Description of Incident:
| 3. Scope of Incident (Check all that apply) |
| ☐ Critical (e.g. KSU is no longer able to provide some critical services to any user).☐ High (e.g. KSU has lost the ability to provide critical service to a subset of system users).☐ Medium (e.g. KSU can still provide critical services to all users and has lost no efficiency).☐ Low (e.g. No effect to the organization's ability to provide services to all users. Individual impact)☐ Unknown (Provide description below) |
| Estimated number of systems impacted: | |
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| Estimated number of users impacted: | |
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| Impact on Third Parties? If so list. | |
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| Additional scope information: |
4. Impact Categories (Check all that apply)
☐ Loss of Access to Services☐ Loss of Productivity☐ Loss of Reputation or Integrity☐ Loss of Revenue ☐ Propagation to other networks☐ Unauthorized disclosure of data/information☐ Unauthorized modification of data/information☐ Other or Unknown (Provide description below)
Estimated total Cost:
Additional Impact Information:
5. Affected Data (Check all that apply)
5. Affected Data (Check all that apply)
☐ Restricted or Confidential data/information☐ Public data/information☐ Financial data/information☐ FERPA related data/information ☐ Personally Identifiable Information (PII)☐ Intellectual Property/Copyrighted data/information☐ Critical Infrastructure☐ Other or Unknown (Provide description below)
Quantity of Data/Information impacted:
Additional Affected Data/Information: