Louisiana Administrative Code
Title 4 - ADMINISTRATION
Part V - Policy and Procedure Memoranda
Chapter 19 - Changes in Approved Budget-PPM Number 52
Section V-1903 - Form BA-7

Universal Citation: LA Admin Code V-1903
Current through Register Vol. 50, No. 9, September 20, 2024

FORM BA-7

Revised 7/91

STATE OF LOUISIANA

DIVISION OF ADMINISTRATION

OFFICE OF PLANNING AND BUDGET

REQUEST FOR CHANGES IN APPROPRIATION

department name:______________________

date:____________________

agency ba-7 no:___________

agency name:__________________________

schedule number:______________________

head of budget unit:____________________

title:_________________________________

opb log no.

category of means of financing or expenditure

budgeted

19_____19_____

adjustment

(+) / (-)

revised

19_____19_____

means of financing

general fund by:

direct

interagency transfers

fees and self-generated

statutory dedications

interim emergency board

federal

total means of financing

expenditures by program

dollars

positions

dollars

positions

dollars

positions

program name:

program name:

program name:

program name:

program name:

program name:

program name:

program name:

TOTAL

for opb use only

agenda no.

Policy and Procedure Memorandum No. 52, Revised, requires that all Request for Changes in Appropriations be fully documented. At a minimum, the following questions and statements must be answered. Use Continuation Sheets as needed. Failure to answer all questions completely will be cause to return this document without action.

What is the source of funding [If other than General Fund (Direct)]? Specifically identify any grant or public law and the purposes of the funds, if applicable. A copy of any grant application and the notice of approved grant or appropriation must accompany the BA-7. What are the expenditure restrictions of the fund?

What is the financial impact in the current year and the next four fiscal years?

means of financing

current year

year 1

year 2

year 3

year 4

general fund by:

direct

interagency transfers

fees & self- generated

statutory dedications

interim emergency board

federal

total means of financing

What programmatic impact (positive or negative) will occur as a result of the approval of this request?

What strategy will be used in accomplishing your agency's mission and goals?

Will this action require additional personnel? Explain in detail.

AUTHORITY NOTE: Promulgated in accordance with Act 14, 1973, R.S. 39:7.

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