Information Technology (IT) Addendum
Complete one IT Addendum for each decision package. See Section 12.3 of the 2011-13 Operating Budget Instructionsfor more guidance. This form is located at
I. Complete questions 1 through 9 for every IT-related Decision Package:
- Provide a brief description of the Information Technology (IT) ) components of this decision package (e.g., the project or commodity investment):
2.Is the project or commodity investment in the agency’s ITPortfolio: Yes No
3.What is the oversight level for this project or commodity investment? Attach a copy of the completed severity risk matrix(Appendix A - Severity & Risk Level Criteria and Oversight). Severity and risk level assessments should be completed with your DISSenior Technology Management Consultant.
4.What common services will be utilized for this project or commodity investment?
A list of common services is available at
5.Is a 904 consultation e-mailconfirmation for this project or commodity investment attached to the decision package? Yes No (This is required.)
6.Breakdown of Implementation Costs/FTEs of the IT Project or Commodity Investment: Note: Do not include any on-going maintenance costs, since they will be asked for in Question # 7 below.Please provide this information using the InfoPath form at: instructions for completing this form can be found at Appendix A-3 of the Budget Instructions. If you need access, please email a request to ,with the Subject:Request for IT Addendum SharePoint Site Access.
7.Breakdown of Ongoing Maintenance and Support Costs for the Project or Commodity Investment: Provide the IT costs and IT FTE breakdown for ongoingmaintenance and support of this project or commodity investment in the table (below). These costs should not duplicate implementation costs provided in Question # 6 (above).
Cost Breakdown (maintenance)Year 1
FYxx / Year 2
FYxx / Year 3
FYxx / Year 4
FYxx / Year 5
FYxx / Totals
IT FTEs–(For each job type, list the number of staff and the total salary and benefits)
Examples:
- WMS Band 2
- ITAS6
- ITAS4
- Other (specify)
Purchased Services Contracts
Personal Services Contracts
Hardware Purchase or Upgrades
Hardware Maintenance
Software License Purchase or Upgrades
Software Maintenance
Hardware Lease or Finance (including servers)
Maintenance & Operations (including DIS)
Training
Travel
Other (specify)
Annual Total
8.Was a quote provided to you for this project or commodity investment?Yes No
If yes, who provided the quote and when? Please attach a copy of the quote.
9.Is this investment an e-commerce investment?Yes No
If yes, a copy of the approved Economic Feasibility Study must be attached to the decision package.
II. Continue completing questions 10 through 14 if the IT request pertains to a project (versus a commodity investment):
10.Is this a new project or a continuation of an existing project?
New Continuation
11.Describe how the Project Manager and Quality Assurance will be acquired (i.e., existing state employees , hire new staff, or contract with vendor):
12.Describe your project management approach.
13.Provide the estimated project duration and estimated start date.
14.Where will the system be hosted?