USDA-Forest Service
FS-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:
2. Originating Staff Unit:
RR
Draft
3. Type of Submission:
Amendment
Supplement
Outline
Other (Please specify):
Final
Interim Directive
Proposal
OTHER AFFECTED STAFF
4. Other Affected Staff: Does this directive affect other staffs?
Yes
If yes, identify any affected staff(s) in block 10 of this form.
No
PUBLIC NOTICE AND COMMENT
5. 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
Yes
No
INFORMATION REQUIREMENTS
6. Information Requirements: Does this directive contain new or modified information
requirements? (FSM 1390)
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?
7a. Labor Relations Signature
7b. Date
7c. Union Signature
Yes
No
7d. Date
AUTHOR
8a. Directive Author
8b. Signature
8c. Telephone No.
Nancy Warren
9a. Directive Analyst
8d. Room No.
x5064
8e. Date
5/02/2011
DRAFT CLEARANCE BY DIRECTIVES AND REGULATIONS
9b. Directive Manager (Optional)
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USDA-Forest Service
FS-1100-2 (03/2008)
FINAL APPROVALS BY OTHER AFFECTED STAFF
10. Concurrence by Other Affected Staff:
Staff
Name of Staff Representative
RR-TES Plants
Andrew Kratz
RR-Wildlife
Melanie Woolever
RR-Rangeland Management
Bonnie Houghton
Initials
Date
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)
R E Vann
Name of Signatory (Type or Print)
Date (mm/dd/yyyy)
Director Renewable Resources
Title of Signatory (Type or Print)
FINAL CLEARANCE BY 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)
Name of Signatory (Type or Print)
Date (mm/dd/yyyy)
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)
Name of Signatory (Type or Print)
Date (mm/dd/yyyy)
Title of Signatory (Type or Print)
RETURN FORM AND DIRECTIVE TO THE DIRECTIVE MANAGER
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