In the example below, the number of employees affected is 3. The number of constituents affected is listed as 2,000,000. (The approximate number of citizens in the State of Nevada.) This service is assumed to be available to all Nevadans. The Organizations affected is 10. (The 9 regional boards for service coordination plus Agency X.)

Nr of Employees Affected

3

Constituents

2,000,000

Organizations

10

Describe Groups Affected

Describe Service Impact

Employees of Agency X, Constituents of Agency X who have the need to file a complaint against Agency X. All three contractors working for Agency X. Nine regional boards for service coordination.

Constituents with possible complaints against Agency X would have no neutral party available for review and mediation of the complaint. The Employees and contractors would have no way to receive new issues and no way to follow-up on existing issues. Existing issues may fall through the cracks. If this function was not available, the nine regional boards for service coordination could not coordinate and act on complaints coming in to the Office of the Ombudsman.

What is the daily financial impact if this business function cannot be performed?    (Mark only one.)

Less than $100,000

$1 Million - $2.4 Million

$10 Million - $19.9 Million

$100,000 - $499,999

$2.5 Million - $4.9 Million

$500,000 - $999,999

$5 Million - $9.9 Million

$20 Million or more

 

Data Element

Description

Nr of Employees Affected

Nr of Constituents Affected

The number of agency employees directly affected if the business function cannot be performed.
NOTE: This data element in the CBTAP Web Survey accepts only numbers - not alphabetic characters.

The number of constituents (customers) directly affected if the business function cannot be performed.
NOTE: This data element in the CBTAP Web Survey accepts only numbers - not alphabetic characters.

Nr of Organizations Affected

The number of organizations (customers and business partners) directly affected if the business function cannot be performed. Business partners may include: other state agencies, local governments, federal agencies, consortiums, in-state or out of state businesses and other private organizations.
NOTE: This data element in the CBTAP Web Survey accepts only numbers - not alphabetic characters.

Groups Affected

Service Impact

Financial Impact

Description of the types of groups directly affected, such as health care facilities, restaurants, senior citizens, etc.
NOTE: The text box will become a scrolling box if more information is entered than can be displayed.

Description of significant adverse impact(s) to services provided by the agency if the function cannot be performed.
NOTE: The text box will become a scrolling box if more information is entered than can be displayed.

Defined level of adverse financial impact or cost to the agency each day the business function cannot be performed.