This page is the Accessible Alternative Version (AAV) of Item 4 Addendum Attachment 4 from the California State Board of Education (SBE) Meeting Agenda for May 2014. The scanned Item 4 Addendum Attachment 4 (PDF; 1MB) version is considered to be the official version of the document.
Economic and Fiscal Impact Statement
(REGULATIONS AND ORDERS). User entries from the STD. 399 (REV. 12/2013) Form.
Department Name: California Department of Education
Contact Person: Amy Tang-Paterno
E-mail Address: firstname.lastname@example.org
Telephone Number: 916-322-6630
Descriptive Title From Notice Register Or From 400: California Assessment of Student Performance and Progress (Version dated April 10, 2014)
Notice File Number: Z
Economic Impact Statement
Section A. ESTIMATED PRIVATE SECTOR COST IMPACTS (Include calculations and assumptions in the rulemaking record.)
Section A.1. Check the appropriate box(es) below to indicate whether this regulation:
- Selected option is H: None of the above.
- Option H explanation: The regulations would not impose any additional costs on the private sector.
If any box in Items 1a through g is checked, complete this Economic Impact Statement. If box in Item 1h is checked, complete the Fiscal Impact Statement as appropriate.
Fiscal Impact Statement
Section A. FISCAL EFFECT ON LOCAL GOVERNMENT (Indicate appropriate boxes1 through 6 and attach calculations and assumptions of fiscal impact for the current year and two subsequent Fiscal Years.)
- Selected option is 5: No fiscal impact exists. This regulation does not affect any local entity or program.
Section B. FISCAL EFFECT ON STATE GOVERNMENT (Indicate appropriate boxes 1 through 4 and attach calculations and assumptions of fiscal impact for the current year and two subsequent Fiscal Years.)
- Selected option is 3: No fiscal impact exists. This regulation does not affect any State agency or program.
Section C. FISCAL EFFECT ON FEDERAL FUNDING OF STATE PROGRAMS (Indicate appropriate boxes1 through 4 and attach calculations and assumptions of fiscal impact for the current year and two subsequent Fiscal Years.)
- Selected option is 3: No fiscal impact exists. This regulation does not affect any federally funded State agency or program.
Fiscal Officer Signature: Signed by Amy Tang-Paterno dated April 21, 2014
The signature attests that the agency has completed the STD. 399 according to the instructions in the State Administrative Manual (SAM) sections 6601-6616, and understands the impacts of the proposed rulemaking. State boards, offices, or department not under an Agency Secretary must have the form signed by the highest ranking official in the organization.
Agency Secretary: Signed by Jeannie Oropeza dated April 28, 2014
Finance approval and signature is required when SAM sections 6601-6616 require completion of Fiscal Impact Statement in the STD. 399.
Department of Finance Program Budget Manager: No signature.