EP 1110-1-24
15 Dec 00
Date:
______________________
Completed by: ______________________
NAME OF AGENCY:
ORIGIN OF INSTITUTION:
BASIS OF AUTHORITY:
What are the limits of the agency's authority?
How much control is exercised by the agency?
Does the agency have enforcement authority?
SUNSET PROVISIONS:
GEOGRAPHIC JURISDICTION:
MISSION OF THE AGENCY:
Public Safety Function:
Land Use Control Function:
FINANCIAL CAPABILITY:
DESIRE TO PARTICIPATE IN INSTITUTIONAL CONTROL PROGRAM:
CONSTRAINTS TO INSTITUTIONAL EFFECTIVENESS:
Sources of Information:__________________________________________________
F-1