Rule change: ______________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

 

NAICS 2-digit codes of small businesses being impacted: ___________________________________________________

_____________________________________________________________________________________________________________

 

Estimated number of small businesses being impacted: _____________________________________________________

 

List how the rule will impact the following categories for a small business:

        Hiring and staffing: _____________________________________________________________________________________

        _________________________________________________________________________________________________________

        _________________________________________________________________________________________________________

        Regulatory requirements: ________________________________________________________________________________

        _________________________________________________________________________________________________________

        _________________________________________________________________________________________________________

        Purchasing: _____________________________________________________________________________________________

        _________________________________________________________________________________________________________

        _________________________________________________________________________________________________________

        Insurance: ______________________________________________________________________________________________

        _________________________________________________________________________________________________________

        _________________________________________________________________________________________________________

        Licensing: ______________________________________________________________________________________________

        _________________________________________________________________________________________________________

        _________________________________________________________________________________________________________

        Equipment and Material: ________________________________________________________________________________

        _________________________________________________________________________________________________________

        _________________________________________________________________________________________________________

        Training: _______________________________________________________________________________________________

        _________________________________________________________________________________________________________

        _________________________________________________________________________________________________________

        Recordkeeping: ________________________________________________________________________________________

        _________________________________________________________________________________________________________

        _________________________________________________________________________________________________________

        Compensation and benefits: ____________________________________________________________________________

        _________________________________________________________________________________________________________

        _________________________________________________________________________________________________________

        Other: __________________________________________________________________________________________________

        _________________________________________________________________________________________________________

        _________________________________________________________________________________________________________

 

Projected cost of compliance for small businesses: ________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

 

Potential economic impacts for small businesses: __________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

 

Are there less intrusive or less costly alternatives to achieving the purpose of the proposed rule or

amendment? Why have those alternatives not been considered? _____________________________________________

_____________________________________________________________________________________________________________

_____________________________________________________________________________________________________________

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