+-----------------------------------+-----------------------------------+
| **Notification of Organizational  | 1\. **TO**: *(title, IC, and      |
| Change**                          | building/room)*                   |
+-----------------------------------+-----------------------------------+
| 2\. **TYPE OF CHANGE**:           | 3\. **APPROVAL AUTHORITY**        |
|                                   |                                   |
| >  Establish organizational      |                                   |
| > components *(Functional         |                                   |
| > statements are attached.)*      |                                   |
| >                                 |                                   |
| >  Abolish organizational        |                                   |
| > components                      |                                   |
| >                                 |                                   |
| >  Transfer organizational       |                                   |
| > components                      |                                   |
| >                                 |                                   |
| >  Retitle organizational        |                                   |
| > components                      |                                   |
| >                                 |                                   |
| >  Revise functional statements  |                                   |
| > (*attached*)                    |                                   |
| >                                 |                                   |
| >  Revise Standard               |                                   |
| > Administrative Codes            |                                   |
+-----------------------------------+-----------------------------------+
|                                   | 4\. **EFFECTIVE DATE**            |
+-----------------------------------+-----------------------------------+
| 5\. **CHANGES.** List all changes |                                   |
| that have just been approved.     |                                   |
| Include Standard Administrative   |                                   |
| Codes for each organization       |                                   |
| referenced. Identify each new     |                                   |
| organization as Intramural,       |                                   |
| Extramural, or Other. Use         |                                   |
| separate pages if more space is   |                                   |
| needed.                           |                                   |
+-----------------------------------+-----------------------------------+
| 6\. **REORGANIZED COMPONENTS      |                                   |
| PLEASE NOTE**: You are required   |                                   |
| to initiate action with your      |                                   |
| servicing personnel office. You   |                                   |
| must assure that all employees    |                                   |
| who are assigned to               |                                   |
| organizational components whose   |                                   |
| Standard Administrative Codes     |                                   |
| have been changed as a result of  |                                   |
| this organizational change are    |                                   |
| appropriately reassigned.         |                                   |
+-----------------------------------+-----------------------------------+
| 7\. **DISTRIBUTION**: You may     |                                   |
| determine from the list below     |                                   |
| which offices may have a need for |                                   |
| or interest in receiving a copy;  |                                   |
| however, you must send a copy to  |                                   |
| the offices already checked.      |                                   |
+-----------------------------------+-----------------------------------+
| >  Director, NIH                 |  IC Directors                    |
+-----------------------------------+-----------------------------------+
| >  Deputy Director, NIH          |  IC Executive Officers           |
+-----------------------------------+-----------------------------------+
| >  Deputy Director for           |  OD Executive Officer *(only for |
| > Extramural Research             | OD/NIH changes)*                  |
+-----------------------------------+-----------------------------------+
| >  Deputy Director for           |  Director, Office of Management  |
| > Intramural Research             | Assessment, OM                    |
+-----------------------------------+-----------------------------------+
| >  Deputy Director for           |  Director, Office of Human       |
| > Management                      | Resources, OM                     |
+-----------------------------------+-----------------------------------+
| >  Associate Director for        |  Director, Office of Acquisition |
| > Administration                  | Mgmt. & Policy, OA, OM            |
+-----------------------------------+-----------------------------------+
| >  Associate Director for        |  Director, Ofc. of Logistics &   |
| > Science Policy                  | Acquisition Operations, OA, OM    |
+-----------------------------------+-----------------------------------+
| >  Associate Director for AIDS   |  Director, Office of Budget, OM  |
| > Research                        |                                   |
+-----------------------------------+-----------------------------------+
| >  Associate Director for        |  Director, Office of Financial   |
| > Communications                  | Management, OM                    |
+-----------------------------------+-----------------------------------+
| >  Associate Director for        |  Director, Division of Support   |
| > Disease Prevention              | Services, ORS, OM                 |
+-----------------------------------+-----------------------------------+
| >  Associate Director for        |  Servicing HR branch, CSD/OHR    |
| > Extramural Affairs              |                                   |
+-----------------------------------+-----------------------------------+
| >  Associate Director for        |  IC or OD Budget Officer         |
| > Legislative Policy and Analysis |                                   |
+-----------------------------------+-----------------------------------+
| >  Associate Director for        |  IC or OD Manual System Contact  |
| > Research on Minority Health     |                                   |
+-----------------------------------+-----------------------------------+
| >  Associate Director for        |  NIH Directives Officer          |
| > Research on Women's Health      |                                   |
+-----------------------------------+-----------------------------------+
| >  Associate Director for        |  NIH Organizational Change       |
| > Research Services               | Coordinator                       |
+-----------------------------------+-----------------------------------+
| >  Director, Office of Equal     |                                   |
| > Opportunity and Diversity Mgmt. |                                   |
+-----------------------------------+-----------------------------------+
| 8\. **SIGNATURE**                 | 9\. **DATE**                      |
+-----------------------------------+-----------------------------------+

NIH 2500 (Rev. 9/04)