- 1.15.61.1 Forms Listing
- Exhibit 1.15.61-1 Forms Listing
-
A forms listing is included to facilitate reference to the General Records Schedules. Forms listed are cross-referenced to the appropriate schedule and item number. They are arranged in numeric sequence by the type of form, such as: IRS, Standard Form, GAO, GSA, etc.
-
An obsolete form is indicated by an asterisk. These obsolete forms will continue to be included in the Forms Listing until the expiration of their retention period as specified in the appropriate General Records Schedule.
-
See Exhibit 1.15.61–1 for Forms Listing.
| STANDARD FORM NUMBER AND TITLE | |||
| Form No. | Title | Schedule | Item |
| 1 | Printing and Binding Requisition See Also: |
3 13 |
6 2 |
| 1–A | Binding Instructions See Also: |
13 3 |
2 6 |
| 1–B | List of Books to be Bound | 3 13 |
6 2 |
| 1–C | Printing and Binding Requisition
for Specialty Items See Also: |
3 13 |
6 2 |
| 2 | U.S. Government Lease for Real Property | 3 | 3 |
| 2B | U.S. Government Lease for Real Property Short Form | 3 | 3 |
| 14 | Telegraphic Message | 12 | 3 |
| 15 | Application for 10–Point Veteran Preference | 1 | 1 |
| 18 | Request for Quotation | 3 | 3 5 |
| 24 | Bid Bond | 3 | 3 |
| 25 | Performance Bond | 3 | 3 |
| 25A | Payment Bond | 3 | 3 |
| 25B | Continuation Sheet (For Standard Forms 24, 25,and 25A) |
3 | 3 |
| 26 | Award / Contract | 3 | 3 5 |
| 28 | Affidavit of Individual Surety | 3 | 3 |
| 30 | Amendment of Solicitation/ Modification of Contract | 3 | 3 5 |
| 33 | Solicitation, Offer, and Award | 3 | 3 5 |
| 34 | Annual Bid Bond | 3 | 3 5 |
| 35 | Annual Performance Bond | 3 | 3 5 |
| 39 | Request for Referral of Eligibles | 1 | 5 33 |
| 39A | Request and Justification for Selective Factors and Quality Ranking Factors | 1 | 5 33 |
| 44 | Purchase Order — Invoice / Voucher | 3 6 |
3 1 |
| 44 A-D | Purchase Order — Invoice / Voucher | 3 6 |
3 1 |
| 50 | Notification of Personnel Action | 1 | 1 14 |
| 50 B | Notification of Personnel Action | 1 | 1 14 |
| 52 | Request for Personnel Action | 1 | 1 33 |
| 59 | Request for Approval of Non-Competitive Action | 1 | 1 |
| 61 | Appointment Affidavits | 1 | 1 |
| 61B | Declaration of Appointee | 1 | 1 |
| 62 | Agency Request to Pass Over a Preference Eligible or Object to an Eligible | 1 | 5 |
| 66 | Official Personnel Folder | 1 | 1 |
| 71 | Application for Leave | 2 | 6 |
| 81 | Request for Space | 10 | 4 |
| 82 | Agency Report of Motor Vehicle Data | 10 | 4 |
| 83 | Request for OMB Review (Replaced by OMB 83–Paperwork Reduction Act Submission) | 16 | 6 |
| 85 | Questionnaire for Non-Sensitive Positions | 18 | 22 |
| 86 | Questionnaire for National Security Positions | 18 | 22 |
| 91 | Motor Vehicle Accident Report | 10 | 5 |
| 94 | Statement of Witness | 10 | 5 |
| 97 | The United States Government Certificate to Obtain Title to a Vehicle | 4 10 |
3 6 |
| 98 | Notice of Intention to Make a Service Contract and Response to Notice | 3 | 11 |
| 98–A | Notice of Intention to Make a Service Contract and Response to Notice (Attachment A) | 3 | 11 |
| 99 | Notice of Award of Contract | 3 | 3 |
| 113–A | Monthly Report of Federal Civilian Employment | 1 | 16 |
| 114 | Sale of Government Property — Bid and Award | 4 | 3 |
| 114–A | Sale of Government Property — Item Bid Page — Sealed Bid | 4 | 3 |
| 114–B | Sale of Government Property — Item Bid Page — Sealed Bid | 4 | 3 |
| 114–C | Sale of Government Property — General Sale Terms and Conditions | 4 | 4 |
| 114–C-1 | Sale of Government Property — Special Sealed Bid Conditions | 4 | 3 |
| 114–C-2 | Sale of Government Property — Special Sealed Bid — Term Conditions | 4 | 3 |
| 114–C-3 | Sale of Government Property — Special Spot Bid Conditions | 4 | 3 |
| 114–C-4 | Sale of Government Property — Special Auction Conditions | 4 | 3 |
| 114–D | Sale of Government Property — Amendment of Invitation for Bids / Modification of Contract | 4 | 3 |
| 114–E | Sale of Government Property — Negotiated Sales Contract | 4 | 3 |
| 114–F | Sale of Government Property — Item Bid Page — Spot Bid or Auction | 4 | 3 |
| 115 | Request for Records Disposition Authority | 16 | 2 |
| 115–A | Request for Records Disposition Authority — Continuation | 16 | 2 |
| 119 | Statement of Contingent or Other Fees | 3 | 3 5 16 |
| 120 | Report of Excess Personal Property | 4 | 2 |
| 120–A | Continuation Sheet (Report of Excess Personal Property) | 4 | 2 |
| 121 | Annual Report of Utilization and Disposal of Excess and Surplus Personal Property | 4 | 2 |
| 122 | Transfer Order — Excess Personal Property | 4 | 2 |
| 123 | Transfer Order — Surplus Personal Property | 4 | 2 |
| 123–A | Transfer Order — Surplus Personal Property (Continuation Sheet) | 4 | 2 |
| 126 | Report of Personal Property for Sale | 4 | 2 |
| 126–A | Report of Personal Property for Sale (Continuation Sheet) | 4 | 2 |
| 127 | Request for Official Personnel Folder | 1 | 17 |
| 132 | Apportionment and Reapportionment Schedule | 4 | |
| 133 | Report on Budget Execution | 5 | 3 |
| 135 | Records Transmittal and Receipt | 16 | 2 |
| 135–A | Records Transmittal and Receipt (Continuation) |
16 | 2 |
| 144 | Statement of Prior Federal Service | 1 | 1 |
| 145 | Telephone Service Request | 3 12 |
3 2 |
| 150 | Deposit Bond — Individual Invitation, Sale of Government Personal Property | 4 | 3 |
| 151 | Deposit Bond — Annual Sale of Government Personal Property | 4 | 3 |
| 152 | Request for Clearance or Cancellation of a Standard or Optional Forms or Exception | 16 | 3 |
| 180 | Request Pertaining to Military Records | 14 | 21 |
| 182 | Request, Authorization, Agreement and Certification of Training | 1 | 1 |
| 203 | Annual Audiovisual Report | 16 | 4 |
| 215 | Deposit Ticket | 6 | 1 |
| 224 | Statement of Transactions (Classified According to Appropriation, Fund and Receipt Account, and Related Control Totals) | 6 | 1 |
| 225 | Report on Obligations | 5 | 3 |
| 252 | Architect-Engineer Fixed Price Contract | 3 | 3 |
| 254 | Architect-Engineer and Related Services Questionnaire | 3 | 3 |
| 255 | Architect-Engineer and Related Services Questionnaire for Specific Project | 3 | 3 |
| 258 | Agreement to Transfer Records to National Archives of the United States | 16 | 2 |
| 269 | Financial Status Report (Long Form) | 3 | 3 |
| 270 | Request for Advance or Reimbursement | 3 | 3 |
| 271 | Outlay Report and Request for Reimbursement for Construction Programs | 3 | 3 |
| 272 | Federal Cash Transactions Report | 3 | 3 |
| 272–A | Federal Cash Transactions Report — Continuation | 3 | 3 |
| 273 | Reinsurance Agreement for a Miller Act Performance Bond | 3 | 3 |
| 274 | Reinsurance Agreement for Miller Act Payment Bond | 3 | 3 |
| 275 | Reinsurance Agreement in Favor of the United States | 3 | 3 |
| 278 | Executive Branch personnel — Public Financial Disclosure Report | 1 | 24 |
| 278–A | Assets and Income Public Financial Disclosure Report | 1 | 24 |
| 279 | Federal procurement Data System FPDS Individual Contract Action Report | 3 | 3 |
| 308 | Request for Wage Determination and Response to Request | 3 | 3 |
| 311 | Agency Information Security Program Data | 18 | 1 |
| 312 | Classified Information Nondisclosure Agreement | 18 | 25 |
| 344 | Multiuse Standard Requisitioning / Issue System Document | 3 | 8 |
| 360 | Request to Approve an Interagency Reporting Requirement | 16 | 3 |
| 361 | Transportation Discrepancy Report | 9 | 2 |
| 362 | U.S. Government Freight Loss / Damage Claim | 9 | 2 |
| 364 | Report of Discrepancy | 9 | 2 |
| 701 | Activity Security Checklist | 18 | 7b |
| 702 | Security Container Check Sheet | 18 | 7b |
| 1012 | Travel Voucher | 6 | 1 |
| 1012–A | Travel Voucher (Memorandum) | 9 | 1 |
| 1013–A | Payroll for Personal Services | 2 | 2 |
| 1034 | Public Voucher for Purchases and Services Other Than Personal | 6 | 1 |
| 1034–A | Public Voucher for Purchases and Services Other Than Personal (Memorandum) | 6 | 1 |
| 1035 | Public voucher for Purchases and Services Other Than Personal (Continuation Sheet) | 6 | 1 |
| 1035–A | Public Voucher for Purchases and Services Other Than Personal (Memorandum) (Continuation Sheet) | 6 | 1 |
| 1038 | Advance of Funds Application and Account | 6 9 |
1 3 |
| 1047 | Public Voucher for Refunds | 6 | 1 |
| 1048 | Memorandum — Public Voucher for Refunds 1 | 6 | 1 |
| 1049 | Public Voucher for Refunds | 6 | 1 |
| 1050 | Public Voucher for Refunds (Memorandum) | 6 | 1 |
| 1069 | Voucher for Allowances at Foreign Posts of Duty | 6 | 1 |
| 1080 | Voucher for Transfers Between Appropriations and/or Funds | 6 | 1 |
| 1081 | Voucher and Schedule of Withdrawals and Credits | 6 | 1 |
| 1093 | Schedule of With holdings Under the Davis-Bacon Act (40 U.S.C. 276a) and/or The Contract Work Hours and Safety Standards Act (40 U.S.C. 327–333) | 3 | 3 11 |
| 1094 | U.S. Tax Exemption Certificates | 3 | 12 |
| 1094–A | U.S. Tax Exemption Certificate Accountability Record | 3 | 12 |
| 1096 | Schedule of Voucher Deductions | 6 | 1 |
| 1098 | Schedule of Canceled or Undeliverable Checks | 6 | 1 |
| 1103–A | U.S. Government Bill of Lading — Memorandum Copy | 9 | 1 |
| 1104 | U.S. Government Bill of Lading — Shipping Copy | 9 | 1 |
| 1109–A | U.S. Government Bill of Lading — Continuation Sheet — Memorandum | 9 | 1 |
| 1113 | Public Voucher for Transportation Charges | 6 | 1 |
| 1113–A | Public Voucher for Transportation Charges (Memorandum) | 6 9 |
1 1 |
| 1128 | Payroll for Personal Services — Payroll Certification and Summary | 6 | 1 |
| 1128–A | Payroll for Personal Services — Payroll Certification and Summary — Memorandum | 2 | 2 |
| 1145 | Voucher for Payment Under Federal Tort Claims Act | 6 | 1 |
| 1145–A | Voucher for Payment Under Federal Tort Claims Act — Memorandum | 6 | 1 |
| 1150 | Record of Leave Data | 2 | 9a |
| 1151 | Nonexpenditure Transfer Authorization | 6 | 1 |
| 1152 | Designation of Beneficiary — Unpaid Compensation of Deceased Civilian Employee | 1 | 1 |
| 1154 | Public Voucher for Unpaid Compensation Due a Deceased Civilian Employee | 6 | 1 |
| 1156 | Public Voucher for Fees and Mileage of Witnesses | 6 | 1 |
| 1156–A | Public Voucher for Fees and Mileage of Witnesses — Memorandum | 6 9 |
1 3 |
| 1157 | Claims for Witness Attendance Fees, Travel, and Miscellaneous Expenses | 9 | 3 |
| 1164 | Claim for Reimbursement for Expenditures on Official Business | 6 9 |
1 3 |
| 1165 | Receipt for Cash — Subvoucher | 6 | 1 |
| 1166 | Voucher and Schedule of Payments | 6 | 1 |
| 1166–A | Voucher and Schedule of Payments — Memorandum | 6 | 1 |
| 1167 | Voucher and Schedule of Payments (Continuation Sheet) | 6 | 1 |
| 1167–A | Voucher and Schedule of Payments (Continuation Sheet) — Memorandum | 6 | 1 |
| 1169–A | U.S. Government Transportation Request — Memorandum Copy | 9 | 1 |
| 1170 | Redemption of Unused Tickets | 9 | 1 |
| 1176 | Public Voucher for Unpaid pay and Allowances Due a Deceased member of the Armed Forces | 6 | 1 |
| 1176–A | Public Voucher for Unpaid Pay and Allowances Due a Deceased member of the Armed Forces — Memorandum | 6 | 1 |
| 1177 | U.S. Savings Bond Issue File Action Request | 2 | 14c |
| 1182 | Subscriber List for Issuance of United States Savings Bonds | 2 | 14b |
| 1183 | Subscriber List for Issuance of United States Savings Bonds | 2 | 14b |
| 1186 | Transmittal for Transportation Schedules and Related Basic Documents | 9 | 1 |
| 1187 | Request for Payroll Deductions for Labor Organization Dues | 2 | 15b |
| 1188 | Cancellation of Payroll Deductions for Labor Organization Dues | 2 | 15b |
| 1198 | Request by Employee for Allotment of Pay for Credit to Savings Accounts with a Financial Organization | 2 | 15b |
| 1199–A | Direct Deposit Sign-Up Form | 2 | 17 |
| 1203–A | U.S. Government Bill of Lading, Privately Owned Personal Property — Memorandum Copy | 9 | 1 |
| 1204 | U.S. Government Bill of Lading, Privately Owned Personal Property — Shipping Order | 9 | 1 |
| 1205 | U.S. Government Freight Waybill — Privately Owned Personal Property — Original | 9 | 11218 |
| 1218 | Statement of Accountability (Foreign Service Account) | 6 | 1 |
| 1219 | Statement of Accountability | 6 | 1 |
| 1220 | Statement of Transactions According to appropriations, Funds, and Receipt Accounts | 6 6 |
1 5 |
| 1221 | Statement of Transactions According to Appropriations, funds, and Receipt Accounts (Foreign Service Account) | 6 6 |
1 5 |
| 1303 | Request for Federal Cataloging / Supply Support Action | 3 3 |
2 4 |
| 2800 | Application for Death Benefits — Civil Service Retirement System | 1 | 1 |
| 2801 | Application for Immediate Retirement Under the Civil Service Retirement System | 1 | 1 |
| 2801–1 | Certified Summary of Federal Service — Civil Service Retirement System | 1 | 1 |
| 2802 | Application for Refund of Retirement Deductions — Civil Service Retirement System | 1 | 1 |
| 2803 | Application to Make Deposit or Redeposit — Civil Service Retirement System | 1 | 1 |
| 2804 | Application to Make Voluntary Contributions — Civil Service Retirement System | 1 | 1 |
| 2805 | Request for Recovery of Debt Due the United States | 2 | 18 |
| 2808 | Designation of Beneficiary — Civil Service Retirement System | 1 | 1 |
| 2809 | Health Benefits Registration Form — Federal Employees Health Benefits program | 1 | 1 |
| 2810 | Notice of Change in Health Benefits Enrollment | 1 | 1 |
| 2811 | Transmittal and summary Report to Carrier — Federal Employees Health Benefits Program | 2 | 22b |
| 2812 | Report of Withholdings and Contributions for Health Benefits, Life Insurance, and Retirement | 2 | 22b |
| 2812–A | Report of Withholdings and Contributions for Health Benefits by Enrollment Code | 2 | 22b |
| 2823 | Designation of Beneficiary — Federal Employees' Group Life Insurance Program | 6 | 1 |
| 5515 | Debit Voucher | 1 | 1 |
| OPTIONAL FORMS | |||
| 7 | Property Pass | 11 | 4 |
| 8 | Position Description | 1 | 7 |
| 16 | Sales Slip — Sale of Government Personal Property | 4 | 3 |
| 30 | Motor Vehicle Service and Inspection Work Orders | 10 | 2 |
| 55 | U.S. Government Identification (Card) | 11 | 4 |
| 68 | Record of Travel Expenses | 9 | 3 |
| 101 | Summary Worksheet for Estimating Reporting Costs | 16 | 6 |
| 108 | Daily Vehicle Usage Report | 10 | 2 |
| 112 | Classified Material Receipt | 18 | 5 |
| 116 | Record of Top Secret Material | 18 | 5 |
| 117 | Notice of Security Violation | 18 | 24 |
| 118 | Record of Violation | 18 | 18 24 |
| 119 | Record of Material Removed for Overnight Custody | 18 | 4 5 |
| 123 | Top Secret Document Inventory Record | 18 | 5 |
| 131 | Stock Control Card | 3 | 9 |
| 136 | Application for Retirement — Foreign Service Retirement and Disability System | 1 | 1 |
| 137 | Designation of Beneficiary | 1 | 1 |
| 138 | Application for Refund of compulsory Contribution — Foreign Service Retirement System | 1 | 1 |
| 140 | Election to Receive Extra Service Credit Towards Retirement and Report of Residence of Spouse | 1 | 1 |
| 141 | Application for Service Credit | 1 | 1 |
| 144 | Temporary Duty (TDY) Official Travel Authorization | 9 | 1 |
| 153 | Telegram | 12 | 3 |
| 153–A | Telegram (Continuation Sheet) | 12 | 3 |
| 158 | General Receipt | 6 | 1 |
| 164 | Meritorious Service increase Certificate | 1 | 12 |
| 187 | Telegram Repeat Request | 12 | 3 |
| 189 | Travel Reimbursement Voucher | 6 | 1 |
| 189–A | Travel Reimbursement Voucher — Memorandum | 6 9 |
1 1 |
| 189–B | Travel Reimbursement Voucher (Continuation Sheet) — Schedule of Expenses and Amounts Claimed | 6 | 1 |
| 189–C | Travel Reimbursement Voucher — (Continuation Sheet) — Memorandum Schedule of Expenses and Amounts Claimed | 6 9 |
1 1 |
| 190 | Foreign Service Emergency Locator Information | 1 | 6 |
| 191 | Outgoing Telegram | 12 | 3 |
| 191–A | Outgoing Telegram — Continuation Sheet | 12 | 3 |
| 199 | Notice of Shipment of Effects — Residence-to-Residence Method | 9 | 1 |
| 200 | Monthly Records of Vehicle Operation Costs | 10 | 2 |
| 202 | Leave Record | 2 | 7 |
| 202–A | Leave Summary | 2 | 7 |
| 205 | Statement of Operating Cash Advance and Replenishment Voucher | 6 | 1 |
| 206 | Purchase Order, Receiving Report and Voucher | 3 | 3 |
| 206–A | Purchase Order, Receiving Report and Voucher (Continuation Sheet) | 3 | 3 |
| 208 | Statement of collections — Foreign Service of the United States of America | 6 | 1 |
| 612 | Optional Application for Federal Employment | 1 | 1 15 32 |
| 1017–G | Journal Voucher | 7 | 4 |
| 1121 | Bill of Lading Accountability Record | 9 | 1 |
| 1130 | Time and Attendance Report | 2 | 7 |
| 1135 | Time and Attendance Report | 2 | 7 |
| 1136 | Time and Attendance Report | 2 | 7 |
| 1137 | Leave Record | 2 | 9 |
| OBSOLETE FORMS / NUMBER AND TITLE | |
| *2–A | General Provisions, Certification and Instructions—U.S. Government Lease for Real Property (3), 1, 4 |
| *7 | Service Record (1), 2 |
| *7–A | Service Record—Continuation (1), 2 |
| *7–B | Employee Record (1), 6 |
| *7–D | Position Identification Strip (1), 11 |
| *19 | Invitation, Bid and Award (3), 1, 4, 6 |
| *19A | Labor Standards Provisions (3), 1, 4 |
| *19B | Representations and Certifications (Construction and Architect—Engineer Contract (3), 1, 4 |
| *20 | Invitation for Bids (Construction Contract) (3), 1, 4 |
| *21 | Bid Form (Construction Contract) (3), 1, 4, 6 |
| *23 | Construction Contract (3), 1, 4 |
| *36 | Continuation Sheet (3), 1, 4, 6 |
| *37 | Report of Procurement by Civilian Executive Agencies (3), 5 |
| *37A | Report on Procurement by Executive Agencies (3), 5 |
| *46 | U.S. Government Motor Vehicle Operator’s Identification Card (11), 4 |
| *47 | Physical Fitness Inquiry for Motor Vehicle Operators (10), 7 |
| *49 | Certification of Insured Employee’s Retired Status (FEGLI), (1), 1 |
| *50A | Notice of Short-Term Employment (1), 1, 14; (2), 11 |
| *51 | Request for Insurance (FEGLI) (1), 1 |
| *54 | Designation of Beneficiary (FEGLI) (1), 1 |
| *55 | Notice of Conversion Privilege (FEGLI) (1), 1 |
| *56 | Agency Certification of Insurance Status (FEGLI) (1), 1 |
| *66A | Official Personnel Folder Tab Insert (1), 1 |
| *69 | Incentive Awards Program Annual Report (1), 3 |
| *72 | Report of Action After Agency Full Field Investigation (18), 23 |
| *73 | Report of Action After CSC or FBI Section 8(d) Full Field Investigation (18), 23 |
| *74 | Notice of Transmittal of Investigative Reports for Security Determination (18), 23 |
| *79 | Notice of Security Investigation (18), 23 |
| *85 | Data for Non-sensitive or Noncritical-Sensitive Position (18), 23 |
| *85–A | National Agency Check Data for Non-sensitive or Noncritical–Sensitive Position (18), 23 |
| *91–A | Investigation Report of Motor Vehicle Accident (10), 5 |
| *97–A | The United States Government Certificate of Release of a Motor Vehicle (4), 6; (10), 6 |
| *113–B | Payroll Report of Federal Civilian Employment (2), 17 |
| *113–E | Semi-Annual Report of Federal Participation in Enrollee Program (1), 16 |
| 135–A | Records Transmittal and Receipt (Continuation Sheet) (16), 3 |
| *136 | Annual Summary of Records Holdings (16), 6 |
| *137 | Agency Records Center—Annual Report (16), 6 |
| *138 | Identification Card (11), 4 |
| *145–A | Continuation Sheet—Order for Telephone Service (3), 4; (12), 2 |
| *145–B | Agency Request for Telephone Service (3), 4; (12), 2 |
| *147 | Order for Supplies or Services (3), 4; (6), 1 |
| *148 | Order for Supplies or Services Schedule—Continuation (3), 4; (6), 1 |
| *171 | Personal Qualifications Statement (1), 1, 15, 33 |
| *171–A | Continuation Sheet for Standard Form 171 "Personal Qualifications Statement" (1), 1, 15, 33 |
| *172 | Amendment to Personal Qualifications Statement (1), 1, 15, 33 |
| *173 | Job Qualifications Statement (1), 1, 15, 33 |
| *177 | Statement of Physical Ability for Light Duty Work (1), 1 |
| *189 | Classified Information Non-disclosure Agreement 18(26) |
| *211 | Request for and Designation of Cashier (6), 6 |
| *230 | U.S. Government Payroll Savings Plans—Consolidated Quarterly Report (2), 7 |
| *248 | Annual Report on Federal Advisory Committee (16), 12 |
| *248–A | Annual Report on Federal Advisory Committee (Continuation Sheet) (16), 12 |
| *249 | Membership List on Federal Advisory Committee (16), 12 |
| *249–A | Membership List on Federal Advisory Committee (Continuation Sheet) (16), 12 |
| *250 | Annual Report on Federal Advisory Committees, Summary Sheet (16), 12 |
| *281 | FPDS—Summary of Contract Actions of $10,000 or less and Subcontracting Data on Selected Prime Contractors (3), 1, 4 |
| *300 | Budget Schedule—General (5), 2 |
| *304 | Object Classification (5), 2 |
| *306 | Detail of Permanent Positions (5), 2 |
| *307 | Supplementary Source Document (5), 2 |
| *363 | (DISCON) Discrepancy in Shipment Confirmation (9), 2 |
| 364 | Report of Discrepancy (9), 2 |
| *365 | Annual Report of Disposal of Foreign Excess Property (4), 6 |
| *1013–C | Payroll for Personal Services (2), 13 |
| *1036 | Statement and Certificate of Award (6), 1; (3), 4 |
| *1075 | Pay Receipt for Payment—Not Transferable (2), 13 |
| *1097 | Voucher and Schedule to Effect Correction of Errors (6), 6 |
| *1126 | Payroll Change Slip (1), 1; (2), 15 |
| *1129 | Reimbursement Voucher (6), 1 |
| *1129–A | Reimbursement Voucher (Memorandum) (6), 1 |
| *1131–A | U.S. Government Transit Bill of Lading—Memorandum Copy (9), 1 |
| *1132 | U.S. Government Transit Bill of Lading—Shipping Order (9), 1 |
| *1143 | Advertising Order (6), 1 |
| *1172 | Certification in Lieu of Lost U.S. Government Transportation Request (9), 3 |
| *1185 | Schedule of Undeliverable Checks for Credit to Government Accounts (6), 1 |
| *1321 | Authorization for Travel (6), 1 |
| GPO FORM NUMBER AND TITLE | |
| *1188 | Revocation of Voluntary Authorization for Allotment of Compensation for Payment of Labor Organization Dues (2), 4 |
| *1189 | Request by Employee for Payment of Salaries or Wages by Credit to Account at a Financial Organization (2), 4 |
| *1192 | Authorization for Purchase and Request for Change: U.S. Series EE Savings Bond (2), 4 |
| *1206 | U.S. Government Freight Waybill—Privately Owned Personal Property (9), 1 |
| *2801–A | Superior Officer’s Statement in Connection with Disability Retirement (1), 1 |
| *2801–B | Physician’s Statement for Employee Disability Retirement Purposes (1), 1 |
| *2801–C | Transmittal of Medical and Related Documents for Employee Disability Retirement (1), 1 |
| *2801–D | Request for Medical Records (To Hospital or Institution) in Connection with Disability Retirement (1), 1 |
| *2806 | Individual Retirement Record (2), 21 |
| *2806–1 | Notice of Correction of Individual Retirement Record (2), 21 |
| *2807 | Register of Separations and Transfers—Civil Service Retirement System (2), 21 |
| *2807–1 | Register of Adjustments—Civil Service Retirement System (2), 21 |
| *2807–2 | Annual Summary Retirement Fund Transactions (2), 21 |
| GPO FORM NUMBER AND TITLE | |
| *2815 | Employee Service Statement (1), 1 |
| *2816 | Election of Coverage and Benefits (1), 1 |
| GAO FORM NUMBER AND TITLE | |
| 5055 | Depository and Appropriation Adjustment (6), 5 |
| 2511–A | Memorandum Order and Supplementary Specifications (13), 3 |
| 3019 | Printing and Reproduction Service Requisition (13), 3 |
| GSA FORM NUMBER AND TITLE | |
| 33 | Report on Procurement by Civilian Executive Agencies (Obsolete) (3), 5 |
| 144 | Net Space Requirements for Future Federal Building Construction (11), 2 |
| 304–a | Received Message Number Sheet (12), 3 |
| 439 | Report of Disposition of Records (16), 3 |
| 1354 | Job Order (11), 5 |
| 1357 | Notice of Anticipated Space Changes—Summary (11), 2 |
| 1436 | Memorandum Receipt (3), 10; (14), 6 |
| 2957 | Reimbursable Work Authorization (3), 4; (11), 2, 16 |
| 2970 | SLUC Billing System I.D.—Notice of Change (11), 2, 16 |
| 2972 | Agency Request for Adjustment to FBF SLUC Billing (11), 2, 16 |
| 2972A | SIBAC Chargeback Verification |
| JCP FORM NUMBER AND TITLE | |
| 1 | Semiannual Printing Plant Report (13), 6 |
| 2 | Semiannual Contract Printing Report (13), 6 |
| 5 | Annual Plant Inventory (13), 6 |
| OPTIONAL FORMS INDEX | |
| 7 | Property Pass (11), 4 |
| 8 | Position Description (1), 7 |
| OPTIONAL FORMS INDEX | |
| *12 | Request for Door Title Cards and Holders (11), 5 |
| *13 | Form Design Guide Sheet (8″ x 101/2″) (16), 4 |
| *13A | Form Design Guide Sheet (16″ x 101/2″) |
| *13B | Form Design Guide Sheet For 331/3% Reduction of 8″ x 101/2″ (16), 4 |
| *13C | ADP Form Design Spacing Guide (16), 4 |
| *17 | Notice to Bidder (4), 1, 6 |
| *20 | Notice of Surety (4), 1, 6 |
| *26 | Data Bearing Upon Scope of Employment of Motor Vehicle Operator (10), 5 |
| *37 | Nomination for Interagency Training (1), 30 |
| *40A | Motor Vehicle Service Authorization (10), 2 |
| *49 | Inquiry for United States Government Use Only (1), 15 |
| *50 | Inquiry for United States Government Use Only (1), 15 |
| *51 | Inquiry for United States Government Use Only (1), 15 |
| *59 | Contract Pricing Proposal (3), 1, 4 |
| *60 | Contract Pricing Proposal (Research and Development) (3), 1, 4 |
| *61 | Subcontracting Program—Quarterly Report of Participating Large Company on Sub-contract Commitments (To Small Business Concerns and Minority Business Enterprises and Labor Surplus Area Concerns) (3), 1, 4 |
| *62 | Safe or Cabinet Security Record (18), 8 |
| *63 | Security Container Information (18), 8 |
| *111 | Combination Safe Card (18), 8 |
| *113 | Register—Distribution of Classified Material (18), 6 |
| *114 | Register—Destruction of Classified Materials (Non-Record Copies) (18), 6 |
| *115 | Top Secret Cover Sheet (18), 6 |
| *122 | Report of Closing Hours Security Check (18), 19 |
| *151 | Incoming Telegram (12), 3 |
| *151(H) | Incoming Telegram (Hectograph) (12), 3 |
| *152(H) | Outgoing Telegram (Hectograph) (12), 3 |
| *152A(H) | Outgoing Telegram (Hectograph, Continuation Sheet) (12), 3 |
| *160 | Request for Records (Freedom of Information Act) (14), 16 |
| *163 | Employee Suggestion Form (1), 12 |
| *192–A | Outgoing Telegram (Continuation) (12), 3 |
| *203 | Privacy Act Information Request (14), 25 |
| *1014 | General Ledger (7), 2 |
| *1014–A | General Ledger (7), 2 |
| *1015 | Allotment Ledger (7), 3 |
| *1016 | Distribution Ledger (7), 4 |
| *1016–B | Distribution Ledger (7), 4 |
| *1017–C | Register of Allotment Ledger Transactions (7), 4 |
| *1101 | Miscellaneous Obligation Record (7), 3 |
| *1114 | Bill for Collection (8), 1 |
| *1114–A | Official Receipt (6), 1 |
| *1114–B | Collection Voucher (6), 1; (4), 6 |
| *1120 | Transportation Request Accountability Record (9), 5 |
| *1127 | Individual Pay Card (2), 1 |
| *1130–A | Time and Attendance Report (For Use Abroad) (2), 3, 9 |
| *1135 | Time and Attendance Report (2), 3 |
| TREASURY FORM NUMBER AND TITLE | |
| 3079 | Civilian Employee Claim for Loss or Damage to Personal Property (P.L. 88–558) (7), 4 |
| 3086 | Statement of Employment and Financial Interests (1), 27 |
| 3087 | Confidential Statement of Employment and Financial Interests (1), 27 |
| IRS FORM NUMBER AND TITLE | |
| 1 (TAC) | Employee Suggestion (1), 1, 12 |
| 1A (TAC) | Employee Suggestion (1), 1, 12 |
| W–2 | Wage and Tax Statement (2), 18 |
| 3 (TAC) | Report on Incentive Awards (1), 13 |
| W–3 | Transmittal of Income and Tax Statement (2), 18 |
| W–4 | Employees Withholding Allowance Certificate (2), 18 |
| 4A (TAC) | Recommendation for Special Act or Service or Superior Work Performance Award (1), 1, 12 |
| 5 (B&F) | Obligation Notice (7), 4 |
| 13 (TD) | Request for Photographic Work (3), 8 |
| 16 | Stock Forms and Publications Requisition (3), 9 |
| 141 | Statement of Special Moneys Transactions (7), 4 |
| L–148 | Form Letter—Pre-Employment Inquiry (1), 15 |
| IRS FORM NUMBER AND TITLE | |
| RO–258 | Request for Reissuance or Cancellation of (Treasury) U.S. Savings Bonds (2), 4 |
| 211–A | Application and Public Voucher for Reward for Original Information (6), 1 |
| *496 | Record of Issuance and Disposition of Books of Transportation Requests (9), 5 |
| *668–A | Notice of Levy (2), 23 |
| *812 | Stock Record (3), 10 |
| 941A | Employee’s Quarterly Federal Tax Return (2), 18 |
| *983 | Toll Call Statement (12), 8 |
| 992 | Supplemental Information for Appointment, Reinstatement or Transfer (1), 1, 10 |
| *998 | Monthly Report of Deposits and Purchases of Bonds Under the Voluntary Payroll Plan (2), 7 |
| 1321 | Travel and Transfer Order—Request and Authorization (9), 4 |
| 1334 | Requisition for Equipment, Supplies or Services (3), 4, 8, 9; (11), 5 |
| *1587 | Record of Seized Vessels, Vehicles and Aircraft (7), 4 |
| *1588 | Record of Other Seized Property (7), 4 |
| *1748 | Registered Matter Received for Delivery (12), 5 |
| *1754 | Authorization and Signature Card (11), 4 |
| 1766 | Form Design Guide Sheet (13), 3 |
| 1766–A | Form Design Guide Sheet (13), 3 |
| *1766–B | Form Design Guide Sheet (13), 3 |
| 1767 | Publication Service Requisition (13), 3; (3), 7, 8 |
| *1771 | Report of Final Payment of Printing and Reproduction Requisitions (13), 3 |
| 1775 | Report of Physical Hazards in Office (1), 34 |
| *1782 | Publication Job Jacket (13), 3 |
| *1783 | Notice of Scheduled Delivery of Printed Material (13), 3 |
| *1784 | Daily Publication Work Report (13), 3 |
| *1785 | Reproduction Service Delivery Receipt (13), 3 |
| *1787 | Teletype Register (12), 3 |
| 1790 | Request for Investigation (1), 1, 10 |
| *1792 | Motor Vehicle Trip Report (10), 2 |
| *1794 | Financial Plan, Fiscal Year—Budget Estimate—A thru L Fiscal year—(5), 2, 4 |
| *1796 | Request for Publications (3), 9 |
| *1797 | Publication Control Record (13), 4 |
| *1849 | (PD) Disclaimer and Consent With Respect to U.S. Savings Bonds (2), 4 |
| *1921 | Referral of Communication (1), 17 |
| *1924 | Budget Position Control (5), 4 |
| IRS FORM NUMBER AND TITLE | |
| *1926 | Personal Property Inventory (Furniture) (3), 10; (8), 6 |
| *1926–A | Personal Property Inventory (Equipment) (3), 10; (8), 6 |
| 1930 | Custody Receipt for Government Property (3), 10; (8), 6 |
| *1931 | Transfer/Receipt of Personal Property (3), 10; (4), 4 |
| *1932 | Excess Personal Property Report (4), 5 |
| 1933 | Report of Survey (3), 10 |
| *1934 | Employee Clearance Certificate (2), 17 |
| 1938 | Request for a New or Revised Form (16), 4, 9 |
| *1953 | Tax Forms Inventory and Estimated Requirements (13), 3 |
| *1953–A | Tax Forms Inventory and Estimated Requirements (13), 3 |
| 1957 | Schedule of Designated Certifying Officers or Employees (6), 6 |
| 1958 | Schedule of Revoked Authorizations of Officers or Employees (6), 6 |
| 1959 | Certifying Officers or Employees—Designations and Revocations (6), 6 |
| *1970 | Minimum Stock Level Notice (13), 3 |
| *1970–A | Minimum Stock Level Notice (Regional and District Offices) (13), 3 |
| *1977 | General Ledger (7), 2 |
| 1989 | Forms Status Notice (16), 4, 9 |
| 1992 | Specifications—Forms (16), 4 |
| 2009 | Supply Unit—Register of Inventory Differences (3), 10 |
| 2018 | Record of Publications (13), 4, 7 |
| 2019 | Request for Change in Delivery of Salary Checks (2), 2, 6 |
| *2023 | Forms Inventory and Estimates (For Tabulating Cards and Marginally Punched Continuous Forms) (13), 3 |
| *2023–A | Forms Inventory and Estimates (13), 3 |
| *2023–C | Forms Inventory and Estimates (For Tabulating Cards) (13), 3 |
| 2024 | Vehicle Accident Instructions (10), 5 |
| 2040 | District Office Distribution List (13), 3 |
| 2040–A | Subordinate Office Distribution List (13), 3 |
| 2040–B | Regional Office Distribution List (13), 3 |
| 2040–C | Bank and Post Office Distribution List (13), 3 |
| 2040–C | Bank and Post Office Distribution List (13), 3—(Continuation Sheet) |
| 2040–D | Military Installation Distribution List (13), 3 |
| 2040–F | Service Center Distribution List (13), 3 |
| 2040–G | Advance Distribution List (13), 3 |
| 2065 | Qualifications Record (1), 1, 10 |
| IRS FORM NUMBER AND TITLE | |
| 2076 | Request for Suitability Decision and Notice of Action Taken (1), 10 |
| 2087 | Control Procurement Register (13), 4 |
| *2088 | Register of Printing and Reproduction Work Received (13), 4 |
| *2089 | Report on Budget Execution (5), 2, 4 |
| *2128–A | Notice of Shipment—Confirmation of Delivery (6), 1; (13), 2 |
| 2151 | Personnel Schedule (5), 2, 4 A thru G* |
| *2157 | Publication Status Notice (16), 2 |
| 2159 | Payroll Deduction Agreement (2), 23 |
| 2161 | Annual Records Holdings and Disposition Report (16), 6 |
| *2166–C | Back Order Record (3), 10; (13), 2 |
| *2174 | Advice of Allotment Adjustment (5), 6 |
| *2174–A | Advice of Allotment Adjustment (5), 6 |
| *2174–B | Advice of Allotment Adjustment (5), 6 |
| 2176 | Notice of Inter-Regional Adjustment (7), 4 |
| 2187 | Information and Instructions for New Employees (1), 10, 18 |
| 2189 | Advance of Travel Funds Bond (Individual) (6), 7; (9), 4 |
| 2191 | Annual Record of Obligations and Payments (3), 4 |
| *2196 | Civil Service Examination Status Report (1), 16 |
| *2216 | Supervisor’s Job Induction Checklist for Orientation of New Employee (1), 10, 18 |
| *2217 | Position Schedule Bond (6), 7 |
| 2221 | Schedule of Collections (6), 1 |
| *2227 | Pre-Exit Interview (1), 8 |
| 2228 | General Ledger Trial Balance (6), 6 |
| *2228–A | Supporting Schedule General Ledger Trial Balance (6), 6 |
| *2228–B | Supporting Schedule To General Ledger Trial Balance (6), 6 |
| 2235 | Request for Albert Gallatin Award (1), 1, 12 |
| 2254 | (Treasury) Authorization for Purchase of United States Savings Bonds (2), 4 |
| *2257 | Worksheet for Position Report (1), 16 |
| 2263 | Abstract of Bids or Information Quotations (3), 4, 6 |
| 2266 | Comparison of Distribution by District Office (13), 2 |
| *2269 | Financial Plan, FY 19 _________; Budget Estimate FY ________ |
| *2269–A | Financial Plan, FY ________; Budget Estimate FY ________ |
| 2269–B | Financial Plan, FY 19 ________; Budget Estimate FY ________ |
| *2282 | Adjustment Voucher (3), 10 |
| *2286 | Certificate of Training (1), 1 |
| *2288 | Notice of Travel Obligation (7), 4 |
| *2294 | Request for Information on Lost Bill of Lading (9), 2 |
| IRS FORM NUMBER AND TITLE | |
| *2310 | Confirmation of Delivery of Tabulating Cards (3), 4; (13), 3 |
| *2318 | Form Letter For Return of Invoice (3), 4; (6), 6 |
| *2325 | Employee Relations Summary Record (1), 1, 8 |
| *2326 | Personnel Referral Record (1), 17 |
| *2327 | Notification of U.S. Savings Bond Action (2), 4 |
| *2333 | Request for Blank Income Tax Forms (3), 9; (13), 3 |
| 2333–A | Request for Income Tax Forms (13), 3 |
| 2335 | Field Printing Production Report (13), 2, 7 |
| *2340 | General Ledger (7), 2 |
| *2358 | Property Program (3), 10; (8), 6 |
| *2358–B | Office Furniture Requirements as listed in IRS Standards (3), 10; (8), 6 |
| 2366 | Report Under Section 1311 of Public Law 633 Approved August 26, 1954 (6), 3 |
| *2375 | Personnel Reassignment Information (1), 1, 10, 17 |
| *2378 | Request for Changes in Distribution of Internal Management Documents and Releases (13), 2; (16), 10 |
| *2384 | Time and Attendance Record (2), 9 |
| *2386 | Regional Reserve Tax Forms Weekly Inventory Report (13), 2 |
| *2387 | Position Report (1), 16 |
| *2388 | Project Assignment Record (16), 2, 10 |
| *2420 | Report on Promotions Accomplished (1), 16; (5), 5 |
| *2421 | Survey Card for Quarterly Releases Showing Collections of Excise Taxes (13), 5 |
| 2428–T | Year to Date Summary of Earnings and Deductions (2), 1 |
| 2444 | Batch Control Sheet and General Ledger Posting Media (7), 4 |
| *2454 | Expense Ledger (7), 3 |
| *2455 | Personnel Analysis (2), 17 |
| *2466 | Consolidated Payroll Control Register (2), 14 |
| *2469 | Monthly Statement of General Ledger Entries (6), 6 |
| *2470 | Correspondence Course Completion Report (1), 1, 10 |
| *2474 | Report on Annual Review of Positions (1), 16; (2), 17 |
| 2478 | Stock Record (Forms and Publications) (3), 10 |
| *2487 | Stores Stock Issue Book (3), 9 |
| *2488 | Dummy Memorandum of U.S. Government Request for Transportation (9), 3 |
| *2489 | Publications/Forms Transfer Request (3), 9; (13), 2 |
| *2492 | Vehicle Record Book (10), 3 |
| IRS FORM NUMBER AND TITLE | |
| *2492–C | Annual Motor Vehicle Fiscal Summary (10), 4 |
| *2492–F | Monthly Motor Vehicle Report (10), 3 |
| *2492–G | Requirements For Interagency Motor Pool Vehicles For Fiscal Year (10), 4 |
| 2507 | Receipt for Money—Agent Cashier Advance Fund (6), 1 |
| 2509 | Monthly Report of Conduct, Character Background and NACI Cases on Hand and Pending Administrative Determination (1), 16 |
| 2529 | Disability Retirement Referral (1), 1 |
| 2535 | Consolidated Payroll Control (2), 14 |
| *2537 | Activity Ledger (7), 3 |
| *2538 | Allotment Ledger (7), 3 |
| *2548 | Supplemental Bond File (2), 7 |
| *2562 | Envelope Requirement Report (3), 5 |
| *2564 | Space Upgrading Requirements and Additional Space Needs (11), 2 |
| *2580 | Executive Selection Program—Evaluation of Candidates for Placement (1), 1 |
| 2582 | Disciplinary and Suitability Cases Closed (1), 16 |
| *2585 | Register of Terminal Leave Obligations (2), 14 |
| *2595 | Telegraphic Message (Original) (12), 3 |
| 2642 | Notice of Shipment—Confirmation of Delivery (Field Offices) (3), 1, 4; (6), 1; (13), 3 |
| 2651 | Recurring Data Analysis (16), 10 |
| 2665 | Suggestion Evaluation Report (1), 1, 12 |
| *2697 | Internal Use Forms Requirements (13), 3 |
| *2699A | Wage Statement (2), 18 |
| *2699E | Wage Statement (2), 18 |
| *2703 | Notice of Receipt of Tax Form (13), 3 |
| *2713 | Application for Section 6(c) Retirement (1), 1, 10, 17 |
| 2724 | Travel Expense Chargeable to National Office Training Allotment 250 (7), 4 |
| *2763 | Suggestion Acknowledgment (1), 12 |
| 2770 | (Treasury) Application for Motor Vehicle Operator’s Card and Operator’s Record (1), 25 |
| 2773 | Detailed Training Program—Estimates for the FY ________Financial Plan and the FY ________Budget (5), 2, 4 |
| *2776 | Evaluation of Candidates for Executive Training (Selected) (1), 1 |
| 2785 | Obligation Notice and Record (7), 4 |
| 2787 | Authorization and Report of Overtime Worked (2), 7 |
| 2788 | Report of Overtime Worked Not Recorded on Form 2384 (2), 9 |
| *2790 | Time and Attendance Record Correction Notice (2), 3 |
| 2791 | Master Retirement Control (2), 14 |
| IRS FORM NUMBER AND TITLE | |
| 2792 | List of Deposits to the Retirement Fund for Calendar Year (2), 17 |
| 2794 | List of Disability Retirement Applicants (2), 21 |
| 2795 | Control Over Transfers In and Adjustments (2), 14 |
| *2798 | (Postal Card) Re TIR Releases (13), 5 |
| *2813 | Request for Teaching Taxes Material (13), 3 |
| *2832 | Man-Years Realized Report (2), 17 |
| *2839 | Federal Employees’ Health Benefits Program—Medical Certificate of Incapacity (1), 1 |
| 2844 | Reconciliation of Imprest Fund (6), 1 |
| *2854 | Report of Interview (1), 8 |
| *2972 | Payroll Change Card (2), 3; (Supplement) |
| *2978 | Accounting Report—Employee’s Wages and Allowances (2), 17 |
| *2979 | Comprehensive Payroll Listing (2), 1 |
| *2980 | Accounting Report—Employer’s Wages and Allowances (2), 17 |
| *3012 | Payroll Rate and Hourly Adjustment Register (2), 14 |
| *3013 | Payroll Deduction "A" Adjustment Register (2), 14 |
| 3014 | Payroll Deduction "B" Adjustment Register (2), 14 |
| *3018 | WAE Employee’s Change of Duty Status Notice (2), 13 |
| *3024 | Report of U.S. Savings Bonds—7070 (2), 7 |
| *3025 | Object Class Ledger (7), 3 |
| *3027 | E and O Work Card (7), 4 |
| 3028 | Expenditure and Obligations—7070 (7), 4 |
| *3078 | Project Schedule and Progress (1), 3 |
| *3113 | Leave Without Pay Report (2), 17 |
| *3135 | Supervisor’s Evaluation for Selection or Advancement of Tax Technician (1), 10, 18 |
| *3190 | Qualifications Inventory Card (1), 17 |
| 3235 | College Recruitment Mailing List (1), 17 |
| 3235–A | College Recruitment Mailing List—Continuation (1), 17 |
| *3263 | Organized Crime Drive Cost Report (7), 4 |
| *3271 | Printer’s Distribution List (13), 3 |
| 3282 | Standard Interview Rating Form (1), 1 |
| *3320 | Status of Minority Groups GS–5 and Above (1), 3 |
| *3321 | Report of Minority Groups (1), 3 |
| *3322 | Accessions by Grade and Category (1), 16 |
| IRS FORM NUMBER AND TITLE | |
| *3341 | Check List for Filling Vacancies Occurring Before and During ADP Conversion (1), 10, 18 |
| *3368 | Tax Technician Interview Rating Form (1), 10 |
| *3369 | Tax Technician Screening Summary Form (1), 10 |
| *3372 | Recruitment Progress Report (1), 16 |
| *3384 | Space Assignment Record (11), 1 |
| *3431 | Security File Check Sheet (3), 10 |
| *3458 | Position Description—Redeployment (1), 3 |
| *3522 | Rating Form for ES and D Interview Sessions (1), 17 |
| *3522–A | Rating Form for ES and D Interview Sessions (1), 17 |
| 3525 | Application for Emergency Salary Payment (2), 17 |
| *3597 | Report on Obligations (5), 5; (7), 4 |
| 3600 | Pre–Usage Inspection for Marginally Punched Continuous Forms (3), 7 |
| *3606 | Voucher Register: (7), 4 |
| *3627 | Monthly Report of Reimbursements to General Services Administration for Alterations, Construction or Improvements to Buildings (7), 4 |
| *3637 | Commercial Printing Contractor’s Equipment Questionnaire (3), 6 |
| *3676 | Space Evaluation Check List (11), 1 |
| *3679 | Mid-Year Review Summary by Purpose (5), 5; (6), 6 |
| *3680 | Mid-Year Review-Activity (5), 5; (6), 6 |
| *3681 | Mid-Year Review—Activity 9800 (5), 5; (6), 6 |
| *3682 | Mid-Year Review Form (5), 5 ; (6), 6 |
| *3683 | Mid-Year Review—Advance Notice of Approved Revised Annual Plan Request for Proposed Reapportionment (5), 5; (6), 6 |
| *3695 | Employee Service Record Report (1), 26; (2), 17 |
| *3698 | Employee Data Change Notification (1), 14; (2) 17 |
| *3702 | Batch Control Register (2), 14 |
| *3711 | Request for Grade Structure Change Funds (2), 12 |
| *3717 | Career Group III Placement Questionnaire (1), 1 |
| *3717(A) | Evaluation of Career Group III Candidates (1), 1 |
| *3718 | Evaluation of Supervisory Ability (1), 1 |
| *3730 | Payroll Updating Batch Control—Card No. 99 (2), 1; (Supplement) |
| *3768 | Annual Position Review Summary and Certification (1), 17 |
| *3771 | Suggestion Program Progress Report (1), 13 |
| *3781 | Payroll Adjustments Batch Control—Card No. 94 (2), 3; (Supplement) |
| *3782 | Payroll Adjustments Batch Control—Card No. 93 (2), 3; (Supplement) |
| *3783 | Payroll Adjustments Batch Control—Card No. 92 (2), 3; (Supplement) |
| IRS FORM NUMBER AND TITLE | |
| *3784 | Payroll Adjustments Batch Control—Card No. 91 (2), 3; (Supplement) |
| *3785 | Payroll Multiple Indicative Adjustments—Card No. 08 (2), 3; (Supplement) |
| *3786 | Payroll Accounting Correction—Card No. 07 (2), 3; (Supplement) |
| *3787 | Payroll Retirement Adjustment—Card No. 06 (2), 3; (Supplement) |
| *3788 | Payroll Voluntary Deduction Adjustment—Card No. 05 (2), 3; (Supplement) |
| *3789 | Payroll Deduction "B" Adjustment—Card No. 04 (2), 3; (Supplement) |
| *3790 | Payroll Deduction "A" Adjustment—Card No. 03 (2), 3; (Supplement) |
| *3791 | Payroll Rate and Hourly Adjustment—Card No. 02 (2), 3; (Supplement) |
| *3792 | Payroll Off Tape Adjustments—Card No. 01 (2), 3; (Supplement) |
| *3793 | Payroll Adjustments Batch Control Registers (2), 16 |
| *3795 | Payroll Voluntary Deduction Adjustment Register (2), 16 |
| *3796 | Payroll Retirement Adjustment Register (2), 16 |
| *3797 | Payroll Multiple Indicative Adjustments Register (2), 16 |
| *3798 | Payroll Accounting Correction Register (2), 16 |
| *3838 | Health and Group Life Insurances and Retirement Tabulation (2), 22 |
| *3850 | Expense Symbol Ledger (7), 4 |
| *3851 | Undistributed Ledger (7), 4 |
| *3853 | Payroll Rate and Hourly Adjustment Register for Terminal Leave (2), 16 |
| *3854 | Payroll Adjustments Batch Control Register for Terminal Leave (2), 16 |
| 3855 | Payroll Accounting Correction Register for Terminal Leave (2), 16 |
| 3860 | Performance Rating and Related Certifications (1), 23 |
| *3861 | Performance Evaluation (1), 1 |
| *3862 | Performance Evaluation (Revenue Officer GS-1169-9) (1), 1 |
| *3863 | Performance Evaluation (Revenue Officer GS-1169-11) (1), 1 |
| *3876 | Taxpayer Assistor Supervisory Evaluation (1), 10 |
| *3877 | Taxpayer Assistor Panel Interview Rating (1), 10 |
| *3878 | Taxpayer Assistor Screening Summary (1), 10 |
| *3888 | General Utility Register (2), 16 |
| *3890 | Request for Security Clearance (1), 10 |
| *3891 | Service Computation Record (1), 10 |
| *3901 | Placement Officer’s Workshop Participant Evaluation (1), 10 |
| IRS FORM NUMBER AND TITLE | |
| *3918 | Board Evaluation of Candidate for Appellate Career Program (1), 3 |
| *3919 | Evaluation for Appellate Career Programs (1), 3 |
| *3923 | Transaction List (2), 17 |
| *3934 | Recruitment Study (1), 16 |
| 3950 | Notice of Completion of Employment Inquiries (1), 10 |
| *3956 | Appellate Personal Inventory Record (1), 3 |
| *3970 | Payroll Listing (2), 16 |
| *3971 | Property Transaction Input (3), 10 |
| *4011 | Placement Follow-up Interview Record (1), 10 |
| *4012 | Placement Follow-up Employee Questionnaire (1), 10 |
| *4013 | Placement Follow-up Supervisory Questionnaire (1), 10 |
| *4076 | Quarterly Report of Abolished Vacant Position (2), 17 |
| *4959 | Time and Attendance Record (370 System) (2), 3 |
| *4959A | Substitute Time and Attendance Record (360 System) (2), 3 |
| *4959B | Amended Time and Attendance Record (360 System) (2), 3 |
| 5081 | Employee Profile Security File (18), 6(a) |
| *5368 | Space Assignment Data (11), 17 |
| *5368P | Personnel Data (11), 17 |
| *5425 | Justification for Charge-back on SIBAC Transactions (11), 16 |
| 5436 | Authorization, Change or Revocation of Premium Pay for Administratively Uncontrollable Overtime (2), 15 |
| 5482 | Record of Disclosure (14), 14 |
| *5496 | Eligibility and Rate Determination for Administratively Uncontrollable Overtime (AUO) Work (2), 15 |
| *5497 | Report of Administratively Uncontrollable Overtime (AUO) Work (2), 15 |
| 5543 | Problem Resolution Correspondence (16), 14 |
| *5641 | Fair Labor Standards Act Time Sheet (2), 3 |
| *5796 | Time and Attendance Record-Substitute (salmon) (2), 3 |
| *5797 | Time and Attendance Record-Amended (yellow) (2), 3 |
| 5798 | Time and Attendance Record-Original (manila) (2), 3 |
| 5986 | Fair Labor Standards Act Time Record (green stripe-original) (2), 3 |
| 5986 | Fair Labor Standards Act Time Record (yellow stripe-duplicated) (2), 3 |
| M-5991 | Biweekly Leave Statement and Timekeeper’s Notice (2), 3 |
| M-5991-A | Biweekly Leave Statement and Timekeeper’s Notice with Discrepancy Codes (2), 3 |
| 6016 | Problem Resolution Statistical Record (16), 14 |
| 6054 | ID Badge Packet (11), 4 |
| 6055 | ID Badge Packet (11), 4 |
| 6056 | ID Badge Packet (11), 4 |
| 6858 | Request for Approval of Travel (6), 1 |
| 6925 | Received from the Commissioner of Internal Revenue the Following Described pieces of Mail (12), 6 |
| *6993 | Requisition for Engraving and Plate Printing (13), 3 |
| IRS FORM NUMBER AND TITLE | |
| *6994-A | Purchase Order (3), 1,4 |
| *6994-B | Purchase Order Continuation Sheet (3), 1,4 |
| *7000 | (T) Correspondence Control Slip (12), 6 |
| *7834 | Record of Students in Training Courses (1), 16 |
| 7995 | Outside Employment or Business Request (1), 10,17 |
| * Obsolete Form | |
| Numbers in parentheses are schedule numbers. Numbers in italic are item numbers. | |