Department Forms Inventory Report Instructions - State Of California

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DEPARTMENT FORMS INVENTORY REPORT INSTRUCTIONS
FORMS INVENTORY REPORT (DGS-FMC 95)
Department:
Your agency/department. (You may enter just once).
Report all divisions/offices/boards that report to your agency.
Form
Form number (Split into 3 parts for proper sorting)
Number:
Example: DGS-FMC 95A (Prefix=”DGS-FMC” | Number=”95” | Suffix=”A”)
Name:
Title of Form (The title should short and descriptive: tells what the form is/does)
Rev. Date:
Latest revision date.
Category:
Choose from the predetermined categories using drop-down menu.
This will help users find your form and aid FMC in analysis of Statewide Inventory.
URL:
Provide URL (if not posted online FMC will request only if needed).
Retain the same URL or inform FMC of changes to avoid breaking links.
Date Form Usage Certification (DGS-FMC 95A) signed: Your Agency Head must certify
Date
the forms listed on the report meet requirements for continued use. This report must be
Certified:
updated and submitted on a triennial basis. The date tracks when re-certification is due.
Date
If applicable: Upon review, a form shall be eliminated unless the agency head certifies
Eliminated:
that each reporting criteria continues to be met. If form is no longer necessary, enter
date it was eliminated (do not delete previous entry).
FORM USAGE CERTIFICATION (DGS-FMC 95A)
The Form Usage Certification (DGS-FMC 95A) will accompany the Forms Inventory Report.
It must be signed by your agency head certifying that each form listed in the inventory:
Contains the 5 basic identifying design elements:
1. Identify “State of California”
2. Department Name
3. Title/Name
4. Control Number
5. Revision Date
Meets Government Code Requirements:
• The continued reporting requirement is necessary for the agency to meet specifically
identified statutory responsibilities.
• The agency has authority to require the report.
• The report is not duplicatory of, or in conflict with, other reports required of business by the
agency or other agencies of state government.
• The information cannot be obtained in a more cost-effective manner.
• The agency actually reviewed, and is actively using, the information obtained in the previous
reports required of business.

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