Fillable Form 2050 - Reconstitution Questionnaire

RECONSTITUTION QUESTIONNAIRE

INSTRUCTIONS: HOMELAND SECURITY PRESIDENTIAL DIRECTIVE 20 / NATIONAL SECURITY PRESIDENTIAL

DIRECTIVE 50 MANDATES THAT CONTINUITY REQUIREMENTS FOR EXECUTIVE DEPARTMENTS AND

AGENCIES SHALL INCLUDE A PROVISION FOR RECONSTITUTION CAPABILITIES THAT ALLOW FOR

RECOVERY FROM A CATASTROPHIC EMERGENCY AND RESUMPTION OF NORMAL OPERATIONS.

ADDITIONALLY, THE U.S. GENERAL SERVICES ADMINISTRATION (GSA) HAS BEEN ASSIGNED THE PRIMARY

MISSION ESSENTIAL FUNCTION OF THE PHYSICIAL RECONSTITUTION OF THE GOVERNMENT.

THIS QUESTIONNAIRE IS DESIGNED TO HELP EXECUTIVE DEPARTMENTS AND AGENCIES THOROUGHLY

IDENTIFY AND DOCUMENT THEIR PHYSICAL RECONSTITUTION NEEDS. THIS FORM WILL HELP GSA

BETTER UNDERSTAND THE NEEDS OF EXECUTIVE DEPARTMENTS AND AGENCIES AND BETTER PLAN FOR

POTENTIAL RECONSTITUTION SCENARIOS, AS WELL AS HELP DEPARTMENTS AND AGENCIES WITH THEIR

INTERNAL RECONSTITUTION PLANNING EFFORTS. THIS FORM SHALL BE COMPLETED IN ADVANCE OF A

RECONSTITUTION EVENT AND SENT TO THE GSA OFFICE OF EMERGENCY RESPONSE AND RECOVERY

FOR PLANNING PURPOSES. DURING AN ACTUAL RECONSTITUTION EVENT, DEPARTMENTS AND

AGENCIES SHALL CONTACT THEIR NORMAL GSA POINT OF CONTACT FOR RECONSTITUTION ASSISTANCE

(I.E. GSA PUBLIC BUILDINGS SERVICE REGIONAL ACCOUNT MANAGER).

IT IS IMPORTANT TO NOTE THAT FOLLOWING A MAJOR RECONSTITUTION EVENT, A DEPARTMENT OR

AGENCY WOULD LIKELY OCCUPY A TEMPORARY REPLACEMENT FACILITY, FOR POTENTIALLY SEVERAL

YEARS, BEFORE A PERMANENT REPLACEMENT FACILITY WOULD BE READY. FURTHERMORE, IT IS LIKELY

THERE MAY BE A LIMITED AMOUNT OF SPACE AVAILABLE AFTER SUCH AN EVENT AND IT MAY BECOME

NECESSARY TO PRIORITIZE THE ORDER IN WHICH DEPARTMENTS AND AGENCIES RECEIVE SPACE.

THEREFORE, WHEN COMPLETING THIS FORM, IT IS IMPORTANT FOR DEPARTMENTS AND AGENCIES TO

IDENTIFY SPACE NEEDS THEY WOULD REALISTICALLY HAVE IMMEDIATELY UPON TRANSITIONING BACK

FROM CONTINUITY OPERATIONS TO NORMAL OPERATIONS (APPROXIMATELY 30 DAYS AFTER AN EVENT).

THE FOLLOWING ASSUMPTIONS APPLY TO THIS QUESTIONNAIRE:

1. ALL RECONSTITUION REQUESTS, UNLESS OTHERWISE NOTED, WILL BE FOR CLASS A OFFICE SPACE.

2. DURING A CONTINUITY EVENT, GSA WILL UTLILIZE THE LATEST VERSION OF THE CONTINUITY

COMMUNICATIONS PLAN TO CONTACT DEPARTMENTS AND AGENCIES REGARDING RECONSTITUTION

NEEDS.

3. NATIONAL COMMUNICATIONS SYSTEM DIRECTIVE 3-10 AND OMB MEMORANDUM M-05-16 APPLY TO THE

COMMUNICATIONS REQUIREMENTS SECTION.

I. POINTS OF CONTACT

RECONSTITUTION BACK-UP POINT OF CONTACT:

RECONSTITUTION POINT OF CONTACT:

NAME:

CELL PHONE NUMBER:

EMAIL:

WHO IS YOUR UNCLASSIFIED IT POINT OF CONTACT?

WHO IS YOUR CLASSIFIED IT POINT OF CONTACT?

WHO IS YOUR SECURITY OFFICE (SECURITY ADMINISTRATION PROGRAMS) POINT OF CONTACT?

II. DEPARTMENT INFORMATION

NAME OF THE AGENCY:

AGENCY BUREAU CODE:

CURRENT LOCATION OF PRIMARY FACILITY (CITY AND STATE):

III. PERSONNEL

NUMBER OF EMPLOYEES THAT WILL WORK AT

DO YOU NEED TRANSPORTATION OF PERSONNEL

NEW SITE?

TO THE RECONSTITUTION SITE?

STANDARD FORM 2050 (7/2011)

Form 2050 - Reconstitution Questionnaire - 2011

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