Prog/Run Id: Date Prepared

PROG/RUN ID: DATE PREPARED:

DPSR/PCR: ANALYST:

SYSTEM: PROCESS:

SUBSYSTEM: ACCOUNT CODE:

PROGRAM SPECIFICATIONS

Commonwealth of Pennsylvania

Department of Public Welfare

Bureau of Information Systems

Type: Online [] Batch [] Database [] Mapper [] Other:

Application: Production [] Utility [] Prod Fix [] Other:

Complexity: Low [] Medium [] High []

Requested Completion Date: Revised 5/2011

TABLE OF CONTENTS

Program Narrative (required)

Program/System Flowchart (required)

Process Description (required)

Appendix

Files/Records

Database Items Accessed

Non-Database File/Record Characters

Non-Database File/Field Characters

Screens

Screen Layout

Screen Definition

Screen Cross Reference

Reports

Report Description

Report Layout

Forms

Forms Description

Forms Layout

Test Plan

Unit Test (Special Instructions)

PROGRAM NARRATIVE

[High Level Process Description]

PROGRAM/SYSTEM FLOWCHART

[The flowchart should include all I/O]

PROCESS DESCRIPTION

[Document the structure of the Procedure Division]

APPENDIX

FILES/RECORDS

DATA BASE ITEMS ACCESSED

SCHEMA: FILE:

SUBSCHEMA:

ACCESS KEYS:

IMPART: UPDATE: RECORD:

AREAS:

RECORDS:

NON-DATA BASE FILE/RECORD CHARACTERS

[Repeat process for each file]

FILE CHARACTERISTICS:

EXTERNAL NAME:

INTERNAL NAME:

PROC NAME:

Type: DISC [ ] MSS [ ] PRINT [ ] CARD [ ] TAPE [ ] UNISERVO [ ]

Pack ID: BPI: 1600 [ ] 6250 [ ]

Data Type: ASCII [ ] FIELD DATA [ ] EBCDIC [ ]

Organization: SEQUENTIAL [ ] ISAM [ ] MSAM [ ] Other:

Blocking Factor: RECORD/BLOCK

Labels: STANDARD [ ] OMITTED [ ]

I/O Type: INPUT [ ] OUTPUT [ ] I/O [ ]

Cycles to process:

Cycle retention: STAR RETENTION:

Size (tracks): MINIMUM: MAXIMUM:

Estimated number of records:

Sort sequence:

Access keys:

Printer lineage: lines, at top, at bottom,

RECORD CHARACTERISTICS:

Record Name: Record PROC Name: Record Length

Min Max

NON-DATA BASE FILE/FIELD CHARACTERS

[Repeat process for each file]

FILE NAME:

RECORD NAME:

FIELD NAME/DESCRIPTION TYP/LEN FORMAT SOURCE

[List all Non-database Fields]

SCREENS

SCREEN LAYOUT

SCREEN TITLE: DPS SCREEN NAME:

DPS SCREEN NUMBER: DPS SCREEN FILE NAME:

Line No./Characters>

1 2 3 4 5 6 7 8

12345678901234567890123456789012345678901234567890123456789012345678901234567890

SCREEN DEFINITION

SCREEN TITLE: DPS SCREEN NAME:

DPS SCREEN NUMBER: DPS SCREEN FILE:

MISCELLANEOUS SCREEN ATTRIBUTES:

Final Cursor Position: Initial Screen Conversation Mode:

Function Keys: Text Intensity:

Test Mode: Hard/Soft Security:

Prefixes:

FIELD FIELD FIELD FIELD

NUMBER NAME TYPE ATTRIBUTES

SCREEN CROSS REFERENCE

SCREEN TITLE: DPS SCREEN NAME:

DPS SCREEN NUMBER: DPS SCREEN FILE:

FIELD FIELD

NUMBER NAME DATA SOURCE/DESTINATION

[List all screen fields]

REPORTS

REPORT DESCRIPTION

REPORT NAME: REPORT ID:

REPORT NARRATIVE:

FIELD NUM FIELD NAME FIELD DESCRIPTION

[List all Report Fields]

REPORT LAYOUT

[Insert 132 byte report layout]

1 2 3 4 5 6 7 8 9 0 1 2 3

123456789012345678901234567890123456789012345678901234567890123456789012345678901234567890123456789012345678901234567890123456789012

FORMS

FORMS DESCRIPTION

[List Reference tables be accessed]

[List source of variable information on notices or letters]

FORMS LAYOUT

[Attach layout of any forms, letter, notices etc created by this process]

TEST PLAN

UNIT TEST (Special Instructions)