Virginia Regulatory Town Hall Forms and Templates

FORMS - AGENCY BACKGROUND STATEMENT TO BE FILED WITH EACH REGULATORY STAGE BY TYPE
Note that some agencies have specific requirements unique to them that must be met. It may be necessary to add additional sections to these forms or alter existing sections as necessary in order to meet these requirements. Do not remove any sections from these forms . If you have questions, please contact Melanie.West@dpb.virginia.gov. Download All Forms in a zip file
NOIRA Form TH-01 Last updated: August 2022	Standard stage 1/3. For a Notice of Intended Regulatory Action (NOIRA).
Proposed Form TH-02 Last updated: August 2022	Standard stage 2/3. For a regulatory action at the proposed stage.
Final Form TH-03 Last updated: August 2022	Standard stage 3/3. For a regulatory action at the final stage.
Fast-Track Form TH-04 Last updated: August 2022	For rulemaking expected to be non-controversial. A one-stage process.
Emergency/NOIRA Form TH-05 Last updated: August 2022	For an emergency regulation, where the agency is also filing a NOIRA for a permanent replacement regulation.
Emergency Form TH-06 Last updated: August 2022	An emergency regulation has an initial effective period of 18 months and may be extended to 24 months if approved by the Governor.
Exempt Action - Proposed Form TH-08 Last updated: August 2022	For the proposed stage of any regulatory action that is exempt from the APA.
Exempt Action - Final Form TH-09 Last updated: August 2022	For the final stage of any regulatory action that is exempt from the APA. Typically, only a final stage is used when filing an exempt regulation.
Revised Proposed Regulation Form TH-10 Last updated: August 2022	For a regulatory action that needs additional review time and the allowance for an additional 60 day public comment period before the final stage.

Periodic Review Report of Findings Form TH-07 Last updated: August 2022	Following a periodic review of an existing regulation only when the Periodic Review feature has been used.

Office of Regulatory Management (ORM) Last updated: Jan 2024
These resources were developed by ORM and DPB to facilitate compliance with the requirements found in Executive Order 19 and the ORM Procedures for the Review of State Agency Regulations. If you have any questions, please contact ORM at Reeve.Bull@governor.virginia.gov.
ORM Economic Review Form (modified Jan 2024)
Cost Benefit Example
CBA worksheet