1. Identify existing organization and next higher reporting unit. Specific organizational level of each (headquarters, first level field office, second level field office).
2. Nature of organizational change: establishment, abolishment, consolidation, relocation, other (specify).
3. Organization title, mailing address and shipping address for both existing and proposed organization. Include organization code for existing organization.
4. Basic justification: factors necessitating change, rationale for selecting proposed structure and site.
5. Cost of effecting organization change: relocation costs, operational costs (salaries, utilities, transportation, travel, etc.) for existing and proposed structure.
6. Impact on budget and/or effect on pending budget requests.
7. Effect on program management and operation including both efficiency and effectiveness and quality of goods and services provided to customers.
8. Personnel requirements (position management, personnel, and labor-management relations).
A. Indicate compliance with 370 DM 312, Position Management, or justify noncompliance. To comply with 370 DM 312, the following position management issues must be addressed:
(1) Cost effectiveness of work structures (number and type of positions needed)
(2) Fragmentation of the organization and distribution of complex work over too many positions.
(3) Establishment of excessive levels in the chain of command.
(4) Justification for establishment of any new positions.
(5) Supervisor/employee ratio.
(6) Identify new positions at the SES or GS-14/15 levels and
compare increase or decrease with previous organization.
B. Explain effects of reorganization on employees in terms of accretion of duties; increased or decreased career potential; changes in reporting relationships; gain or loss of positions; grade level changes, where changes might be construed as adversely affecting employees specific actions such as reductions-in-force reassignments, grade and pay retention should be explained.
C. Indicate compliance with 370 DM 711, 4.1C, National Consultation Rights.
9. Compliance with Federal policy. Deviations from cited policies must be justified and necessary waivers received from GSA and/or OMB prior to approval.
A. Regional boundaries as set forth in OMB Circular A-105.
B. FPMR 101-17 and 101-20, Temporary Regulation D76, and 425 DM 1 require certain steps to be taken in planning changes to field organizations and locations, including coordination with GSA regarding space needs.
C. Public Law 92-419 (STAT. 674; 42 U.S.C. 3122b) requires that first priority be given to the location of new offices in rural areas. Rural area is defined as an area outside the outer boundary of any city having a population of 50,000 or more, and any adjacent areas with a population density of more than 100 persons per square mile. All other areas are classified as urban areas.
10. Logistical information. (Only if not accompanied by separate request for organization code.)
A. Region, State, congressional district, and acreage.
B. States (two characters, up to five States) and congressional districts (four characters, up to five districts) covered.
C. Telephone number, Fax number, Email number.
11. Name, telephone number and address of person to contact for
questions concerning this request.