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    Appendix B: Forms

    Table of Contents

    APPENDIX

    APPENDIX A: GLOSSARY

    APPENDIX B: FORMS

    PM - 01 Project Statement

    PM - 02 - 0 Project Management Plan: Project Approval

    PM - 02 - 1 Project Management Plan: Project Summary

    PM - 02 - 2 Project Management Plan: Project Charter

    PM - 02 - 3 Project Management Plan: Project Tradeoff Matr! " Statu# Summary

    PM - 02 - $ Project Management Plan: Actvty %#t &'or( )rea(do*n Structure+

    PM - 02 - , Project Management Plan: 'or( Product dentfcaton

    PM - 02 - . Project Management Plan: /#tmated Co#t At Completon

    PM - 02 -10 Project Management Plan: Project eurement#

    PM - 02 11

    PM - 02 - 11a

    Project Management Plan: #( Management 'or(#heet

    #( dentfcaton SummaryPM - 02 - 12 Project Management Plan: Confguraton Management Plan

    PM - 02 - 13 Project Management Plan: ualty Plan

    PM - 02 - 14 Project Management Plan: Top 5ve ##ue#

    PM - 02 - 1$ Project Management Plan: ##ue Statu#

    PM - 03 Project /#tmate Summary 'or(#heet

    PM - 04 Ta#( Analy## 5orm

    PM - 0, Project Start-6p Chec( %#t

    PM - 07 Statu# eport

    PM - 0. Actvty Trac(ng Ta8le

    PM - 09 Change Management

    PM - 10 ##ue e#oluton 5orm

    PM - 11 P/ Template

    PM - 12 T Project ec#on %#t

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    Appendix B: Forms

    Table of Contents

    Number Name

    PM - 01 Project Statement

    PM - 02 - 0 Project Management Plan: Project Approval

    PM - 02 - 1 Project Management Plan: Project Summary

    PM - 02 - 2 Project Management Plan: Project Charter

    PM - 02 - 3 Project Management Plan: Project Tradeoff Matr! " Statu# Summary

    PM - 02 - $ Project Management Plan: Actvty %#t &'or( )rea(do*n Structure+

    PM - 02 - , Project Management Plan: 'or( Product dentfcaton

    PM - 02 - . Project Management Plan: /#tmated Co#t At Completon

    PM - 02 -10 Project Management Plan: Project eurement#

    PM - 02 11

    PM - 02 - 11a

    Project Management Plan: #( Management 'or(#heet

    #( dentfcaton Summary

    PM - 02 - 12 Project Management Plan: Confguraton Management Plan

    PM - 02 - 13 Project Management Plan: ualty Plan

    PM - 02 - 14 Project Management Plan: Top 5ve ##ue#

    PM - 02 - 1$ Project Management Plan: ##ue Statu#

    PM - 03 Project /#tmate Summary 'or(#heet

    PM - 04 Ta#( Analy## 5orm

    PM - 0, Project Start-6p Chec( %#t

    PM - 07 Statu# eport

    PM - 0. Actvty Trac(ng Ta8le

    PM - 09 Change Management

    PM - 10 ##ue e#oluton 5orm

    PM - 11 P/ Template

    PM - 12 T Project ec#on %#t

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    1 of 7

    Project Statement

    A. General Information

    Information to be proided in t!is section is "eneral in nat#re and $#ic%l& proides t!e necessar&

    information pertainin" to t!e or"ani'ation of t!e project and project participants(

    Proe!t Name: Date:

    State or"ani#ation: Submitte$ B%:

    Please ans)er t!e follo)in" $#estions b& mar%in" *+es, or *No, and proidin" a brief response as appropriate Ye& No

    # th# an updated Project Statement; # #o< rea#on for update:

    # concept development effort funded; f ye#< ho* much=======================================

    # th# a follo*-on to a prevou# project; f >ye#

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    2 of 7

    Project Statement

    B. Proe!t '(arter:

    Bu&ine&& Problem.

    Provde a 8ref conc#e de#crpton of the 8u#ne## pro8lem;

    Statement of )or* +Goal,.

    The #tatement #hould 8e #hort< prec#e and clear;

    State Or"ani#ation: 5elease 6(3 ITEC P1078

    Copyrght 1999-200. State of Ban#a#

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    Project Statement

    Proe!t Obe!ti-e&:

    Provde a 8ref< l#t of *hat the project # to accompl#h; The project o8jectve# are a detaled ver#on of

    the #tatement of *or(; Ta(en *th the #tatement of *or(< the o8jectve# defne the 8oundare# cope+ of

    the project; The o8jectve #tatement can al#o 8e #een a# a decompo#ton of the #tatement of *or( nto a#et of nece##ary and #uffcent o8jectve #tatement;

    =8jectve# may nclude 8oth #hort and long-term o8jectve#;

    State Or"ani#ation: 5elease 6(3 ITEC P1078

    Copyrght 1999-200. State of Ban#a#

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    Project Statement

    '. Su!!e&& Fa!tor&:

    %#t factor# that *ll 8e u#ed to determne the #ucce## of the project; Th# part of the project #tatement #houldan#*er the ue#ton< >?o* do *e (no* t the project *a# #ucce##ful@ t # e##ental that the crtera 8e

    uantfa8le and mea#ura8le; Short-term #ucce## factor# are u#ed to determne f a project # complete;

    S!ort Term

    9on" Term

    State Or"ani#ation: 5elease 6(3 ITEC P1078

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    $ of 7

    Project Statement

    D. Strate"i! an$ Ba!*"roun$ Information:

    Plea#e an#*er the follo*ng ue#ton# 8y mar(ng >Be# or >o;Ye& No

    # the project con##tent *th the #tate organaton )u#ne## PlanD; f not< *hy not;

    # the project dentfed n the #tate organaton T #trategc plan; f not< *hy not;

    Bu&ine&& Area or I Area Im/a!te$.Chec( all approprate functon#.

    Project Management Plannng ocument Trac(ng Program-#pecfc ataManagement #y#tem

    Euman e#ource# Procurement 'or(flo* Management Eelp e#(

    5nancal Fear 2000 e#( Top Productvty

    Ot(er Bu&ine&& Fun!tion&:

    %/e& of e!(nolo"%.dentfy technology area# that mght apply to th# project; Chec( all approprate categore#;

    S% ata8a#e eal Tme /!pert Sy#tem %A@Clent ServerArchtecture

    magng 'A@Gnternet e#(top applcaton

    Man 5rame Soluton /lectronc ata nterface CDADD Hther

    Ot(er e!(nolo"% Area&:

    State Or"ani#ation: 5elease 6(3 ITEC P1078

    Copyrght 1999-200. State of Ban#a#

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    Project Statement

    E. Plannin" Bu$"et:

    A #mall amount of hgh-level plannng nformaton #hould 8e provded *th th# project #tatement f any #Da8leeffort of 8u#ne## analy## need# to 8e completed; f not< th# #ecton may 8e omtted;

    Provde a l#t of actvte# to complete the concept and plannng pha#e#; There #hould 8e appro!mately 2 to 10

    ta#(#;

    Actiit&

    Actiit& Description of Da&s Estimated

    Cost

    1ilestone

    T/TA9

    Attach a #chedule for the#e ta#(# f avala8le;

    F. 0i"( Le-el Plan

    6#e the follo*ng ta8le to e#tmate the overall co#t of the propo#ed project after the project plan # approved;

    emem8er that the#e co#t fgure# are to 8e general e#tmate#; The detaled project plan *ll follo* n the

    plannng pha#e;

    Actiit&

    Actiit& Description of Da&s Estimated

    Cost

    1ilestone

    T/TA9

    State Or"ani#ation: 5elease 6(3 ITEC P1078

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    Project Statement

    G. Plannin" Finan!ial an$ S!(e$ule Information:

    /#tmated )udget %o*:

    ?gh:

    /#tmated Start ate:

    &tr; and Br;+

    /#tmated %ength

    &Month#+

    /#tmated Completon ate:

    &tr; and Br;+

    5#cal Bear 1 ollar# 5#cal Bear 2 ollar#

    0. Ot(er relate$ information:

    I. O-erall /(a&e& of 1or* an$ e2/e!te$ timeframe&:

    3. Relate$ a&&um/tion&:

    State Or"ani#ation: 5elease 6(3 ITEC P1078

    Copyrght 1999-200. State of Ban#a# 7 of 7

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    Project 1ana"ement Plan: Project Approal

    ITEC P5/;ECT 1ANA>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>

    Project 1ana"er:

    Approals:

    Project 1ana"er Prime Contractor 1ana"er 0 2if applicable4

    State /r"ani'ation 1ana"ement. ?ser 1ana"ement

    Steerin" Committee C!airman

    /ersi"!t 1ana"er 0 2if applicable4 Project Sponsor

    CIT/ 0 2if applicable4

    The a8ove #gnature# repre#ent agreement *th the attached plan ncludng agreement *th the actvte#< the r#(#< the effort and the co#t of thea##ocated projectD

    Proe!t Name: Start Date:

    State Or"ani#ation: 5elease 6(3 ITEC P1 76 0 7Copyrght 1999-200. State of Ban#a#

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    Project 1ana"ement Plan: Project Approal

    State Or"ani#ation:: Submitte$ b%:

    Prime 'ontra!tor: Date A1ar$e$:

    'urrent Sta"e of

    Proe!t:

    De-elo/ment Life '%!le +De&i"n4 De-elo/ment4 Inte"ration or e&tin" or Im/lementation,

    Proe!t i& OnS!(e$ule:

    Ye&: No:

    Detail&:

    Proe!t i&1it(in Bu$"et:

    Ye&: No:

    'omment&:

    Please ans)er t!e follo)in" $#estions b& mar%in" *+es, or *No, and proide a brief response as appropriate Ye& No

    # th# an updated Project Plan; f #o< rea#on for 6pdate:

    )udget for project 8y f#cal year and # project funded; f #o< for *hat amount+ and perod+:

    )udget Amount: Fear: 5unded;)udget Amount: Fear: 5unded;

    )udget Amount: Fear: 5unded;

    Total )udget:

    State Or"ani#ation: 5elease 6(3 ITEC P1 76 0 7Copyrght 1999-200. State of Ban#a#

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    Project 1ana"ement Plan: Project S#mmar&

    Point& of 'onta!t

    Th# #hould 8e the l#t of ndvdual# that *ll 8e nvolved *th the project durng the e!ecuton pha#eD

    Position Name./r"ani'ation P!one E0mail

    Project 1ana"er

    Senior 1ana"ementSponsor

    Senior Tec!nical Sponsor

    Proc#rement Contact

    C#stomers:

    /t!er Sta%e!olders 2Top

    34:

    Prime 'ontra!tor Information

    'om/an%:

    Position Name P!one E0mail

    Project 1ana"er

    Senior Tec!nical Sponsor

    Contracts Contact

    State Or"ani#ation: 5elease 6(3 ITEC P1 76 0 8Copyrght 1999-200. State of Ban#a# Page 2 of 2

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    Project 1ana"ement Plan: Project C!arterProe!t: Date:

    Bu&ine&& Problem.

    Statement of )or* +Goal,.

    State Or"ani#ation: 5elease 6(3 ITEC P1 76 0 6Copyrght 1999-200. State of Ban#a# Page 1 of 2

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    Project 1ana"ement Plan: Project C!arterProe!t: Date:

    Proe!t Obe!ti-e&:

    Provde a 8ref< conc#e l#t of *hat the project # to accompl#hD

    1D

    2D

    3D

    4D

    $D

    ,D

    Su!!e&& Fa!tor&:

    %#t factor# that *ll 8e u#ed to determne the #ucce## of the projectD

    Short-Term1D2D3D

    %ong-Term1D2D

    3D

    Proe!t De/en$en!ie&5'on&traint&:

    State Or"ani#ation: 5elease 6(3 ITEC P1 76 0 6Copyrght 1999-200. State of Ban#a# Page 2 of 2

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    Project 1ana"ement Plan: Project Tradeoff 1atrix and Stat#s S#mmar&Proe!t: Date:

    Sc!ed#le Scope 5eso#rces

    dentfy vara8le to 8e CH@STA@/< MPHI/< ACC/PT/

    'omment&:

    @.0 Stat#s

    Team Tec! Sc!ed#le Cost Comment

    -GJ -GJ -GJ

    -GJ -GJ -GJ

    -GJ -GJ -GJ

    -GJ -GJ -GJ

    -GJ -GJ -GJ

    #cu##:

    9e"end

    J K Ahead of Schedule

    - K )ehnd Schedule

    G K Hn Schedule

    State Or"ani#ation: 5elease 6(3 ITEC P1 76 0 3Copyrght 1999-200. State of Ban#a#

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    Project 1ana"ement Plan: Actiit& 9ist 2or% Brea%do)n Str#ct#re4Proe!t: Date:

    Provde an actvty l#t &*or( 8rea(do*n #tructure+that de#cr8e# each ta#( reured 8y the project

    A!ti-it% 6 A!ti-it% Name De&!ri/tion Role& Ela/&e$Da%&

    )or*0our&

    Start Date De/en$en!% Mile&tone 27Ref

    State Or"ani#ation: 5elease 6(3 ITEC P1 76 0 Copyrght 1999-200. State of Ban#a#

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    Project 1ana"ement Plan: or% Prod#ct IdentificationProe!t: Date:

    Deli-erable Name Due Date Date Deli-ere$ Point of 'onta!t

    State Or"ani#ation: 5elease 6(3 ITEC P1 76 0 Copyrght 1999-200. State of Ban#a#

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    Project 1ana"ement Plan: Estimated Cost At CompletionProe!t: Date:

    An a##e##ment of the total effort and co#t at completon of the projectD

    Anal%&i& in 0our& Anal%&i& in Dollar&

    )BSNo.

    A!ti-it% De&!ri/tion Bu$"et

    0our&

    A!tual

    0our&

    E&t. to'om/lete

    E&t. 8'om/le

    te

    9arian!e+ ;

    More,

    Bu$"et complete? only afternternal A ha# 8een #ucce##fully

    completed;.D, 'll there 8e a formal proce## for

    #u8mttng< loggng< trac(ng< and reportngof tem# undergong A throughout the#u8mt-te#t-re*or(-re#u8mt-rete#t cycle;

    .D7 'll #tat#tc# related to A 8e collected andpro8lem# ra#ed a# ##ue#;

    .D. 'll the A related nformaton 8e reportedregularly a# part of the Statu# eportngmechan#m#;

    Comments:

    State Or"ani#ation: 5elease 6(3 ITEC P1 0 7

    Copyrght 1999-200. State of Ban#a#

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    Stat#s 5eport

    Project: Date:=================

    Su8mtted 8y: Project Hrganaton Area:

    Project #: Hn Plan Ahead of Plan )ehnd Plan

    eportng Perod: 5rom: ===G===G=== To: ===G===G===

    C#rrent Actiit& Stat#s:The de#crpton of actvty #hould not #pan more than 2E3 lne#; Actvte# #hould 8e ln(ed to the project ta#(# l#t or ')S;

    Si"nificant Accomplis!ments:

    Planned Actiities for next period:

    The de#crpton of each actvty #hould not #pan more than 2E3 lne#; Actvte# #hould 8e ln(ed to ')S and 'P;

    State Or"ani#ation: 5elease 6(3 ITEC P1 0 7

    Copyrght 1999-200. State of Ban#a#

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    Stat#s 5eport

    Financial Stat#s:

    Planned Fer#u# Actual Co#t#:

    Planned Fer#u# Actual Schedule:

    Planned Fer#u# Actual Staffng:

    /TC Projecton &Tme+:/AC Projecton &Co#t+:

    Tec!nical Stat#s.Iss#es:

    1ajor Action Items:

    C#rrent 5is% Stat#s:

    State Or"ani#ation: 5elease 6(3 ITEC P1 0 7

    Copyrght 1999-200. State of Ban#a#

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    Actiit& Trac%in" TableProe!t: Date:

    BS Actiit& Description Depend /)ner Planned Sc!ed#le Act#al Sc!ed#le Tar"et Sc!ed#le

    Start 5n#h urD Start 5n#h urD Start 5n#h urD

    Comment#:All actvte# that are not meetng planned date# need to defne: rea#on< approach to 8rng nto conformance< and mpact;

    State Or"ani#ation: 5elease 6(3 ITEC P1 0 7Copyrght 1999-200. State of Ban#a#

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    C!an"e 1ana"ementProe!t: Date:

    Control N#mber: >>>>>>>>>>>>>>>>>>

    C!an"e Proposal Title:============================== Date Created:===================

    /ri"inator:======================================= /r"ani'ation: ==================

    Proposed C!an"e Description and 5eferences:

    ;#stification:

    Impact of Not Implementin" Proposed C!an"e:

    Alternaties:

    State Or"ani#ation: 5elease 6(3 ITEC P1 0 7J

    Copyrght 1999-200. State of Ban#a#

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    C!an"e 1ana"ementProe!t: Date:

    Initial Impact Anal&sis

    Baselines Affected:

    Confi"#ration Items Affected:=========================================================

    Cost . Sc!ed#le Impact Anal&sis 5e$#iredK No>>> +es>>>

    Anal&sis Prepared b&:=================================

    Impact on Cost:======================================

    Impact on Sc!ed#le:==================================

    Impact on 5eso#rces:=================================

    Final 5eie) 5es#lts:

    5eie) Date:============================

    Classification: ====LI

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    Iss#e 5esol#tion FormProe!t: Date:

    Control N#mber>>>>>>>>>>>>>>>>>>>>>

    Page 1G2

    Project Name:================================ Date:============

    5e$#ester:================================/r"ani'ation:=======================

    Iss#e T&pe 2c!ec% one4

    ===5e$#est for Information ===S&stem Problem ===Proced#ral Problem ===/t!er

    2Specif&4============================================================================

    Description:

    5ecommendation

    Impact 2if not resoled4

    Date 5esol#tion Needed:========================

    Proposed Assi"nee:============================Attac!ments 2if an&4:

    State Or"ani#ation: 5elease 6(3 ITEC P1 0 87

    Copyrght 1999-200. State of Ban#a#

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    Iss#e 5esol#tion FormProe!t: Date:

    Page 2G2

    5eie)er:================================== 5eie) Completion Date:================

    5eie)er Comments:

    Estimate of Additional Effort:

    Cost . Sc!ed#le Impact Anal&sis 5e$#iredK +es>>> No>>>

    5eso#rce 5e$#irements >>>>>>>>>>>>>>>>>>>> or% Da&s or Cost =============================== ===========

    ==================== =============================== =============================== ===========

    5ecommendation 2c!ec% one4

    ===Accept ===Defer ===Need Additional Information ===5eject

    Assi"ned to:=========================== /r"ani'ation:=============================

    Planned Completion Date:========================

    Comments:

    Project 1ana"er Si"nat#re:================================== Date:===================

    Act#al Completion Date:============== Approal Si"nat#re:==============================

    State Or"ani#ation: 5elease 6(3 ITEC P1 0 87

    Copyrght 1999-200. State of Ban#a#

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    8Post Implementation Eal#ation 5eport Template

    The T/C Polcy 2$30 e#ta8l#he# reurement# for a Po#t mplementaton /valuaton eport&P/+D The report # referenced n the Project Management Methodology manual under the>Clo#e Hut? #ectonD The P/ document# the h#tory of a project and provde#

    recommendaton# for other project# of #mlar #e and #copeD The P/ # to 8e completed oneach project *hen cancelled or completedD A copy need# to 8e provded to the approprate8ranch Chef nformaton Technology Hffcer &CTH+ mmedately follo*ng projectcompleton or cancellaton 8ut no longer than #! month#D

    Sample Ta8le of Content#:/!ecutve SummaryProject H8jectve#)u#ne## Area#Project Per#onnel and HrganatonProject E#tory and Tme lne

    #( A##e##ment and Mtgaton Technue#Change Control< ualty and Confguraton Management Technue#Project CommuncatonCu#tomer /!pectaton#Project e#ult#5nancal ata%e##on# %earnedecommendaton# for 5uture Project#

    Sample P/ eport:/!ecutve Summary

    #cu##on of (ey pont# of the project &ma!mum 1 page+Project H8jectve#

    'hat *ere the o8jectve# the project *a# to accompl#h'hat *a# the 8u#ne## pro8lem that needed to 8e #olved

    )u#ne## Area#'ho *ere the project cu#tomer# and a de#crpton of the 8u#ne## area# covered 8y theproject

    Project Per#onnel and HrganatonA l#tng of project per#onnel ncludng ther functonal ttleThe project Hrganatonal Chart

    Project E#tory and TmelneAn overve* of the major actvte# of the project and ho* they *ere accompl#hedNantt Chart #ho*ng a hgh level #ummary of the actvte# and tmelne

    #( A##e##ment and Mtgaton Technue#'hat r#(# occurred and *hat technue# *ere u#ed to mtgate the#e r#(#

    Change Control< ualty and Confguraton Management Technue#'hat technue# *ere u#ed to en#ure change control< ualty and confguratonmanagement and ther effectvene##

    Project Communcaton

    State Or"ani#ation: 5elease 6(3 ITEC P1 0 88

    Copyrght 1999-2010 State of Ban#a#

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    'hat technue# *ere u#ed to en#ure communcaton and ther effectvene##Cu#tomer /!pectaton#

    Eo* *ere cu#tomer e!pectaton# dentfed and met< technue# for handlng them'hat *ere the #ucce## factor# and ho* they *ere met

    Project e#ult#

    Stat#tcalG5nancal ataPlanned ers#s act#al final sc!ed#le data 2Estimated Cost at CompletionITEC P176 4

    Planned ers#s act#al final reso#rce data

    Planned ers#s act#al final project cost 2s!o#ld be bro%en do)n b& internal

    and external cost for Plannin"- Exec#tion and Close0/#t4

    %e##on# %earnedBey fndng# of the %e##on# %earned ncludng recommendaton#

    Project:

    A record of decisions made throughout the project. Information should include: the decision date, a description, meetingproject phase, the project phase(s) affected, the decision maker(s) and clarification comments, if needed.

    De!i&ionDate De&!ri/tion of De!i&ion

    Meetin" in)(i!( De!i&ion

    Ma$e

    'urrentProe!tP(a&e

    Affe!te$Proe!tP(a&e

    De!i&ionMa*er+&,