Explanation:
HITRUST defines sample sizes for manual controls based on the frequency of operation. For controls that operate weekly, the required sample size is 5 items. This ensures that the assessor can evaluate consistency over multiple weeks without excessive burden. For example, if access logs are reviewed weekly, five weeks of logs must be tested. A higher frequency (e.g., daily controls) requires larger samples, such as 25. Conversely, less frequent controls (e.g., monthly or quarterly) may only require 2 or 1 sample. The structured sampling methodology provides consistency across assessments, ensures sufficient evidence for scoring, and prevents under-testing of critical controls.
Reference: HITRUST Scoring Rubric C “Sampling Requirements by Control Frequency”; CCSFP Study
Guide C “Sample Sizes for Manual Controls.”