This Issue Management form is built in MS Word. It contains the following sections:

A. General Information – Basic information that identifies the project.
Project Title – The proper name used to identify this project.
Project Working Title – The working name or acronym used to identify the project. If an acronym is used, define the specific meaning of each letter.
Proponent Secretary – The Secretary to whom the proponent agency is assigned or the Secretary that is sponsoring an enterprise project.
Proponent Agency – The agency that will be responsible for the management of the project.
Prepared by - The person(s) preparing this document.
Date and Issue Number – The Date the document is initiated and the Issue Number from the Issue Log that the document is referencing

B. Issue Background - The initiator will identify the issue and provide relevant background information.
1. Issue Type - Identify the type of issue by marking the appropriate box and providing additional clarification as necessary. The initiator will also enter the date when the issue was identified and the date when a resolution of the issue is required, recommend the best person or organization to resolve the issue, and identify attachments (if any).
2. Issued Description - Specifically describe the issue.
3. Potential Impact - Describe the potential impact that the issue will have on the project product or service if it is not resolved.

C. Issue Assignment - In this section, the project manager assigns the issue as an action item.
Date Issue Identified - Record the date that the issue was identified
Date Resolution Required – Record the date when the issue must be resolved
Action Assigned To - Record the who is assigned issue as an action
Project Manager Signature – Project Managers authenticate the assignment with their signature

D. Issue Resolution Alternatives and Recommendations - The person assigned action on the issue will complete this section.
1. Issue Resolution Alternatives - Provide a written description of alternatives identified that could potentially resolve the issue.
2. Recommendation - Provide a recommendation for resolving the issue and a rational for the recommendation. The recommendation may initiate a change management action or it may suggest other actions to resolve the issue outside of changes to the project plan or configuration items.
3. Estimate of Additional Effort - Provide an estimate of additional resources required to resolve the issue.
4. Signature of Person Making Recommendation – Authenticate recommendation by signing the document.

E. Management Action - The project manager or appropriate management team must review each issue and make a decision on what action should be taken. Check the appropriate box and provide written guidance as appropriate.

F. Approval Signature(s) - The person(s) making the decision(s) on the recommendation(s) expressed in Section D. will sign the issue management document. The signatures authenticate the decision, which is outlined in the Management Action, Section E.

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