Project Name Project ID (Supplied by PRC) Agency Submission Date Requestor Name Requestor Contact Info Project Sponsor Project Description Please describe the main details of this project Business Need/Opportunity Briefly describe the this a mandated change? customer’s needs that would be met. Is Dates Funding Source/Cost Privacy Expected Start Date: Federal Funding Not Applicable IT Investment Funds Public Data Agency Operating Funds Personally Identifiable Data (Name, DOB, ID) Capital Funds Desired End Date/Deadline: Health Data (HIPAA) Other: Federal Tax Information (FTI) Financial Data (Credit Cards, etc.) Social Security Administration (SSA) Agency Priority IT Support Required Type Critical Implementation Upgrade to System High Project Management Replacement System Standard Ongoing Maintenance Brand New System Low Review Only Enterprise Deployment Other: Project Costs
Project Name Project ID (Supplied by PRC) Agency Submission Date Requestor Name Requestor Contact Info Project Sponsor Project Description Please describe the main details of this project Business Need/Opportunity Briefly describe the customer’s needs that would be met. Is this a mandated change? Dates Funding Source/Cost Privacy Expected Start Date: Desired End Date/Deadline: Federal Funding IT Investment Funds Agency Operating Funds Capital Funds Other: Not Applicable Public Data Personally Identifiable Data (Name, DOB, ID) Health Data (HIPAA) Federal Tax Information (FTI) Financial Data (Credit Cards, etc.) Social Security Administration (SSA) Agency Priority IT Support Required Type Critical High Standard Low Implementation Project Management Ongoing Maintenance Review Only Upgrade to System Replacement System Brand New System Enterprise Deployment Other: Project Costs