For security, I recommend following Madaidan's Insecurities Linux hardening guide, it has good explanations of most of the same sysctl options and kernel flags. [1]
The only option that may be best left disabled is `init_on_free=0` since this is one of the few options that has a measurable performance impact (besides the normal spectre/meltdown related options).
For NTP, systemd-timesyncd works fine and is probably the default for any modern distro.
Desktop security is still a nightmare, if you use a Wayland based desktop environment and Pipewire for audio/video streams then maybe in 10 years you'll a secure clipboard and no unauthorized keyloggers.
[1] https://madaidans-insecurities.github.io/guides/linux-harden...