1. App Name: Click here to enter text.
Access URL: Click here to enter text, if applicable.
Docs URL:(if any) Click here to enter text. Where can people find further info on the app?
IC: Click here to enter text. Provide your IC acronym
Submitter Name: Click here to enter text.
Email Address: Click here to enter text. Phone Click to enter text.
Functional Area
Where Used:
Choose an item. How Acquired? Choose an item.
App IT Contact: Click here to enter text.
Operating Sys: Click here to enter text. DBMS Click here to enter text.
Front End: Click to enter text.
We intend to: Why do you want to engage with other ICs on this app? (Choose an option)
FUNCTIONALITY PROVIDED
[Type a description of the activities enabled by this application. Please add sufficient detail while
keeping this table to one page. If you choose “FYI/other” for why you are showing the app, please tell
us more about your intent in the email when you return this form.]
NUMBER AND TYPE OF CURRENT USERS
[Describe the current user base for this application.]
EXTERNAL DATA USED
[Describe any data from other sources (e.g. IMPAC II, HRDB) used within this app.]
ADDITIONAL NOTES
[Type any additional notes if needed.]