USDA-Forest ServiceFS-1100-2 (03/2008)

DIRECTIVE PROCESSING REQUEST

(Refer to FSM 1120; FSH 1109.12)

GENERAL INFORMATION ON SUBMISSION

  1. Directive Code: (Submit a separate form for each submission)
Manual Chapter/Section: / FSM 2670
Handbook Code and Chapter/Section:
  1. Originating Staff Unit:
/ RR
  1. Type of Submission:
/ Draft / Final
Amendment / Supplement / Interim Directive / Proposal
Outline / Other (Please specify):

OTHER AFFECTED STAFF

  1. Other Affected Staff: Does this directive affect other staffs?
If yes, identifyany affected staff(s) in block 10 of this form. / Yes / No

PUBLIC NOTICE AND COMMENT

  1. Public Notice and Comment: For any substantive FSM/FSH directive, attach signed determination documenting whether public notice and comment are required (36 CFR 216.5).

5a. Does this directive require public notice and comment? / Yes / No
5b. If yes, has draft Federal Register notice or other notice been submitted for review? / Yes / No

INFORMATION REQUIREMENTS

  1. Information Requirements: Does this directive contain new or modified information requirements? (FSM 1390)
/ Yes / No

DRAFT CLEARANCE BY RECORDS AND INFORMATION SERVICES

6a. Forms and Reports

/

6b. Records Management

/

6c. Other (Please specify)

LABOR RELATIONS AND UNION CLEARANCE

7. Labor Relations/Union Clearance - Does this directive affect working conditions? / Yes / No
7a. Labor Relations Signature / 7b. Date / 7c. Union Signature / 7d. Date

AUTHOR

8a. Directive Author
Nancy Warren / 8b. Signature / 8c. Telephone No.
x5064 / 8d. Room No. / 8e. Date
5/02/2011

DRAFT CLEARANCE BY DIRECTIVES AND REGULATIONS

9a. Directive Analyst

/

9b. Directive Manager(Optional)

FINAL APPROVALS BY OTHER AFFECTED STAFF

10. Concurrence by Other Affected Staff:

Staff

/

Name of Staff Representative

/

Initials

/

Date

RR-TES Plants

/

Andrew Kratz

RR-Wildlife

/

Melanie Woolever

RR-Rangeland Management

/

Bonnie Houghton

FINAL CLEARANCE BY RECORDS AND INFORMATION SERVICES

11a. Forms and Reports

/

11b. Records Management

/

11c. other (Please specify)

STAFF DIRECTOR APPROVAL

12. I have read and concur with the contents of this document.

Staff Director (Original Signature in Blue Ink)
Date (mm/dd/yyyy) / R E Vann
Name of Signatory(Type or Print)
Director Renewable Resources
Title of Signatory(Type or Print)

FINAL CLEARANCEBY DIRECTIVES AND REGULATIONS(ALL ISSUANCES) AND DIRECTIVE MANAGER APPROVAL (OPTIONAL FOR INTERIM DIRECTIVES)

13a. Directive Analyst

/

13b. Directive Manager (Supervisory Review)

14. This directive conforms to directive system policy and standards,and to the principles of effective writing.
Directive Manager (Original Signature in Blue Ink)
Date (mm/dd/yyyy) /
Name of Signatory(Type or Print)
Title of Signatory(Type or Print)

LINE OFFICER APPROVAL

15. This directive conforms to current management principles. Any administrative requirements herein are the minimum necessary and do not impose an unreasonable administrative burden on agency units or the public.

Approving Line Official (Original Signature in Blue Ink)
Date (mm/dd/yyyy) /
Name of Signatory(Type or Print)
Title of Signatory(Type or Print)

RETURN FORM AND DIRECTIVE TO THE DIRECTIVE MANAGER

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