Application Technical Contact:
Application Marketplace ID/Link:
|ServiceNow Request||Distribution Status & Date||Internal Review Status & Date||ePHI Indicator||Target User Base|
List current issues here. When an issue is resolved, document the resolution and date, and move the issue into the issue log.
Would it be helpful to maintain a list of issues and their resolution?
Document the conditions under which the application would be subject to reapproval (e.g., collecting ePHI data when it did not previously).
Internal Review Status: complete or incomplete
|Internal Distribution Request Date||Office of Technology Transfer Signoff||Legal Counsel Review||Marketing & Communications Review||Compliance & Regulatory Review||IT Security Review||Architecture Review|
Upload collateral as it is collected.
Upload approval artifacts as they are collected.
- Completed IP Disclosure.
- Commercial Evaluation Report.
- Legal Counsel Review.
- Marketing and Communications Review.
- Compliance and Regulatory Review.
- IT Security Review.
- Architecture Review.
- App Store Submission Templates