Link to PDF: POLICY ON INSTITUTIONAL POLICY & PROCEDURE (GP 1)
DEFINITIONS
Key terms and phrases used in this policy are defined in Appendix A.
Section 1: POLICY STATEMENT
General Policy 1: Policy on Institutional Policy and Procedure (GP 1) codifies the 麻豆原创 life cycle for institutional policy. All institutional policies and procedures are subject to the terms outlined in GP 1, unless addressed by another General Policy.
Section 2: POLICY
麻豆原创 will provide accessible institutional policies through standardized development processes.
Institutional policy and procedure shall:
– Be developed using the most current GP 1 procedure;
– Support the institution in achieving its mission;
– Advance the institution鈥檚 strategic plan;
– Use institutional standardized templates and format;
– Promote operational efficiency and excellence;
– Implement 麻豆原创 State Higher Education (NSHE) policy;
– Comply with statutes, regulations, ordinances, and industry standards and requirements;
– Advance commitments to diversity, equity, inclusion, accessibility and justice;
– Minimize organizational risk.
Institutional policies are developed by a Policy Development Team (PDT) and reviewed by an Institutional Policy Advisory Council (IPAC) so that impacted individuals and subject-matter experts have direct involvement in developing the policies that affect them.
Policy development timelines outlined in the GP 1 procedure are subject to change based on institutional obligations, the academic calendar, employee contracts and capacities. Any portion of policy development that requires the input of off-contract employees shall pause during off- contract times, except in the case of emergency or compliance exceptions.
The approval authorities for institutional policy and procedure are the President and the Responsible Unit Vice President, or the Vice President鈥檚 designee. Vice Presidents may delegate their approval authority. Only the President may provide a final decision on policy and this authority may not be delegated. This decision becomes part of the university鈥檚 official records. Policy approval and decision signatures are documented on the Institutional Policy Review Routing Form.
GP 1 shall be reviewed by the Policy Development Team, or an equivalent set of representatives as appointed by their constituents, within 18 months of implementation. Academic policies are developed according to General Policy 2: Policy on Academic Policy and Procedure (GP 2).
Section 3: STATUTES, REGULATIONS, & ORDINANCES
Institutional policies and procedures shall adhere to governing statutes, regulations and ordinances, including:
Federal Statutes
The general and permanent laws of the United States are consolidated and codified by subject matter in the United States Code.
麻豆原创 Statutes
The 麻豆原创 Revised Statutes (NRS) are the current codified laws of the State of 麻豆原创.
The State Administrative Manual (SAM) is a compilation of policy statements concerning the internal operations of State government.
麻豆原创 System of Higher Education (NSHE) Handbook
The Board of Regents Handbook provides the governing documents and policies for NSHE.
Accreditation
Northwest Commission on Colleges and Universities (NWCCU) requires institutional compliance with relevant standards, policies, and eligibility. The criteria for NWCCU accreditation can be found at 听
Institutional policy may also be established in the absence of specific statutes where a particular policy and procedure is necessary to conduct business.
Section 4: PROCEDURE
Institutional policy shall be developed according to the following procedure, as applicable:
PHASE 1: PRE-DEVELOP
Subsection 1: Initiate
Any 麻豆原创 internal community member with an active NSHE ID and portal access may identify the need for new institutional policy or a change to existing policy and submit a Policy Initiation Request Form which will be routed to the Institutional Policy Advisory Committee (IPAC). (See Appendix B: IPAC Charter).
The Policy Initiation Request Form found under Related Forms and Resources, shall include:
听– A summary of the policy鈥檚 purpose, scope and alignment with institutional goals;
听– Recommendations for a Policy Development Lead (PDL) and Policy Development Team
(PDT) members, if applicable;
– Request for expedited policy development based on standards outlined under Exceptions.
The Department of CPP shall:
– Receive, process, and track Policy Initiation Request Forms;
– Communicate with the Policy Initiation Request Form Submitter (Submitter) and IPAC Facilitator throughout the process;
– Update the policy webpage to reflect that the request has been received within 10 calendar days.
The IPAC shall review the request for the following:
– Whether the need identified by the Submitter exists;
– Whether a policy already exists that addresses the need;
– Whether a policy is necessary and valid at the institutional level;
– Whether a policy would infringe on academic freedom, freedom of speech, or create identity-based discrimination;
– Whether the request qualifies for expedited policy development, as outlined under Exceptions.
Unless the IPAC unanimously votes 鈥淒o not recommend鈥 all proposed policy will be forwarded to the Executive Team as recommended for development.The IPAC will complete the IPAC Review Form and provide it to the Executive Team and the Submitter.
The Executive Team shall evaluate the request and approve or deny action by completing the Policy Request Executive Team Approval Form and providing it to the IPAC Facilitator.
If approved for action, the Executive Team shall:
– Designate the Responsible Unit;
– Assign a Policy Development Lead from the Responsible Unit
– Approve or deny expedited policy exceptions;
– Identify the timeline for action.
All Policy Initiation Request details, including the record of IPAC recommendations and the Executive Team鈥檚 decision and justification shall be shared using an Office of Information & Technology Services-recognized method. If denied for action, the Executive Team shall provide justification. The justification must indicate the BOR Handbook, NSHE Procedures and Guidelines Manual, code, statute, or ordinance necessitating the denial.The IPAC Facilitator shall inform the Submitter, IPAC, and Department of CPP of the decision.
Subsection 2: Launch
If approved for action, the Department of CPP shall, as needed:
– Schedule a consultation with the PDL or Responsible Unit;
– Provide the PDL with guidance on the creation of the PDT;
– Provide the PDL or Responsible Unit with related forms and resources;
– Assign a policy category, code and title.
Following the consultation, the PDL shall invite members to join the team. The PDL shall email all elected governance groups and school deans inviting them to nominate representative(s) to the PDT or to abstain from participation. The PDT may consist of:
– Member(s) of the Responsible Unit;
– Subject-matter experts;
– Individuals representing each elected governance group;
– Individuals representing uniquely impacted groups, if applicable.
After the submissions of nominations for the PDT, the IPAC Facilitator shall, with input from the IPAC as needed:
– Confirm that the PDT includes members in alignment with its scope and purpose and request revisions, as needed;
– Provide the Department of CPP with a PDT membership list. The Department of CPP shall:
– Update with the PDT membership list within 10 calendar days of receipt.
Once the PDT has been created, the PDL shall establish a means of team collaboration and communication using an Office of Information & Technology Services-recognized method.
PHASE 2: DEVELOP
Subsection 3: Draft
The PDL shall:
Plan and facilitate PDT work sessions;
Draft the policy and procedure using the Institutional Policy and Procedure
Template found in Related Forms and Resources;
Consult with legal counsel to ensure compliance with statutes, regulations, and ordinances;
Evaluate the policy and procedure using the Policy Impact Questionnaire found in Related Forms and Resources.
Subsection 4: Edit
The PDL may submit the policy and procedure draft to elected governance groups, impacted campus groups and other subject-matter experts for feedback during the drafting process, as needed. When satisfied that all feedback on the draft has been appropriately addressed, the PDL shall move the draft to initial review.
Subsection 5: Initial Review
The PDL shall submit the policy and procedure draft via email to policy@nevadastate.edu. Upon receiving the draft, the IPAC shall complete an initial review, confirming that:
The need identified by the Submitter was addressed;
The policy doesn鈥檛 overlap with existing policy;
The policy doesn鈥檛 infringe on academic freedom, freedom of speech, or create identity- based discrimination;
The policy doesn鈥檛 obviously violate any statutes, regulations or ordinances.
As needed, the IPAC Facilitator shall request revisions from the PDL. Once completed, the PDL shall resubmit. After IPAC review, the PDL shall provide the draft to the Responsible Unit Vice President who may request revisions or confirm as ready for the public comment period.
PHASE 3: REVIEW AND APPROVE
Subsection 6: Public Comment
To initiate public comment, the PDL shall email the confirmed draft to policy@nevadastate.edu.
The Department of CPP shall:
Open a public comment period for a minimum of 30 calendar days by publishing the draft on the policy webpage;
Inform the campus community via Office of Information & Technology Services-recognized institutional communication channels.
Any 麻豆原创 internal community member with an active NSHE ID and portal access may submit comments. Individual and group feedback shall be submitted via the institutional public comment mechanism facilitated by the Department of CPP. All public comment shall be captured via a non-disclosed feedback form available to the university community. Public comments are not publicly disclosed. Once all feedback has been collected, the Department of CPP shall provide it to the PDL within 10 calendar days.
The PDT shall consider all public comment period feedback and revise the policy as needed. The PDT shall track decisions to include or exclude specific feedback and document justification for excluding feedback.
If necessary, depending on the number of comments and scope of feedback, the PDT
may choose to restart the draft process at Subsection 3: Draft.
If satisfied that all feedback has been appropriately addressed, the PDT may choose to move to draft finalization.
The Department of CPP shall update the policy website with the draft status. To finalize the draft, the PDL shall:
Complete the Policy Impact Questionnaire;
Submit the final draft, completed questionnaire and the Policy Review Routing Form, found in Related Forms and Resources, to the Responsible Unit Vice President.
The Responsible Unit Vice President shall:
Note any edits on the Policy Review Routing Form;
Sign the Policy Review Routing Form as approved with revisions or approved as is;
Email the Policy Review Routing Form to the PDL and copy policy@nevadastate.edu.
Once any edits are completed, the PDL shall email the final draft, Policy Impact Questionnaire, and Policy Review Routing Form to 听policy@nevadastate.edu. The Department of CPP shall provide the policy and procedure final draft and Policy Impact Questionnaire to the IPAC for review within 10 calendar days.
The IPAC shall complete review of the final draft, confirming that the policy and procedure:
Is written clearly, with thorough attention to process and procedure;
Is formatted using the Institutional Policy and Procedure Template;
Addresses the need identified by the Submitter;
Doesn鈥檛 overlap with existing policy;
Doesn鈥檛 infringe on academic freedom, freedom of speech, or create identity-based discrimination;
Doesn鈥檛 obviously violate any statutes, regulations or ordinances. Facilitator shall:
Note any edits on the Policy Review Routing Form;
Sign the Policy Review Routing Form as approved with revisions or approved as is;
Email the Policy Review Routing Form to the PDL and copy policy@nevadastate.edu.
Subsection 7: Legal Review
Once any edits are completed, the PDL shall email the policy and procedure final draft, Policy Impact Questionnaire, and Policy Review Routing Form to the institution鈥檚 General Counsel at gc@nevadastate.edu and copy policy@nevadastate.edu.
General Counsel shall:
Review the policy and procedure final draft for legal sufficiency and note any required edits on the Policy Review Routing Form;
Sign the Policy Review Routing Form as approved with revisions or approved as is;
Email the Policy Review Routing Form to the PDL and copy policy@nevadastate.edu.
The PDL shall finalize the draft and email it to policy@nevadastate.edu.
Subsection 8: Recommend
Elected Governance Groups Recommendation:
The Department of CPP shall provide the final policy draft, Policy Impact Questionnaire, and Policy Review Routing Form to each elected governance group chair or their designee.
Each elected governance group shall independently facilitate recommendation to approve according to their standards. The elected governance group chair or their designee shall electronically sign the Policy Review Routing Form indicating whether the elected governance group recommends, does not recommend, or abstains. The elected governance group recommendation indicates the group鈥檚 review and support for a policy to proceed to approval. The chair or their designee does not act in his or her individual capacity; rather they make recommendations based on the decisions or action of the elected governance group.
Non-response within the allowed timeline shall be noted as abstention. In this case, the Department of CPP shall confirm abstention from each constituency group chair or their designee prior to advancing. CPP will notify that the process is moving forward.
If any elected governance group does not recommend the policy, the chair or their designee shall indicate the decision justification on the Policy Review Routing Form.
Subsection 9: Advance
Once all constituency groups have signed the Policy Review Routing Form or have been deemed to have abstained, the Responsible Unit Vice President shall review the recommendations.
If any elected governance group did not recommend the policy, the Responsible Unit Vice President may request that the PDL incorporate edits to the draft. If substantial revisions are completed, the draft may be routed back to Phase 3: Review and Approve.
Once edits are completed, the elected governance group chairs or designees shall be provided with an opportunity to change their recommendation.
Once the Responsible Unit Vice President approves the draft, they shall indicate their approval on the Policy Review Routing Form and meet with the President to advocate for the policy鈥檚 approval. In advance of their meeting, the Responsible Unit Vice President shall email the policy and procedure final draft, completed Policy Impact Questionnaire, and completed Policy Review
Routing Form to 辫谤别蝉颈诲别苍迟蔼苍别惫补诲补蝉迟补迟别.别诲耻听and copy policy@nevadastate.edu.
Subsection 10: Decide
The Office of the President shall:
Facilitate obtaining the President鈥檚 electronic signature on the Policy Review Routing Form;
Email the completed Policy Review Routing Form to policy@nevadastate.edu.
If the policy is approved against the recommendation of an elected governance group or is denied, the President shall provide a justification on the Policy Review Routing Form. The justification may indicate statutes, regulations, ordinances, or existing institutional policies and procedures necessitating the denial, if applicable. The policy is effective immediately upon approval by the President and until suspended or repealed. The Department of CPP shall maintain the Institutional Policy Review Routing Form and Policy Impact Questionnaire in the policy file for historical reference.
PHASE 4: IMPLEMENT
Subsection 11: Distribute
The Department of CPP shall:
Publish the final policy and procedure to the policy webpage within 10 calendar days of receipt;
Notify the community that the policy has been published using officially recognized, by Office of Information & Technology Services communication channels.
The Responsible Unit shall:
Verify the policy is published correctly and notify policy@nevadastate.edu if there are any errors;
Facilitate communication and training related to the policy and procedure, if applicable.
PHASE 5: MAINTAIN
Subsection 12: Enforce
The Responsible Unit shall coordinate the enforcement of the policy and procedure.
Subsection 13: Re-Initiate
Policies and procedures may be revised for several reasons, including but not limited to:
Changes in federal, state, regulatory, statutory, or local legislation;
Changes to institutional operations.
Revisions may be initiated by the Responsible Unit or any 麻豆原创 internal community member who submits a Policy Initiation Request Form, including a summary of the recommended revisions to the policy or procedure. Revisions should be completed by the Responsible Unit or its division.
The Department of CPP shall update the policy webpage to show that the policy initiation request for revision has been received. The IPAC shall determine if the revisions requested are considered substantial or non-substantial. 听The decision as to whether a revision is substantial or non-substantial will be made by a majority vote of the IPAC members.
For non-substantial revisions:
The Responsible Unit will appoint the PDL;
The request does not need to go through the normal procedure in Phase 2 and may skip the feedback stage;
The request may skip the procedure in Phase 3 including the recommend or advance stages, though it is recommended that the non-substantial revisions are communicated with internal community members;
The Responsible Unit Vice President shall indicate approval of non-substantial revisions in the Policy Review Routing Form. If approved, a completed Policy Review Routing Form shall be emailed to policy@nevadastate.edu.
For substantial revisions:
The Responsible Unit shall appoint the PDL and a PDT will be formed with input from the IPAC;
The request may be considered for fast-track exception;
The request will be routed to the beginning of Subsection 4: Feedback and proceeds through Phase 3.
The Department of CPP shall publish revised policies and procedures within 10 calendar days of receipt.
Subsection 14: Suspend or Repeal
If a policy becomes temporarily or permanently invalid, redundant, or otherwise unnecessary, the Responsible Unit may submit a request to suspend or repeal it by email to policy@nevadastate.edu. After a request for suspension or repeal, the policy will be routed to Phase 3 for review and recommendation, unless required by law, regulation or NSHE policy. The policy will remain in effect until the completion of Phase 3.
Subsection 15: Archive
The Department of CPP shall document versions and dates in the History field of the summary box at the top of the policy and procedure. They shall also archive and make available upon request:
Historical versions of policies and procedures;
All forms related to a policy.
Any individual can request an archived policy, procedure and/or related forms by emailing policy@nevadastate.edu.
Subsection 16: Policy Review Cycle
Policy and procedure reviews may be prompted by, but not limited to:
Emergency situations;
Regulatory or statutory changes;
Institutional operational changes which impact how the policy is implemented;
Audit;
Time.
All policies shall be reviewed within four years from the date the policy version was published and every four years thereafter if there is no revision to the policy. If any elected governance group voted to not recommend a policy, the initial review timeline shall begin within 18 months.
Section 5: COMPLIANCE
All policies and procedures are developed in alignment with our institution鈥檚 mission and vision statement; NSHE policies and procedures; Accreditation requirements; and Federal, State, and local laws and regulations. Every member of the institution including students, employees, contractors, and the public, while on campus, shall comply with all policies and corresponding procedures and are subject to progressive discipline in cases of non-compliance.
For issues or to report non-compliance, contact the unit responsible for oversight of the individual:
| Non-compliance by | Responsible
for Oversight |
Contact |
| Students | Division of Student Affairs | studentaffairs@nevadastate.edu |
| Employees | Office of Human Resources | hr@nevadastate.edu |
|
Contractors/Vendors |
Division of Finance
and Business Operations |
|
|
Public |
Division of Finance
and Business Operations |
Section 6: EXCEPTIONS
Fast-Track Policy Development
Policy recommenders may request fast-track policy development by indicating their request on the Policy Initiation Request Form and providing justification. Fast-track policy development may include shortened timelines or altered development steps and shall vary on a case-by-case basis to meet the specific situational requirements. A policy may be eligible for fast-track development if the IPAC deems the justification valid and necessary. Policy development may also be eligible for fast-track development in order to address a real-time emergency or adhere to compliance requirements, including but not limited to:
NSHE policies and procedures;
Accreditation requirements;
Statutes, regulations, and ordinances.
Emergency and compliance are the only reasons a policy may be implemented during off- contract periods. In this situation, the Executive Team would act as the IPAC.
The IPAC reviews all fast-track requests and makes a recommendation to the Executive Team for approval of both the policy and the fast-track request. The IPAC Facilitator shall inform the campus community of all fast-track approvals. In instances of fast-track, the IPAC Facilitator shall work with elected governance group executive committees to discuss methods to expedite review.
Fast-track policies may:
Have smaller PDTs which do not request members from elected governance groups;
Have shortened timelines.
Academic Policy Development
Academic policies are developed according to General Policy 2 (GP 2): Policy on Academic Policy and Procedure.
Section 7: APPEAL
Any 麻豆原创 internal community member who believes there has been an error, injustice, or oversight may submit a formal written appeal request via the General Appeal Request Form found under Related Forms and Resources. This request allows for reconsideration, review, or revision of a policy or procedure decision directly affecting them. The Department of CPP shall assign a policy appeal number. All appeals will be reviewed by Responsible Unit Vice President and the elected governance group chairs and decided by the President. Recommendations and decisions will be documented in the General Policy Appeal Decision Form found under Related Forms and Resources.
Section 8: RELATED FORMS & RESOURCES
Policy Webpage: University Policy – 麻豆原创
Definitions (Appendix A)
IPAC Charter (Appendix B) PHASE 1: PRE-DEVELOP
Policy Initiation Request Form (Form 1)
Policy Request IPAC Review Form (Form 2)
Policy Request Executive Team Approval Form (Form 3) PHASE 2: DEVELOP
Institutional Policy and Procedure Template (in development/ based on this template)
Policy Impact Questionnaire (Form 4) PHASE 3: REVIEW & APPROVE
Institutional Policy Review Routing Form (Form 5) APPEAL
General Policy Appeal Request Form (Form 6)
General Policy Appeal Decision Form (Form 7)
APPENDIX A: DEFINITIONS
Capitalized terms in this list are proper nouns (e.g. titles of documents, personnel titles, organizational units, formal groups, and roles), and are capitalized when referenced in the body text. Acronyms (in parentheses) are defined on first reference in each section, and as needed for clarity within the document.
academic policy (AA): policies which fall into academic categories and govern academic operations, ensuring standards for curriculum, academic personnel, academic operations, and research.
administrative policy (AD): policies that fall into administrative categories ensure operational efficiency and alignment with legal and ethical standards.
Institutional Policy and Procedure Template: a standardized document that models the formatting to be used and content areas to be completed when creating or updating institutional policy and procedure.
Department of Culture, Planning, and Policy (CPP): this institutional department facilitates the policy development process. The department of CPP provides standardized policy development tools, templates, and timelines. The department of CPP does not independently develop or implement policies and procedures.
elected governance group: this term refers to officially recognized elected bodies within 麻豆原创 that represent distinct constituencies to ensure their voices are included in institutional decision-making. Currently, these groups include Classified Employee Council, Faculty Senate, and 麻豆原创 State Student Alliance.
Executive Team: President and Vice Presidents of 麻豆原创.
fast-track: an expedited development process applicable to policies approved for shortened timelines or altered development steps.
General Appeal Request Form: a data collection tool provided by the Department of CPP that is completed and submitted by an individual seeking a reconsideration, review, or revision of a policy or procedure decision or action.
General Policy (GP): open category of policies that apply to the institution at large and do not fall into another designated category.
institutional policy: an academic or institutional rule with university-wide applicability that has been officially approved by the 麻豆原创 President. An institutional policy may either mandate or constrain action; it may promote compliance with laws; or it may reduce the university鈥檚 risk. All institutional policies will also include a procedure outlining implementation steps.
institutional procedure: standardized step-by-step instructions to complete a task related to a policy with a concise beginning, middle, and end, that generates consistent outcomes.
Institutional Policy Advisory Council (IPAC): a standing council charged by the President to review all institutional policy initiation requests. The council is comprised of representatives who come together to support the development of institutional policies.
Institutional Policy Advisory Council (IPAC) Facilitator: the Department of CPP employee who is appointed by the Division of CPP Vice President to serve as the liaison between the Executive Team, General Counsel, and IPAC, the Policy Development Team (PDT), and the policy initiation requestor.
institutional policy and procedure life cycle: the phases of policy development.
launch: to decide to move forward with a proposed proposal development.
legal sufficiency: the adequacy of a policy or procedure to comply with all relevant legal statutes and regulations. This involves the review and endorsement by the General Counsel to ensure that the proposed policy or procedure is legally sound and does not expose the university to legal risks.
麻豆原创 System Higher Education (NSHE): the state government unit in 麻豆原创 that oversees its public system of colleges and universities.
non-substantial revisions: changes to the text of a policy including: reformatting, grammatical and punctuation revisions, and editorial or technical updates that do not materially affect the substance of the policy and do not change the rights or what is expected of the individuals to whom the policy applies. For example: changes in unit names, individual titles, related forms and resources listed, or contact information; or corrections for broken links or typographical errors.
Institutional Policy Review Routing Form: tracking sheet used to document feedback, review, and pre-approval signatures.
Policy Development Lead (PDL): the individual accountable for and charged by the 麻豆原创 Executive Team with the responsibility for the development of a specific institutional policy and/or procedure. The PDL is the primary point of contact throughout the policy development process. The PDL must be a member of the Responsible Unit or its division.
Policy Development Team (PDT): the group led by the PDL that executes the development of the policy. This group is usually made up of the PDL, Responsible Unit representative, elected governance group representatives, subject-matter experts, and representatives of impacted groups.
Policy Impact Questionnaire: a worksheet for assessing impact used to develop efficient policies that benefit the most diverse range of community members possible.
Policy Initiation Request Form: data collection tool facilitated by CPP that is completed and submitted by an individual seeking to recommend a new policy.
Policy Initiation Requestor: any faculty, staff member, or student who identifies an institution-wide issue and submits a Policy Initiation Request Form.
policy review cycle: process of regular assessment and revision, as needed, of a specific policy to ensure continued accuracy and relevance.
policy statement: a brief summary of the purpose and content of the policy.
procedure: a detailed set of instructions or steps outlining how to implement and comply with a specific policy. Procedures offer guidance for executing tasks consistently, ensuring adherence to university standards.
public comment: feedback captured to allow internal community members to provide input or raise concerns while a policy is being drafted.
regulations: regulations are official directives issued by governing bodies, such as NSHE or state and federal agencies, that must be followed by 麻豆原创. They outline legal requirements and are mandatory for compliance by the institution.
repeal: to withdraw formally or officially, or revoke, a policy by a later action or higher authority.听
responsible unit: a single department, division, office or school that is designated to implement a specific policy upon approval. Once a policy is posted, the Responsible Unit is accountable for ongoing accuracy of the policy and procedure as well as policy modification, suspension, or archive if it becomes obsolete.
standard: a specified expectation.
Statutes: statutes are formal laws enacted by legislative bodies, such as the 麻豆原创 State Legislature or the U.S. Congress, which define the legal framework within which 麻豆原创 operates. These laws establish broad mandates and principles that the university must follow. Statutes serve as the authoritative source of law, and their implementation and interpretation often guide the development of policies and regulations at the university.
subject-matter expert: individual who contributes to policy development to ensure the facts and details are correct so that the policy will meet the needs of the community members and comply with legal statutes.
substantial revisions: changes that alter the meaning or scope of an existing policy or procedure, or any other changes that are not considered to be non-substantial revisions. For example: updating a policy or procedure statement, changing who a policy applies to, adjusting the responsibilities of a specific unit, or altering the impact on community members.