Agency:

Part/Title:

(

Ill Adm Code

)

Illinois Register Citation:

Please attempt to provide as dollar-specific responses as possible and feel free to add any relevant narrative explanation.

1.

Anticipated effect on State expenditures and revenues.

(a)

Current cost to the agency for this program/activity.

$

(b)

If this rulemaking will result in an increase or decrease in cost, specify the fiscal year in which this change will first occur and the dollar amount of the effect.

FY

$

(c)

Indicate the funding source, including Fund and appropriation lines, for this

program/activity.

(d)

If an increase or decrease in the costs of another State agency is anticipated, specify the fiscal year in which this change will first occur and the estimated dollar amount

of the effect.

FY

$

Agency

(e)

Will this rulemaking have any effect on State revenues or expenditures not already indicated above? Specify effects and amounts.

2.

Economic effect on persons affected by the rulemaking.

(a)

Indicate the economic effect and specify the persons affected:

Positive

Negative

No effect

Persons affected

Dollar amount per person

Total Statewide cost

(b)

If an economic effect is predicted, please briefly describe how the effect will occur. (Example Additional continuing education courses will require an expenditure of approximately $100 per year for course fees by 10,000 licensed professionals.)

(c)

Will the rulemaking have an indirect effect that may result in increased administrative costs? Will there be any change in requirements such as filing, documentation reporting or completion of forms?  Compare to current requirements.