IMPACT ANALYSIS Change Request ID: XYZ

1. Decision

1.1. Approved

1.2. Rejected

1.3. Deferred

2. Action Items

2.1. Task #1

2.2. Task #2

2.3. Task #3

3. Affected Areas

3.1. Departments

3.2. Strategy

3.3. Processes

4. Impact

4.1. Positive

4.2. Negative