Date:

Agency:

[Heading of the Part] [Description of the Policy]:

Code Citation:

If rulemaking will be initiated, date notice of proposed rulemaking was, or is expected to be, published in the Illinois Register ____________.

Agency Response to Specific Joint Committee Objections:

(Respond to each specific Objection raised by the Joint Committee, indicating clearly the intended action of the agency in response to each Objection and the rationale for such response.  Use additional pages as necessary.)

Signature of Agency Head