Instructions for "Supplemental Appropriation Request Form" - Arkansas

This document was released by Arkansas Department of Finance & Administration and contains official instructions for Supplemental Appropriation Request Form. The up-to-date fillable form is available for download through this link.

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Download Instructions for "Supplemental Appropriation Request Form" - Arkansas

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Supplemental Appropriation Request Form
Instructions
1)
Agency - Enter the name of the agency requesting Supplemental Appropriation.
2)
Program Title - Enter the name of the program.
Appropriation only - Enter an “X” in yes or no.
3)
Funding Information:
4)
General Revenue Funding Amount Requested - Enter the specific
amount of supplemental General Revenue funding the agency is
requesting.
Enter an “X” in “None” if the agency is not requesting
supplemental General Revenue funding.
Other Funding Amount Requested - Enter the specific amount of
other supplemental funding the agency is requesting. Enter an “X” in
“None” if the agency is not requesting other supplemental funding.
Source of Other Funding - Enter a description of the source of
funding if an amount was requested in “Other Funding Amount
Requested”.
5)
Accounting Information:
Business Area Code – Enter the four-digit code of the agency.
Funds Center Code – Enter the existing appropriation code. If the
request is for a new appropriation, leave blank.
Fund Code - Enter the seven-digit fund code. If a new fund must be
established, leave blank.
Functional Area Code – Enter the functional area of the agency.
Appropriation Request:
6)
Budgeted FY15 – Enter the agency’s total FY15 Annual Operations
Plan by line item for the appropriation in which the supplemental is
being requested. If the appropriation requested is new or for funding
only, leave the budgeted column blank.
Supplemental Request FY15 – Enter the requested supplemental
appropriation amount by line item. If “other” is requested enter a short
description.
If the request is for funding only, leave supplemental
request column blank.
Executive Recommendation – Leave blank.
This amount will be
entered by DFA-Office of Budget after Executive Review.
DFA IGS State Technology Planning Approval – IGS’s signature will be
7)
obtained, by DFA-Office of Budget, to signify the review and approval of any
action requested by applicable state agencies for the purpose of information
technology related items in accordance with applicable Technology Plans
previously submitted to IGS by the requesting agency(s). Constitutional Offices,
Institutions of Higher Education and Legislative/Judicial agencies are exempt from
this process.
8)
Supplemental Personnel Positions Requested – Enter information only if
new positions are to be established.
Position Title – For each position being established, enter the existing
Position Title as authorized in A.C.A. §21-5-208.
Class Code - For each position being established, enter the Class Code
corresponding to the Position Title as authorized in A.C.A. §21-5-208.
Grade - For each position being established, enter the Grade
corresponding to the Position Title and Class Code as authorized in A.C.A.
§21-5-208.
Line Item Maximum – For each unclassified position being established
enter a line item maximum salary rate set out in dollars.
# of Positions Requested – Enter the number of positions needed for
each position title.
Supplemental Appropriation Request Form
Instructions
1)
Agency - Enter the name of the agency requesting Supplemental Appropriation.
2)
Program Title - Enter the name of the program.
Appropriation only - Enter an “X” in yes or no.
3)
Funding Information:
4)
General Revenue Funding Amount Requested - Enter the specific
amount of supplemental General Revenue funding the agency is
requesting.
Enter an “X” in “None” if the agency is not requesting
supplemental General Revenue funding.
Other Funding Amount Requested - Enter the specific amount of
other supplemental funding the agency is requesting. Enter an “X” in
“None” if the agency is not requesting other supplemental funding.
Source of Other Funding - Enter a description of the source of
funding if an amount was requested in “Other Funding Amount
Requested”.
5)
Accounting Information:
Business Area Code – Enter the four-digit code of the agency.
Funds Center Code – Enter the existing appropriation code. If the
request is for a new appropriation, leave blank.
Fund Code - Enter the seven-digit fund code. If a new fund must be
established, leave blank.
Functional Area Code – Enter the functional area of the agency.
Appropriation Request:
6)
Budgeted FY15 – Enter the agency’s total FY15 Annual Operations
Plan by line item for the appropriation in which the supplemental is
being requested. If the appropriation requested is new or for funding
only, leave the budgeted column blank.
Supplemental Request FY15 – Enter the requested supplemental
appropriation amount by line item. If “other” is requested enter a short
description.
If the request is for funding only, leave supplemental
request column blank.
Executive Recommendation – Leave blank.
This amount will be
entered by DFA-Office of Budget after Executive Review.
DFA IGS State Technology Planning Approval – IGS’s signature will be
7)
obtained, by DFA-Office of Budget, to signify the review and approval of any
action requested by applicable state agencies for the purpose of information
technology related items in accordance with applicable Technology Plans
previously submitted to IGS by the requesting agency(s). Constitutional Offices,
Institutions of Higher Education and Legislative/Judicial agencies are exempt from
this process.
8)
Supplemental Personnel Positions Requested – Enter information only if
new positions are to be established.
Position Title – For each position being established, enter the existing
Position Title as authorized in A.C.A. §21-5-208.
Class Code - For each position being established, enter the Class Code
corresponding to the Position Title as authorized in A.C.A. §21-5-208.
Grade - For each position being established, enter the Grade
corresponding to the Position Title and Class Code as authorized in A.C.A.
§21-5-208.
Line Item Maximum – For each unclassified position being established
enter a line item maximum salary rate set out in dollars.
# of Positions Requested – Enter the number of positions needed for
each position title.
Current Authorization(s) – Enter the section and the act number of the
9)
authorizing act(s) which references the appropriation for which the supplemental
is being requested.
10) Summary of Request and Statement of Need – Enter a thorough description
of the need for the supplemental appropriation request and/or funding.
If
Information Technology (IT) related items are included in the request, the agency
must include the location (major agency application, support or project) and
location number in the agency’s IT Plan referencing the requested item (example
major application #2).
11) Impact if Not Approved – Enter a statement that reflects the impact on the
agency if the request is not approved.
12) Alternatives – Enter a statement giving alternative actions the agency can in lieu
of the request.
13) Executive Recommendation - Leave blank. This statement will be entered by
DFA-Office of Budget after Executive Review.
SUPPLEMENTAL APPROPRIATION REQUEST FORM
Agency:
1
Program Title:
2
3
Appropriation only:
Yes
No
4
General Revenue Funding Amount Requested:
$
-
None:
Other Funding Amount Requested:
$
-
None:
Source of Other Funding:
5
Accounting Information:
Business Area:
Funds Center:
Fund:
Functional Area:
Budgeted
Supplemental
Executive
FY15
Request FY15
Recommendation
Regular Salaries
Number of Positions
Extra Help
Number of Positions
6
Personal Services Matching
Operating Expenses
Conference & Travel Expenses
Professional Fees
Capital Outlay
Data Processing
Other:
Other:
Total
$0
$0
$0
7
Items requested for information technology must be in
compliance with Technology Plans as submitted to IGS.
IGS Approval (if applicable)
Date
Supplemental Personnel Positions Requested:
Line Item
# of Positions
Position Title
Class Code
Grade
Maximum
Requested
8
Total Positions Requested
-
Current Authorization(s):
Section
Act
9
Summary of Request and Statement of Need:
(If IT related reference the location/number in the agency's IT Plan)
10
Impact if Not Approved:
11
Alternatives:
12
Executive Recommendation:
13
Revised 10/01/2014
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