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The Chief of Naval Operations (CNO) reviews and approves all proposed regulations/changes and forwards them to the Secretary of the Navy for final approval and implementation.

In reality though, regulations are actually drawn up, proposed, or changed by Assistant CNO's, of which there are one for each Naval Warfare specialty - Aviation, Surface Warfare, Submarine Warfare, Special Operations, etc. Changes are proposed or new regulations written based on feedback from Fleet Commanders and Squadron/Divisional Commanders, or they may be as a result of an overall policy change from the Secretary of Defense or from the President. The ACNO staffs are actually responsible for the work on the regulations or changes. The ACNO's approve them, and are forwarded to the CNO for final approval before sending to SecNav for final signature.

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