basin Institutional Compliance Program Quarterly Report For the Quarter Ended February 29, 2008 Section I – Organizational Matters A meeting of the Institutional Compliance Committee was held January 24, 2008. There were no changes in the Compliance staff or Committee members. Section II - Risk Assessment, Monitoring Activities and Specialized Training (Performed by Responsible Party) High-Risk Area #1: Research Responsible Party: J. Tillapaugh, Asst. Vice President for Graduate Studies and Sponsored Research Key “A” risk(s) identified: Inadequate training about Federal reporting requirements Noncompliance with Federal reporting requirements such as Time and Effort Inappropriate use of animal and human subjects, research subjects and materials Key Monitoring Activities: The Responsible Party reviewed the Effort Commitment & Certification reports that were completed by principal investigators of Federal grants during the period. Questions arising during the review were resolved. An Action Plan, a Monitoring Plan, an Effort Commitment & Certification Policy and a Training Plan were reviewed and approved by the Institutional Compliance Committee in September 2008. The policy was submitted to the Office of General Counsel for review. A non-DEFINE paper system is being designed for Effort Commitment and Certification for non-federal grants and contracts. It will be included in training of the identified responsible parties with non-federal grants that come under the UTPB policy. Specialized Training: Training on the Effort Commitment & Certification Policy has been completed for all individuals with principal responsibilities on all UTPB Federal grants. High-Risk Area #2: Information Security Responsible Party: Keith Yarbrough, Director of Information Resources Key “A” risk(s) identified: Unauthorized Information disclosure through password access obtained by deceiving user Inadequate protection of confidential information including Social Security Numbers Lack of training on information security Key Monitoring Activities: Monitoring of campus network traffic has been expanded and now not only includes monitoring by a network intrusion detection/prevention system manufactured by Nitro Security but also includes complete monitoring and scanning of all e-mail. In addition to scanning for viral content, e-mail scanning also uses pattern matching techniques to detect confidential content in e-mail (primarily Social Security number and credit card numbers). When confidential content is detected, the user is notified that they are using poor security practices. The network intrusion detection/prevention system is blocking selected network traffic when that traffic matches certain risk signatures. These risk signatures are updated on a regular basis to insure current risks are recognized. Logs of these activities are reviewed daily. A periodic review of successful logins and unsuccessful login attempts for the student information system is conducted. Monitoring revealed several attempts to penetrate the system from outside the local area network. Consequently, access to this system from the outside has been restricted at the firewall. Login attempt monitoring for this system continues on a routine basis. Specialized Training: Users who send or receive detected confidential information through e-mail are provided special notification. High-Risk Area #3: Change Control Responsible Party: Keith Yarbrough, Director of Information Resources Key “A” risk(s) identified: Inadequate control over network and server configuration changes Key Monitoring Activities: UTPB has a well documented process for monitoring and approving changes to the student information system environment. However, in the network and Windows server environment UTPB is still developing the change control process. Due to this complex environment, changes are made in the production environment without extensive validation and testing. UT System has issued an RFP for change control software. Once selected the product should provide a set of tools that will greatly facilitate change control for the Windows server and client environment. Section III – Monitoring and Assurance Activities (Performed by Compliance Office/Designate) High-Risk Area: Inadequate financial information to establish current position and close out prior year; Bad financial rating status; Failure to achieve budget assumptions Assessment of Control Structure: Opportunity for enhancement Monitoring/Assurance Activities Conducted: Compliance Officer and Internal Auditor/Asst. Compliance Officer meet weekly with the President, Provost and Director of the Office of Accounting to review current financial position and potential actions that could impact year end results and financial rating status. High-Risk Area: Research Assessment of Control Structure: Opportunity for enhancement Monitoring/Assurance Activities Conducted: The Asst. Compliance Officer and Designated Responsible Party attended a meeting with Huron representatives regarding acquisition of the software for Time and Effort reporting High-Risk Area: Athletics Assessment of Control Structure: Opportunity for enhancement Monitoring/Assurance Activities Conducted: A Compliance Review of the athletics program has been set for the first week in March 2008. This review will result in recommendations for improvement of the program and could result in a recommendation that UTPB be moved from probationary to full member status in NCAA Division II. The Asst. Compliance Officer also attended an Athletic Compliance Committee meeting during the quarter. Section IV – General Compliance Training Activities Six modules of General Compliance training administered through Training Post were assigned to all continuing employees for FY 2008. New employees were assigned twelve General Compliance modules. December 31, 2007 was the date set by the Institutional Compliance Committee for the assigned training to be completed. As of January 22, 2008, 2,011 of the 2,059 modules assigned or 97.7% were completed. Some of the incomplete modules are assigned to new employees who have a completion date after the report date. Follow-up reminders from the appropriate executive staff will be used to remind remaining staff to complete the training. Section V – Action Plan Activities The following Action Plan items were implemented during the quarter just ended: Compliance assurance reports certified by staff were reviewed and a summary of partial compliance or non-compliance was prepared. Follow-up was made on the reports that have not been received. The summary will be presented to the Compliance Committee in the third quarter of FY 2008. A campus-wide compliance awareness survey was prepared for distribution in early March, 2008. Results will be compared to results from previous annual surveys. Compliance information was submitted for inclusion in the February 2008 UTPB Employee Newsletter. Compliance awareness training was held for faculty and staff in the College of Arts and Sciences and the Student Senate during the quarter. The Administrative Council is informed of current compliance topics at each meeting. The Assistant Compliance Officer participated in a UT System Institutional Compliance Advisory Council (“ICAC”) meeting in December 2007 in Dallas and the Peer Review and Assurance Activities Committee. The Compliance Officer and Assistant Compliance Officer attended the February 2008 ICAC videoconference. Provided monthly reports and the first quarterly report for FY 2008 to the U.T. System office. Held a meeting of the Institutional Compliance Committee during the quarter. Completion of the following Action Plan items scheduled for the first two quarters of FY 2008 were delayed until subsequent quarters due to other projects that demanded the attention of the Assistant Compliance Officer: The Committee will obtain final approval and distribute the revised Compliance Manual to appropriate staff. Monitoring plans for the top risks will be reviewed by the compliance officers and completed plans will be presented to the Compliance Committee for review. The Compliance Committee will begin reviewing quarterly reports on monitoring activities for the top risks identified in the Tier One Risk Management process.