"Designation of Agency Security Administrators for Statewide Systems" - Minnesota

Designation of Agency Security Administrators for Statewide Systems is a legal document that was released by the Minnesota Management and Budget - a government authority operating within Minnesota.

Form Details:

  • Released on November 27, 2019;
  • The latest edition currently provided by the Minnesota Management and Budget;
  • Ready to use and print;
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  • Fill out the form in our online filing application.

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Designation of Agency Security Administrators for Statewide Systems
Instructions
Enter the agency’s full name; do not abbreviate. For each security administrator, enter the requested information. The form should be signed by the
agency head, deputy commissioner, administrative services director or other representative of the overall management of the agency.
:
Agency Name
Agency Code (3 character):
The following employees are designated as agency security administrators for all statewide systems including Financial and Supply Chain Management,
SEMA4 (human resources/payroll), Enterprise Learning Management and Enterprise Performance Management (the SWIFT data warehouse). These
individuals are authorized to approve requests for access to statewide systems and perform security administration responsibilities delegated to the
agency by Minnesota Management & Budget, including locking and unlocking accounts, resetting passwords, altering workflow and modifying system
access by deleting and restoring security roles.
Add
Delete
Name:
Employee ID (8 digit):
Email Address:
Phone (include area code):
List of assigned agencies:
Agency Name(s):
Agency Code(s):
Add
Delete
Name:
Employee ID (8 digit):
Email Address:
Phone (include area code):
List of assigned agencies:
Agency Name(s):
Agency Code(s):
Signature of Approver
Date
Job Title:
Phone (include area code):
Print and sign the completed form. Send
Statewide Systems Security
Fax: 651-797-1301
E-mail:
Sema4.Security@state.mn.us
to:
Minnesota Management & Budget
658 Cedar Street
St. Paul, MN 55155
11/27/2019
Designation of Agency Security Administrators for Statewide Systems
Instructions
Enter the agency’s full name; do not abbreviate. For each security administrator, enter the requested information. The form should be signed by the
agency head, deputy commissioner, administrative services director or other representative of the overall management of the agency.
:
Agency Name
Agency Code (3 character):
The following employees are designated as agency security administrators for all statewide systems including Financial and Supply Chain Management,
SEMA4 (human resources/payroll), Enterprise Learning Management and Enterprise Performance Management (the SWIFT data warehouse). These
individuals are authorized to approve requests for access to statewide systems and perform security administration responsibilities delegated to the
agency by Minnesota Management & Budget, including locking and unlocking accounts, resetting passwords, altering workflow and modifying system
access by deleting and restoring security roles.
Add
Delete
Name:
Employee ID (8 digit):
Email Address:
Phone (include area code):
List of assigned agencies:
Agency Name(s):
Agency Code(s):
Add
Delete
Name:
Employee ID (8 digit):
Email Address:
Phone (include area code):
List of assigned agencies:
Agency Name(s):
Agency Code(s):
Signature of Approver
Date
Job Title:
Phone (include area code):
Print and sign the completed form. Send
Statewide Systems Security
Fax: 651-797-1301
E-mail:
Sema4.Security@state.mn.us
to:
Minnesota Management & Budget
658 Cedar Street
St. Paul, MN 55155
11/27/2019