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For you and your family
Standard mileage and other information

Forms and Instructions

Individual Tax Return
Request for Taxpayer Identification Number (TIN) and Certification
Single and Joint Filers With No Dependents
Employee's Withholding Allowance Certificate

 

Request for Transcript of Tax Returns
Employer's Quarterly Federal Tax Return
Installment Agreement Request
Wage and Tax Statement

Popular For Tax Pros

Amend/Fix Return
Apply for Power of Attorney
Apply for an ITIN
Rules Governing Practice before IRS

Safeguards Technical Assistance Memorandum Sample Self-Attestation

The sample provided is intended to provide an example of the content that would be captured in an attestation or authorization document for the results of a security assessment. The names, documents, and timeframes referenced in the sample text below would be tailored by the agency to their policy and needs (e.g., replacing the bracketed, blue text). The basic elements of this type of attestation or authorization include:

  • Providing written statement of risk acceptance
  • Providing terms and conditions of the attestation or authorization to include required actions for mitigation
  • Providing a date for termination of the attestation or authorization at which point a new attestation/authorization would need to be issued

An explanation of these key elements is provided to the agency in the bracketed text [example] to guide the completion of the self attestation/authorization.


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