|
OF |
041 |
Routing and Transmittal Slip |
WORD |
|
|
AD |
0059 |
Request for Manuscript Review |
|
FILL IN PDF |
|
AD |
0078 |
Request for Printing and Binding |
|
FILL IN PDF |
|
AD |
0107 |
Report of Transfer or other Disposition or Construction of Property |
WORD |
FILL IN PDF |
|
AD |
0110 |
Detailed Cost Analysis |
WORD |
|
|
AD |
0112 |
Report of Unserviceable, Lost or Damaged Property |
WORD |
FILL IN PDF |
|
AD |
0116 |
Clearance & Approval for Departmental Issuances |
WORD |
|
|
AD |
0121 |
Passport Request |
WORD |
PDF |
|
AD |
0139 |
Final Salary Payment Report |
WORD |
|
|
AD |
0156 |
External Distribution |
|
PDF |
|
AD |
0156A |
External Distribution - Room 0466 - South Building |
|
FILL IN PDF |
|
AD |
0202 |
Travel Authorization/Advance |
WORD |
FILL IN PDF |
|
AD |
0202M |
Travel Authorization/Advance for multiple travelers |
WORD |
FILL IN PDF |
|
AD |
0202R |
Travel Authorization/Advance Attachment for Relocation Travel |
WORD |
FILL IN PDF |
|
AD |
0202RE |
Travel Authorization/Advance Separate Relocation Allowances |
WORD |
FILL IN PDF |
|
AD |
0216 |
Voucher Difference Statement |
|
PDF |
|
AD |
0234 |
Charge Out Card |
|
PDF |
|
AD |
0270 |
Request for Copy/Duplicating Service |
|
FILL IN PDF |
|
AD |
0271 |
Request for Photographic Services |
|
FILL IN PDF |
|
AD |
0287 |
Employee Suggestion |
WORD |
PDF |
|
AD |
0287-2 |
Recommendation & Approval of Awards |
|
FILL IN PDF |
|
AD |
0311 |
Speed Memo |
WORD |
PDF |
|
AD |
0332 |
Position Description Cover Sheet |
WORD |
PDF |
|
AD |
0343 |
Payroll Action Request |
WORD |
FILL IN PDF |
|
AD |
0349 |
Employee Address |
|
FILL IN PDF |
|
AD |
0354 |
Request for Information |
|
FILL IN PDF |
|
Return To Top |
|
AD |
0416 |
Research Work Unit/Project Description-Research Resume |
|
PDF |
|
AD |
0417 |
Research Work Unit/Project Description- Classification of Research |
|
PDF |
|
AD |
0419 |
Research Work Unit/Project Description- Research Funds and Staff Support |
|
PDF |
|
AD |
0421 |
Progress Report |
|
PDF |
|
AD |
0424 |
Reimbursement of Expenses Upon Sale or Purchase of Residence Upon Change of Station |
|
PDF |
|
AD |
0435 |
Performance Appraisal |
WORD |
FILL IN PDF |
|
AD |
0435R |
(Reverse) Performance Management Grievance Procedures |
WORD |
|
|
AD |
0435A |
Performance Plan, Progress Review, and Appraisal Worksheet |
WORD |
FILL IN PDF |
|
AD |
0435B |
Performance Plan, Progress Review and Appraisal Worksheet (Continuation) |
WORD |
FILL IN PDF |
|
AD |
0435C |
Senior Executive Service Appraisal Record |
WORD |
|
|
AD |
0435D |
Performance Plan, Progress Review and Appraisal Worksheet for Supervisory Positions
Leadership/Management or Supervision Performance Element
and Civil Rights, EEO and Diversity and Inclusion Performance Element |
WORD |
|
|
AD |
0471 |
Classified Document Accountability Record |
|
PDF |
|
AD |
0474 |
Transmittal - Telephone and Utilities |
|
FILL IN PDF |
|
AD |
0495 |
Secretary's Honor Awards Instructions and Nomination Form |
WORD |
|
|
AD |
0507a |
Probationary or Trial Period Report |
|
PDF |
|
AD |
0567 |
Teleticket Payment Transmittal |
|
PDF |
|
AD |
0568 |
Transmittal-Credit Card-Gasoline |
|
PDF |
|
AD |
0569 |
Expense Record for Temporary Quarters |
|
PDF |
|
AD |
0581 |
Lump-Sum Leave or Compensatory Time Payments |
WORD |
FILL IN PDF |
|
AD |
0582 |
Authorization for Restored Annual Leave |
|
PDF |
|
AD |
0616 |
Travel Voucher (Temporary Duty Station) |
|
FILL IN PDF |
|
AD |
0616N |
Travel Voucher (Temporary Duty Travel) |
|
FILL IN PDF |
|
AD |
0616R |
Travel Voucher (Relocation) |
|
FILL IN PDF |
|
AD |
0617 |
Schedule of Expenses |
|
FILL IN PDF |
|
AD |
0633 |
Multi-use Standard Requisitioning |
|
PDF |
|
AD |
0652 |
Request for Creative Services |
|
PDF |
|
AD |
0658 |
Within-Grade Increase Record |
|
PDF |
|
AD |
0672 |
Reimbursement or Advance of Funds Agreement |
WORD |
FILL IN PDF |
|
AD |
0673 |
Request to Bill |
|
PDF |
|
AD |
0687 |
Forms Action Request and Notice |
|
PDF |
|
AD |
0690 |
Transmittal Record |
|
PDF |
|
Return To Top |
|
AD |
0700 |
Procurement Request |
WORD |
FILL IN PDF |
|
AD |
0717 |
Audit for Leave |
WORD |
PDF |
|
AD |
0718 |
Period End -Estimates |
|
PDF |
|
AD |
0728 |
Request and Authorization for Home to Work Transportation |
WORD |
PDF |
|
AD |
0734 |
Request for Candidates |
WORD |
PDF |
|
AD |
0735 |
Evaluation of Candidates |
WORD |
PDF |
|
AD |
0742 |
Disbursements (Expense) |
WORD |
FILL IN PDF |
|
AD |
0755 |
Advisory Committee Membership Background Information
For an alternative format or
having problems with accessibility, email angela.williams@ocio.usda.gov |
|
FILL IN PDF |
|
AD |
0757 |
Miscellaneous Payment System |
|
PDF |
|
AD |
0778 |
Secretary's Memorandum |
WORD |
|
|
AD |
0779 |
Employee Biographical Sketch |
WORD |
PDF |
|
AD |
0811 |
Department Regulation |
WORD |
|
|
AD |
0812 |
Department Manual |
WORD |
|
|
AD |
0813 |
Department Notice |
WORD |
|
|
AD |
0834 |
IRM Technical Approval Request Certification |
|
PDF |
|
AD |
0835 |
IRM System and Service Security Certification |
|
PDF |
|
AD |
0838-7 |
Purchase Order |
|
PDF |
|
AD |
0838-B |
Invoice - Receipt Notification |
WORD |
PDF |
|
AD |
0838-D |
BPA - Invoice - Receipt Certification |
WORD |
PDF |
|
AD |
0838-I |
Invoice Cover Sheet for IAS Payments (IAS-001) |
WORD |
PDF |
|
AD |
0873 |
Property Pass |
|
PDF |
|
AD |
0881 |
Individual Development Plan |
|
FILL IN PDF |
|
AD |
0894 |
Request for Cropland Waiver |
|
PDF |
|
Return To Top |
|
AD |
0952 |
Organizational Structure Codes Table Number 5 |
|
NFC Forms Web Site |
|
AD |
0955 |
GSA Telephone Transmittal |
|
FILL IN PDF |
|
AD |
0956 |
Request for Originating Office Number Action |
|
PDF |
|
AD |
67 |
Request for Prior Clearance of Personnel Action |
WORD |
FILL IN PDF |
|
AD |
769 |
Request for Recruitment Action |
WORD |
|
|
AD |
1000 |
Claim for Relocation Income Tax Allowance for the Year |
|
FILL IN PDF |
|
AD |
1026A |
Farming Interest |
|
USDA Service Center eForms
PDF |
|
AD |
1026B |
Highly Erosive Land Conservation Exemption Request |
|
USDA Service Center eForms
PDF |
|
AD |
1026C |
Landlord or Landowner Exemption Request |
|
USDA Service Center eForms
PDF |
|
AD |
1026D |
Relief for Undue Economic Hardship Request Highly Erosive Land Conservation |
|
USDA Service Center eForms
PDF |
|
AD |
1026 |
Highly Erosive Land Conservation (HELC) and Wetland Conservation (WC) Certification |
|
USDA Service Center eForms
PDF |
|
AD |
1026 |
Certification de Conservation de Tierras Altamente Erosionables ("HELC") Y de Plantanos ("WC") |
|
USDA Service Center eForms
PDF |
|
AD |
1043 |
Leave Transfer Program-Donor Application |
|
FILL IN PDF |
|
AD |
1046 |
Leave Transfer Program - Recipient Application |
|
FILL IN PDF |
|
AD |
1047 |
Certification Regarding Debarment, Suspension |
|
FILL IN PDF |
|
AD |
1048 |
Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion-Lower Tier Covered Transactions |
|
FILL IN PDF |
|
AD |
1049 |
Certificate Regarding Drug Free Workplace Requirements Alternative 1 |
|
FILL IN PDF |
|
AD |
1050 |
Certificate Regarding Drug Free Workplace Requirements Alternative 2 |
|
FILL IN PDF |
|
AD |
1052 |
Certificate Regarding Drug Free Workplace Requirements-State and State Agencies |
|
FILL IN PDF |
|
AD |
1068 |
Good Faith Determination- Highly Erosive Land Activity |
|
PDF |
|
AD |
1068A |
Distribution of Graduated Payment Reduction |
|
PDF |
|
AD |
1069 |
Good Faith Determination- Wetland Activity |
|
PDF |
|
AD |
1073 |
Recommendation and Approval of- Recruitment/ Relocation Bonus or Retention Allowance |
|
PDF |
|
AD |
1074 |
Service Agreement for Receipt of Payment for a Recruitment/ Relocation Bonus |
|
PDF |
|
AD |
1083 INS |
Instructions for Completing Form AD-1083 |
|
PDF |
|
AD |
1083 |
Request for Action for Procedures/Reports |
|
PDF |
|
AD |
1083A |
Continuation Sheet for Ordering Procedures |
|
PDF |
|
AD |
1086 |
Applicant Supplemental Sheet |
WORD |
|
|
AD |
1095 |
Accounting/Pay Period Calendar |
|
USDA NFC eForms
PDF |
|
AD |
1098 |
Sick Leave Hours Used for Family Members |
|
PDF |
|
Return To Top |
|
AD |
1101 |
Approval and Report of Travel Funds Received From Non-federal Sources |
|
PDF |
|
AD |
1102 |
Special Processing Transmittal |
|
PDF |
|
AD |
1106-1 |
Final Clearance Report
(For Kansas City, St. Louis, and Salt Lake City Locales Only) |
WORD |
|
|
AD |
1126 |
USDA Program Discrimination Complaint |
|
FILL IN PDF |
|
AD |
1128 |
Identification Request for Electronic Downloading of Software from NFC |
|
FILL IN PDF |
|
AD |
1130 |
Doing Business With USDA Kit |
|
USDA Procurement Web Site |
|
AD |
1133 |
Request for Table Management System (TMGT) Action |
|
PDF |
|
AD |
1138 |
Option B and C Election Notice for Retirement |
|
FILL IN PDF |
|
AD |
1143 |
Corporate Systems Access Request Form |
|
FILL IN PDF |
|
AD |
1147a |
Public Transportation Benefit Program Application Side 1 |
FILL IN
WORD |
|
|
AD |
1147b |
Public Transportation Benefit Program Application Side 2 |
FILL IN
WORD |
|
|
AD |
1148 |
National Finance Center (NFC) Certificate Action Request Form |
|
NFC Forms Web Site |
|
AD |
1149 |
National Finance Center (NFC) Subscriber Agreement |
|
NFC Forms Web Site |
|
AD |
1150 |
Local Registration Authority (LRA) Agreement |
|
NFC Forms Web Site |
|
AD |
1151 |
Recommendation and Approval of the Repayment of Student Loans(s) |
|
PDF |
|
AD |
1152 |
Service Agreement for a Receipt of Repayment of Student Loan(s) |
|
PDF |
|
AD |
1153 |
Application for Long-Term Contracted Assistance Through the _____ Program |
|
USDA Service Center eForms
PDF |
|
AD |
1154 |
NRCS Long-Term Agreement |
|
USDA Service Center eForms
PDF |
|
AD |
1155 |
Conservation Plan Schedule of Operations |
|
USDA Service Center eForms
PDF |
|
AD |
1155A |
Conservation Plan Schedule of Operations |
|
USDA Service Center eForms
PDF |
|
AD |
1156 |
Revision of Plan or Schedule of Operations or Modification of a Contract |
|
USDA Service Center eForms
PDF |
|
AD |
1157 |
Option Agreement to Purchase |
|
USDA Service Center eForms
PDF |
|
AD |
1157A |
Option Agreement to Purchase
Amendment 1 |
|
USDA Service Center eForms
PDF |
|
AD |
1158 |
Subordination Agreement and Limited Lien Waiver |
|
USDA Service Center eForms
PDF |
|
AD |
1159 |
Notice of Intent to Continue |
|
USDA Service Center eForms
PDF |
|
AD |
1160 |
Compatible Use Authorization |
|
PDF |
|
AD |
1161 |
Application for Payment |
|
PDF |
|
AD |
1163 |
Confirmation of Request for Reasonable Accommodation |
FILL IN WORD |
PDF |
|
AD |
1164 |
Reasonable Accommodation Information Reporting Form |
|
PDF |
|
AD |
1165 |
Denial of Reasonable Accommodation Request |
|
PDF |
|
AD |
1168 |
Corporate System Change Request(CR) with Instructions |
WORD |
PDF |
|
AD |
1170 |
Transit Subsidy Cash Reimbursement Certification |
WORD |
PDF |
|
AD |
1173A |
CD-ROM Request |
|
PDF |
|
AD |
1185 |
Pre-Tax Parking Application |
WORD |
|
|
AD |
1190 |
Farm/Business Assessment |
|
PDF |
|
AD |
1197 |
Request for USDA Identification Badge |
|
FILL IN PDF |
|
|
1202 |
USDA Confidential Conflict of Interest Certification |
WORD |
|
|
AD |
1203 |
Office of Civil Rights Accountability Case Record |
WORD |
|
|
AD |
1204 |
Agency/Staff Office Case Report |
WORD |
|
|
AD |
1205 |
USDA Small Business Program - Procurement Request Review |
WORD
|
|
|
AD |
1208 |
Senior Leadership Potential Assessment |
WORD |
|
|
AD |
1209 |
Enterprise Content Management (ECM) Security Request |
WORD |
|
|
Return To Top |
|
AD |
2000A |
Opportunity to Improve (OTI) |
|
PDF |
|
AD |
2000 |
Performance Plan Agreement and Appraisal |
|
PDF |
|
AD |
2001 |
Designation of Tour of Duty |
|
PDF |
|
AD |
2002 |
Time and Attendance Record |
|
PDF |
|
AD |
2003 |
Spouse Consent to Survivor Election |
|
FILL IN PDF |
|
AD |
2005 |
Executive Potential Program Nomination Form |
|
FILL IN PDF |
|
AD |
2008 |
Executive Leadership Program for Mid-Level Employees Nomination Form |
|
FILL IN PDF |
|
AD |
2009 |
Cross Cultural Exchange Program (CCEP) Application |
|
FILL IN PDF |
|
AD |
2010 |
Federal Executive Institute (FEI) Nomination Form |
|
FILL IN PDF |
|
AD |
2014 |
New Leader Program (NLP) Nomination Form |
|
FILL IN PDF |
|
AD |
2015 |
USDA Congressional Fellowship Program Nomination Form |
|
FILL IN PDF |
|
AD |
2017 |
Service Center Information Management System (SCIMS) Access Form |
|
FILL IN PDF |
|
AD |
2021 |
Aspiring Leader Program (ALP) Nomination Form |
|
FILL IN PDF |
|
AD |
2022 |
Student Volunteer Agreement |
WORD |
|
|
AD |
3001 |
Documentary Materials Removal/Non-removal Certification and Non-disclosure Agreement |
WORD |
|
|
AD |
3002 |
Separation Checklist for Non-Career Appointees
(rev 12-08) |
WORD |
|
|
AD |
3006 |
POST-1956 Military Service Deposit Checklist |
|
FILL IN PDF |
|
AD |
3010 |
Senior Executive Service Performance Plan and Appraisal Record |
WORD |
|
|
AD |
3018 |
Telework Agreement |
|
FILL IN PDF |
|
AD |
3020 |
Supervisor Onboard Checklist |
WORD |
|
|
AD |
3022 |
New Media Request Form |
WORD |
|
|
AD |
3025 |
USDA 1890 National Scholars Program Application for High School Students |
|
PDF |
|
AD |
3026 |
USDA 1890 National Scholars Program Application for College Students |
|
PDF |
|
AD |
3027 |
USDA Program Discrimination Complaint Form |
|
PDF |
|
AD |
3027S |
USDA Program Discrimination Complaint Form
(Spanish Language Version) |
|
PDF |
|
AD |
3030 |
Representations Regarding Felony Conviction and Tax Delinquent Status for Corporate Applicants |
|
PDF |
|
AD |
3031 |
Assurance Regarding Felony Conviction or Tax Delinquent Status for Corporate Applicants |
|
PDF |
|
AD |
3030-FS |
Representations Regarding Felony Conviction and Tax Delinquent Status for Corporate Applicants - Forest Service |
|
PDF |
|
AD |
3031-FS |
Assurance Regarding Felony Conviction or Tax Delinquent Status for Corporate Applicants - Forest Service |
|
PDF |
|
AD |
3033 |
Cyber Security Incident Report - CAT 1 – Unauthorized Access |
WORD |
|
|
AD |
3034 |
Cyber Security Incident Report - CAT 2 – Denial of Service |
WORD |
|
|
AD |
3035 |
Cyber Security Incident Report - CAT 3 – Malicious Code |
WORD |
|
|
AD |
3036 |
Cyber Security Incident Report - CAT 4 – Improper Usage |
WORD |
|
|
AD |
3037 |
Cyber Security Incident Report - CAT 5 – Scans / Probes / Attempted Access |
WORD |
|
|
AD |
3038 |
Cyber Security Incident Report - Personally Identifiable Information (Cat 1 and Cat 8) |
WORD |
|
|
AD |
3039 |
Incident Identification Form |
WORD |
|
|
AD |
3040 |
Request for Exception to
DR 1430-002 |
WORD |
|
|
IAS |
001 |
Invoice Cover Sheet for IAS Payments |
WORD |
FILL IN PDF |
|
AD |
3041 |
Waiver/Cancellation Request |
|
PDF |
|
Return To Top |
|
SF |
1 |
Printing and Binding Requisition |
|
GSA/PDF |
|
SF |
15 |
Application for 10 Point Veteran Preference |
|
GSA/PDF |
|
SF |
18 |
Request for Quotation |
|
GSA/PDF |
|
SF |
26 |
Award Contract |
|
GSA/PDF |
|
SF |
28 |
Affidavit of Individual Surety |
|
GSA/PDF |
|
SF |
30 |
Amendment of Solicitation Modification of Contract |
|
GSA/PDF |
|
SF |
33 |
Solicitation, Offer and Award |
|
GSA/PDF |
|
SF |
36 |
Solicitation, Offer and Award Continuation Sheet |
|
GSA/PDF |
|
SF |
47 |
Physical Fitness Inquiry for Motor Vehicle Operators |
|
GSA/PDF |
|
SF |
50 |
Notification of Personal Action |
|
GSA/PDF |
|
SF |
71 |
Request for Leave Approved Absence |
|
GSA/PDF |
|
SF |
78 |
Certificate of Medical Examination |
|
GSA/PDF |
|
SF |
86 |
Questionnaires for National Security Positions |
|
GSA/PDF |
|
SF |
86a |
Questionnaires for National Security Positions Continuation |
|
GSA/PDF |
|
SF |
86c |
Standard Form 86 Certification |
|
GSA/PDF |
|
SF |
100 |
Equal Employment Opportunity
Employer Information Report EEO-1 |
|
GSA/PDF |
|
Return To Top |
|
SF |
115 |
Request for Records Disposition Authority |
|
GSA/PDF |
|
SF |
115instr |
Instructions for Standard Form 115 |
|
GSA/PDF |
|
SF |
120 |
Report of Excess Personal Property |
|
GSA/PDF |
|
SF |
120a |
Report of Excess Personal Property Continuation |
|
GSA/PDF |
|
SF |
122 |
Transfer Order of Excess Personal Property |
|
GSA/PDF |
|
SF |
126 |
Report of Personal Property For Sale |
|
GSA/PDF |
|
SF |
126a |
Report of Personal Property For Sale-Continuation |
|
GSA/PDF |
|
SF |
135 |
Records Transmittal and Receipt |
|
GSA/PDF |
|
SF |
135instr |
Instructions for Standard Form 135 |
|
GSA/PDF |
|
SF |
153 |
Comsec Material Report |
|
GSA/PDF |
|
SF |
182 |
Request, Authorization, Agreement and Certification of Training |
|
GSA/PDF |
|
SF |
269 |
Financial Status Report (Long Form) |
|
GSA/PDF |
|
SF |
269a |
Financial Status Report (Short Form) |
|
GSA/PDF |
|
SF |
272 |
Federal Cash
Transaction Report |
|
GSA/PDF |
|
SF |
278 |
Executive Branch Public Financial Disclosure Report |
|
GSA/PDF |
|
SF |
364 |
Report of Discrepancy (ROD) |
|
GSA/PDF |
|
SF |
424 |
Application for Federal Assistance |
|
GSA/PDF |
|
SF |
424a |
Budget Information
Non-Construction Programs |
|
GSA/PDF |
|
SF |
424b |
Assurances-
Non-Construction Programs |
|
GSA/PDF |
|
Return To Top |
|
SF |
1012 |
Travel Voucher |
|
GSA/PDF |
|
SF |
1034 |
Public Voucher for Purchases other than Personal |
|
GSA/PDF |
|
SF |
1035 |
Public Voucher for Purchases other than Personal - Continued |
|
GSA/PDF |
|
SF |
1038 |
Advance of Funds Application and Account |
|
GSA/PDF |
|
SF |
1103 |
Bill of Lading |
|
GSA/PDF |
|
SF |
1113 |
Public Voucher for Transportation Charges |
|
GSA/PDF |
|
SF |
1113a |
Public Voucher for Transportation Charges - Standard Size |
|
GSA/PDF |
|
SF |
1164 |
Claim for Reimbursement for Expenditures |
|
GSA/PDF |
|
SF |
1190 |
Foreign Allowances Application, Grant, Report |
|
GSA/PDF |
|
SF |
1423 |
Inventory Verification Survey |
|
GSA/PDF |
|
SF |
1424 |
Inventory Disposal Report |
|
GSA/PDF |
|
SF |
2809 |
Health Benefits Registration Form |
|
GSA/PDF |
|
SF |
3881 |
ACH Vendor/Miscellaneous Payment Enrollment Form OMB No.1510-0056 |
|
GSA/PDF |
|
SF |
LLL |
Disclosure of Lobbying Activities |
|
GSA/PDF |
|
SF |
LLLa |
Disclosure of Lobbying Activities Continuation Sheet |
|
GSA/PDF |
|
Return To Top |
