Cost Benefit Analysis Financial Information printable pdf download

Cost Benefit Analysis Financial Information

Wisconsin Department of Administration

State Bureau of Procurement

Division of Enterprise Operations

101 East Wilson Street, 6th Fl

DOA-3821b (R 09/2007)

Post Office Box 7867

s. 16.705(2), Wis Stats

Madison, WI 53707-7867

Fax (608) 267-0600

Cost Benefit Analysis Financial Information

Please see line by line instructions at:

To request Cost Benefit Analysis approval, please complete DOA-3821a CBA Project Summary (Word) and DOA-3821b CBA Financial Information (Excel).

Route the documents for approval within your agency as defined by your agency policy. Submit approved documents to the State Bureau of Procurement

at: DOAcba@wisconsin.gov and appropriate Union Representatives.

Only enter information in the areas shaded yellow. Please do not alter formulas in blue cells. If more room is needed for any line number, insert new rows

in the middle of the shaded area so the formulas are still valid. The Cost Benefit Analysis Summary at the end is populated with the totals from each of the

sections below.

Department:

Date:

Agency Tracking Number

Contact:

Phone Number:

Project/Program Title

Part One - State Employee Costs

Line 1. Part A: Identify all permanent state staff needed to carry out the function described in this CBA. SEE INSTRUCTIONS FOR DETAILED GUIDANCE.

Job Classifications from OSER - Permanent

Number of

Total