FISCAL NOTE FOR PROPOSED RULES

Type of Rule:	Legislative	Interpretive	Procedural

Agency:	West Virginia Department of Education

Address:	Author, Title

1900 Kanawha Boulevard, East, Building 6 Room #

Charleston, WV 25305

Phone Number: 304-558-####	Email: name@k12.wv.us

Fiscal Note Summary

Summarize in a clear and concise manner what impact this measure will have on costs and revenues of state government.

No costs of revenue will be impacted by the proposed amendment of W. Va. 126CSR##, Policy ####, Policy Title.

Fiscal Note Detail

Show over-all effect in Item 1 and 2, and in Item 3, give an explanation of breakdown by fiscal year, including long-range effect.

Fiscal Year
Effect of Proposal	Current Increase / Decrease (use “-“)	Next Increase / Decrease (use “-“)	Fiscal Year (Upon Full Implementation)
1. Estimated Total Cost	$0.00	$0.00	$0.00
Personal Services	$0.00	$0.00	$0.00
Current Expenses	$0.00	$0.00	$0.00
Repairs & Alterations	$0.00	$0.00	$0.00
Assets	$0.00	$0.00	$0.00
Other	$0.00	$0.00	$0.00
2. Estimated Total Revenues	$0.00	$0.00	$0.00

3. Explanation of above estimates (including long-range effect). Please include any increase or decrease in fees in your estimated total revenues.

No costs of revenue will be impacted by the proposed amendment of W. Va. 126CSR##, Policy ####, Policy Title.

Memorandum

Please identify any areas of vagueness, technical defects, reasons the proposed rule would not have a fiscal impact, and/or any special issues not captured elsewhere on this form.

No costs of revenue will be impacted by the proposed amendment of W. Va. 126CSR##, Policy ####, Policy Title.

Signature of Agency Head or Authorized Representative	Date