United States Department of Agriculture
Research, Education, and Economics

ARS * CSREES * ERS * NASS
Policies and Procedures

 

 

Title: Employee Exit Clearance Procedures
Number: 426.1
Date: October 22, 1998
Originating Office: Human Resources Division, REE Policy Branch, AFM/ARS
This Replaces:   
Distribution: All REE Employees

 

 

 

This P&P establishes procedures for all employees, both permanent and temporary, who transfer to another agency, resign, retire, or otherwise separate from an REE agency.

*As of 10/05/2004, the Attachment 4, USDA Form AD-1126, Exit Interview Questionnaire, has been abolished by the Department. REE also will no longer use the questionnaire. Thus, Attachment 4 (AD-1126) to Directive 426-1 is no longer valid for use and is removed from the directive. This directive will be updated at a later date.

 


Table of Contents

1. Policy
2. Liabilities
3. The Separation Process
4. Summary of Responsibilities
Attachment 1
Attachment 2
Attachment 3a
Attachment 3b
Attachment 4


 

1.    Policy

When an employee separates from ARS, CSREES, ERS, or NASS, the respective agency must ensure that the employee either returns or accounts for any outstanding financial liabilities and/or accountable items for which the employee is responsible. Each agency, in coordination with Administrative and Financial Management's (AFM), Human Resources Division (HRD), must follow a coordinated set of actions to complete check-out procedures before the employee leaves the agency. These requirements may be supplemented, but not replaced.

 

2.    Liabilities

A financial liability is an employee debt that includes monies owed for travel expenses and advances, advanced leave, service or training agreements, etc. An accountable items liability includes any Government-owned items for which an employee is responsible; i.e., official records, charge cards, passports, ID cards, laptop computers, home use equipment, or other assigned personnel property, electronic access cards, etc. Prior to separation, each employee is responsible for returning accountable items and monies owed.

If the employee cannot account for all items or if the employee owes money to the Government, the employee must arrange for settlement of these items. If a settlement arrangement is not agreed upon, Agency Administrators may request that HRD initiate collection action against the employee for an outstanding debt or loss of property.

 

3.    The Separation Process

Any employee planning to leave the agency should notify his or her supervisor as soon as possible, preferably 2 weeks in advance of the separation date. By giving an advance notice, post-employment matters can be resolved quickly and efficiently. Upon notification, administrative representatives (i.e., supervisors, HRD representatives, location administrative officers, administrative officers, Area personnel office staff, Area personnel assistants, or others who may have administrative responsibility), must contact the employee personally to conduct the exit process. (If practical, discussions should be in person; however, neither past nor present supervisors are permitted to discuss or collect information for the completion of the AD-1126, USDA Exit Interview Questionnaire (Attachment 4), with the employee. The administrative representative must also complete and/or provide the employee with the following documents:

 

4.    Summary of Responsibilities

Administrators

Director, Human Resources Division (HRD)

Director, Procurement and Property Division (PPD)

Director, Financial Management Division (FMD)

Director, Information Technology Division (ITD)

REE Safety Officers, ARS Area Administrative Officers, and Location Administrative Officers

Administrative Representatives

Employees

 

    /s/    

W. G. HORNER
Deputy Administrator
Administrative and Financial Management


Attachment 1

REE-9 (9/98)

SEPARATION FORMS CHECKLIST

Employee Name_______________ Type of Action _________ Effective Date _________

INSTRUCTIONS: The HRD staff is responsible for completing and filing this form. Administrative representatives who initiate any of these processes are encouraged to complete relevant sections and include with other materials submitted to HRD for processing.

TYPE OF DOCUMENT
DATE
COMPLETED
DATE SENT
TO HRD
DATE
SENT TO EMPLOYEE
.    GENERAL FORMS
REE-10        Employee Exit Checklist      
AD-1126        USDA Exit Interview Questionnaire      
SF-50-B        Notification of Personnel Action      
SF-293        Notice to Separated Employee . . . Disposition of OPF      
AD-349/1024    Employee (Change of ) Address      
AD-435        Performance Appraisals      
AD-491        Security Debriefing Secrecy Agreement      
AD-581        Lump Sum Leave or Compensatory Time Payments      
AD-717        Audit for Leave Year(s) ____      
AD-815        Post Employment Restriction Notice      
.    RETIREMENT FORMS
SF-2802        Application for Refund of Retirement Deductions CSRS      
SF-2808        Designation of Beneficiary CSRS      
SF-3102        Designation of Beneficiary FERS      
SF-3106        Application for Refund of Retirement Deductions FERS          
TSP-BK01    TSP Withdrawal Information (Employee Package)      
.    LIFE INSURANCE FORMS
SF-2819        Notice of Conversion Privilege FEGLI Program      
SF-2821        Agency Certification of Insurance Status FEGLI Program      
.    HEALTH INSURANCE FORMS
        FEHB TCC Letter      
SF-2809-A    FEHB, Federal Employees Health Benefits Program      
RI79-27        Temporary Continuation of Coverage (TCC) under FEHB      
SF-2810        Notice of Change in Health Benefits Enrollment      
.    UNEMPLOYMENT FORMS
SF-8        Notice to Federal Employee About Unemployment Insurance      
FRICK-U88Z    UCFE Frick Company Employee Separation Form      

Signature_____________Date____________

NOTE: File Completed Sheets Only -- OPF (Left Side)


Attachment 2

REE-10 (9/98)

U.S. Department of Agriculture
Research, Education, and Economics Agencies

Employee Exit Checklist

1. EMPLOYEE
2. ORGANIZATIONAL UNIT 3. SEPARATION DATE
INSTRUCTIONS: The administrative representative is responsible for ensuring that all items in Parts I - VI are checked. Any items marked as “no” under cleared should be identified in Part VII. The administrative representative must obtain authorization and signatures for all items listed in Part VII. Once the status of all items has been resolved, the administrative representative completes Part VIII and forwards this form to AFM, Human Resources Division.
ITEM

ACTION

    CLEARED

CLEARED THRU
(Name/Office)

SIGNATURE

    DATE
YES NO N/A
PART I - ADMINISTRATIVE
1. Leave Audit (AD-717) Complete and forward to HRD.            
2. Lump-Sum Payments
     ( AD-581)
Complete and forward to HRD.            
3. Official Listings (Phones & Other Directories) Complete AD-349 and/or
AD-1024.
           
4. Last T&A Timekeeper must mark the last T&A as final if leaving USDA.            
5. Retirement Forms
( ARS Field Only)
Mailed SF-2802,SF-2808, SF- 3106, SF-3201, TSP-BK01.            
6. Life Insurance Forms (ARS Field Only) Mailed SF-2819 & SF-2821.            
7. Health Insurance Forms
(ARS Field Only)
Mailed/delivered TCC Letter,
RI 79-27, SF-2810.
           
8. Unemployment Form
(ARS Field Only)
Mailed/delivered SF-8.            
9. Performance Plan
(NASS Only)
Forward NASS PRP Form 435B to HRD.            
10. AD-1126, Exit
Questionnaire
Collect and forward to HRD.            
PART II - IDENTIFICATION/PROPERTY
1. USDA Photo ID Card
Collect and submit to AO/LAO or HRD in HQ.            
2. Lock-up Pass
Collect and destroy (ERS return
to COS).
           
3. Official Government
Passport and/or Visa
Return to the retention office for cancellation.            
4.   Accountable Property  (Computers, Cell Phones,
Home Use Equipment,
etc.)
All property has been returned.
Contract warrants have been terminated. Passwords/IDs have been terminated.
           
5. Other Accountable Items (Keys, Manuals, etc.) 
Transit Subsidy - ERS  Only
All accountable items have been returned to supervisor or designated representative.            
6. Reference Materials   (Smart Ctr., Library, etc.) All reference materials have been returned.            
7. Personal Protection and Safety and Health
(ARS Only)
Check with AO/LAO and Safety Officer to ensure compliance and to clear equipment.            
8. Electronic Access Card(s)  (Building, Elevator, Parking, etc.) Collect and return to AFM/FD or to AO/LAO for ARS field offices.            
Part III - FINANCIAL
1. Travel Advance Check with designated agency travel office.            
PART IV - SERVICE AGREEMENTS
1. First Duty Station/
Relocation Bonus
Verify that agreement has been fulfilled.            
2. Transfers/ Relocations/Bonus Verify that agreement has been fulfilled.        
 
3. Long-Term Training
(1890, Math Stat, etc.)
Verify that agreement has been fulfilled.            
PART V - CHARGE CARDS
1. Travel Charge Card Return to the employee's supervisor or designated representative.            
2. PCMS Purchase Card ARS & CSREES - return to AFM/FMD. NASS & ERS - return to agency budget office. ITD - Cancel Password and IDs            
3. Supply Cards (Central
Supply Store - HQ)
Return to AFM/PPD.            
4. FTS 2000/ International Calling Card Return to AFM/ITD.            
PART VI - SECURITY
1. Debriefing Obtain signatures on AD-491.            
2. ADP Access ARS - Contact ACS/DCS or ITD help desk. CSREES, ERS,
NASS - Contact LAN/E-mail administrator.
           
3. NFC Access ARS/ACS and CSREES - contact ITD help desk; ERS - ADP Security Officer; NASS - Agency Security Officer            
4. Classified Materials Arrange with ITD to change safe and door combinations.            
5. Official Records Supervisor must make sure records have not been removed.            
6. Office Doors, Files, Desk Keys Arrange with AFM/FD (AO/LAO for ARS field) to change locks, return keys, etc.            
7. Official Authorizations Rescind employee's authorization to act for the agency (e.g. property passes, imprest fund, open travel authorizations, etc.)            
PART VII - ITEMS NOT CLEARED (LIST SPECIFIC STATUS AND ACTION(S) TO BE TAKEN)

ITEM

STATUS

ACTION

    SIGNATURE OF AGENCY HEAD (OR DESIGNEE)

1.   [ ]Waive       [ ]Collect  
2.   [ ]Waive       [ ]Collect  
PART VIII - TO BE COMPLETED BY THE RESPONSIBLE ADMINISTRATIVE REPRESENTATIVE ONCE ALL ITEMS HAVE BEEN CHECKED

             Signature: _________________                                                    Date: _____________

  Typed Name and Title:


Attachment 3a

ISSUES TO DISCUSS WITH EMPLOYEES WHO ARE
SEPARATING FROM FEDERAL SERVICE

1.    HEALTH BENEFITS COVERAGE

2.    LIFE INSURANCE

3.    THRIFT SAVINGS PLAN

4.    SICK LEAVE

  

5.    ANNUAL LEAVE/COMP LEAVE/CREDIT LEAVE

6.    REFUND OF RETIREMENT

7.    PAYROLL CHANGE

 

8.    MISCELLANEOUS ISSUES: The following issues should be explained if they apply to the separating employee:


Attachment 3b

ISSUES TO DISCUSS WITH EMPLOYEES WHO ARE
MOVING TO ANOTHER USDA AGENCY


1.    HEALTH BENEFITS COVERAGE

 

2.    LIFE INSURANCE

3.    THRIFT SAVINGS PLAN

4.    ANNUAL & SICK LEAVE


5.    COMP LEAVE & CREDIT LEAVE

6.    PAYROLL CHANGE

7.    MISCELLANEOUS ISSUES: The following issues should be explained if they apply to the separating employee:


The Attachment 4 USDA Form AD-1126, Exit Interview Questionnaire, has been abolished by the Department. REE also will no longer use the questionnaire. Thus, Attachment 4 (AD-1126) to Directive 426-1 is no longer valid for use and is removed from the directive. This directive will be updated at a later date.

 

Attachment 4


AD-1126, USDA EXIT INTERVIEW QUESTIONNAIRE

Instructions: We ask each employee who leaves the agency to provide feedback about his or her employment. This information will enable us to identify where improvements should be made in various agency programs and/or work practices. Your participation is voluntary.

All responses are kept confidential.

Part I - Reasons for Leaving: [  ]ARS    [  ]CSREES     [  ]ERS    [  ] NASS (Please check one.)
 

Indicate which best describes how important each of the following reasons was in your decision to leave the organization. Please circle ONE response for each.

        1 - Important
        2 - Neither Important nor Unimportant
        3 - Unimportant


 

(REASONS FOR LEAVING)
1. Desire to pursue non-work interests 1 2 3
2. Desire change to different type work 1 2 3
3. Desire to earn more money 1 2 3
4. Desire to continue formal education 1 2 3
5. Desire a move to different location 1 2 3
6. Desire to work close to home 1 2 3
7. Desire to advance career 1 2 3
8. Desire more meaningful work 1 2 3
9. Retirement benefits 1 2 3
10. Health benefits 1 2 3
11. Leave benefits 1 2 3
12. Changes to retirement 1 2 3
13. Reorganization 1 2 3
14. Inconsistent policies 1 2 3
15. Management/employee cooperation 1 2 3
16. Organization becoming too political 1 2 3
17. Working conditions/safety 1 2 3
18. Working hours/shifts 1 2 3
19. Opportunity to participate in decisions 1 2 3
20. Red tape 1 2 3
21. Job stress 1 2 3
22. Personal health problems 1 2 3
23. Difficulties in getting adequate day care 1 2 3
24. Training 1 2 3
25. Opportunities for advancement 1 2 3
26. Promotional practices 1 2 3
27. My job was moved geographically 1 2 3
28. Management wanted to fire or demote me 1 2 3
29. Support, e.g., equipment, etc. 1 2 3
30. Recognition 1 2 3
31. Morale of work group 1 2 3
32. Relationship with supervisor 1 2 3
33. Discrimination based on sex, race, age, etc. 1 2 3
34. Other: ____________________________ 1 2 3
35. Of the reasons listed above, what was your number one (1) reason for leaving?___ (Give the number) 1 2 3

 

Part II - General attitude about your Agency/Department:

Indicate which best describes your feelings about the following factors. Please circle ONE response for each.

1 - Strongly Satisfied
2 - Satisfied
3 - Neither Satisfied or Dissatisfied
4 - Dissatisfied
5 - Strongly Dissatisfied

 

1. Agency's policies or procedures 1 2 3 4 5
2. Cooperation and participation between managers/ supervisors/ employees 1 2 3 4 5
3. Ability to communicate, discuss, and resolve concerns and complaints with
     supervisors or managers
1 2 3 4 5
4. Working conditions (e.g., space, heat, furniture, equipment, support, etc.) 1 2 3 4 5
5. Opportunity to participate and utilize skills on task forces, collateral duty or
     detail assignments
1 2 3 4 5
6. Training and development opportunities 1 2 3 4 5
7. Opportunities for advancement 1 2 3 4 5
8. Promotion practices 1 2 3 4 5
9. How the discrimination process based on race, color, gender, age, national origin,      disability, political affiliation, religion, marital, or family status is handled 1 2 3 4 5
10. How sexual harassment issues are handled 1 2 3 4 5
11. Fair and equal recognition for work accomplishments 1 2 3 4 5
12. Organizational changes or reorganization 1 2 3 4 5
13. Other factors:


A. Would you return to the Agency?                                                                         Yes ____ No ____
B. Would you recommend the Agency to a friend as a good place to work? Yes ____ No ____
C. Were you satisfied with your work experience at your Agency? Yes ____ No ____
D. Could anything have been done to prevent you from leaving? Yes ____ No ____
(If yes, please explain.)

Explainations/Comments:_______________________________________
___________________________________________________________
___________________________________________________________


Part III - Data Analysis Information (Strictly voluntary):

Your responses to these questions are important. The information will be used for analysis and descriptive purposes only. Your responses to the questions will not be separated out individually.

A. PAY SYSTEM: [ ] GS/GM [ ] WG/WL/WS [ ] ES [ ] OTHER
B. PAY GRADE RANGE: [ ] 1-5 [ ] 6-8 [ ] 9-12 [ ] 13 & above (includes SES)
C. GENDER:  [ ] Female [ ] Male 
D. LENGTH OF SERVICE: [ ] Under 1 year [ ] 1-3 yrs [ ] 4-15 yrs [ ] 16-20 yrs [ ] 21 & over
E. ETHNIC GROUP: [ ] American Indian/Alaska Native [ ]Asian American/Pacific Islander [ ] Black
[ ] Hispanic [ ] White (not of Hispanic origin) [ ] Other

  

THANK YOU FOR YOUR PARTICIPATION!


Footnote: 1    1 OHRM Personnel Bulletin No. 250-4, dated September 4, 1997, subject: Agency/Department Exit Interview Guidelines