OFFICE OF ADMINISTRATION
INFORMATION TECHNOLOGY SERVICES DIVISION
ARCHITECTURE REQUEST FOR REVIEW/VARIANCE
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AGENCY INFORMATION
NAME
PHONE
REQUEST DATE
EMAIL ADDRESS
AGENCY
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Agriculture
Conservation
Corrections
Economic Development
DESE
Health & Human Services
Higher Education
DOLIR
DIFP
Mental Health
DNR
OA
Revenue
Transportation
DATE NEEDED
VARIANCE DETAIL INFORMATION
DESCRIPTION
RATIONALE / BUSINESS CASE
BENEFITS / COSTS
ARC RESPONSE INFORMATION
REQUEST NUMBER
RESPONSE DATE
REQUEST TYPE
New Review
Variance Request
ARC DECISION
Approved
Denied
ARCHITECTURE REVIEW / ARC RESPONSE
ARCHITECTURE REQUEST FOR REVIEW/VARIANCE (9-05)