Electronic Forms

Functional Listing

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FUNCTIONAL LISTING
(As of October 1, 2004 )

ACQUISITION MANAGEMENT
AD 14	Request for Supplies, Forms, and/or Publications (Rev. 11/84)
AD 633	Multiuse Standard Requisition/Issue System (Rev. 3/77)
AD 700	Procurement Request (4/82)
AD 838-7	Purchase Order (Rev. 7/90)
ARS 73	Blanket Purchase Arrangement (4/83) Canceled 11/2001
ARS 335	Cash Count of Imprest Fund (6/91)/font>
ARS 435	Information to Offerors, Bidders, or Quoters (4/2002)
GSA 2957	Reimbursable Work Authorization (Rev.10/97)
OF 336	Continuation Sheet (4/86)
OF 347	Order for Supplies or Services (Rev. 6/95)
OF 348	Order for Supplies or Services Schedule - Continuation (10/83)
SF 26	Award/Contract (Rev. 4/85)
SF 30	Amendment of Solicitation /Modification of Contract (Rev. 10/83)
SF 33	Solicitation, Offer and Award (Rev. 9/97)
SF 36	Continuation Sheet (7/66)
SF 98	Notice of Intention to Make a Service Contract and Response to Notice (2/73)
SF 98A	Notice of Intention to Make a Service Contract and Response to Notice - Attachment A (2/73)
SF 114A	Sale of Government Property - Item Bid page - Sealed Bid (01/70)
SF 129	Solicitation Mailing List Application (Rev. 12/96)
SF 279	Federal Procurement Data System (FPDS) Individual Contract Action Report (Rev. 10/2000)
SF 281	Federal Procurement Data System (FPDS) Summary Contract Action Report ($25,000 or Less) (Rev. 10/2000)
SF 1192	Authorization for Purchase and Request for Change - U.S. EE Savings Bonds
SF 1409	Abstract of Offers (Rev. 9/88)
SF 1420	Performance Evaluation - Construction Contracts (1/91)
SF 1421	Performance Evaluation - Architect-Engineer (4/94)
SF 1442	Solicitation, Offer, and Award (Construction, Alteration, or Repair) (Rev. 4/85)
SF 1445	Labor Standards Interview (Rev. 12/90)
SF 1449	Solicitation/Contract/Order for Commercial Items Offeror to Complete Blocks 12, 17, 23, 24, & 30 (10/95)
SF LLL	Disclosure of Lobbying Activities
ARS RESEARCH
AD 416	Research Work Unit/Project Description - Research Resume (4/99)
AD 417	Research Work Unit/Project Description - Classification of Research (4/99)
AD 419	Research Work Unit/Project Description - Research Funds and Staff Support (4/99)
AD 421	Progress Report(4/99)
ARS 451	Research Agreement (2/94)
CLAIMS
CA 1	Federal Employee's Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation (Rev. 4/99)
CA 2	Notice of Occupational Disease and Claim for Compensation (1/97)
CA 2A	Federal Employee's Notice of Recurrence of Disability and Claim for Continuation Pay/Compensation (Rev. 9/96)
CA 7	Claim for Compensation on Account of Traumatic Injury or Occupational Disease (Rev. 11/98)
CA 8	Claim for Continuing Compensation on Account of Disability (Rev. 1/97) Canceled
SF 1153	Claim for Unpaid Compensation of Deceased Civilian Employee (Rev. 4/82)
SF 1164	Claim for Reimbursement for Expenditures on Official Business (Rev. 11/77)
SF 95	Claim for Damage, Injury, or Death (Rev. 7/85)
EMPLOYEE DEVELOPMENT, PERFORMANCE AND UTILIZATION
AD 287-2	Recommendation & Approval of Awards (7/94)
AD 435 A	Performance Plan, Progress Review, and Appraisal Worksheet (12/86)
AD 435 B	Performance Plan, Progress Review, and Appraisal Worksheet - Continuation (12/86)
AD 435 C	Senior Executive Service Appraisal Record (9/2004)
AD 435 P	Performance Appraisal (3/1993)
ARS 48	Individual Development Plan (8/83)
REE-32	I-Power - Inviting Ideas for Improvement (6/97)
SF 182	Request, Authorization, Agreement and Certification of Training (Rev. 12/79)
SF 182	Request, Authorization, Agreement and Certification of Training ( Service Agreement) (Rev. 12/79)
SF 182\	Request, Authorization, Agreement and Certification of Training (Evaluation) (Rev. 12/79)\
EMPLOYMENT
AD 332	Position Description Cover Sheet (4/86)
AD 343	Payroll Action Request (Rev. 11/95)
AD 349	Employee Address (Rev. 12/93)
AD 581	Lump Sum Leave or Compensation Time Payments (Rev. 2/83)
AD 717	Audit for Leave Year 19__ (Rev. 9/91)
ARS 13T	Request for Approval of Other Employment (12/95) (Replaced with REE101)
ARS 19	Notice of Rating (12/96)
ARS 331	Time and Attendance Schedule (11/94) (replaced with REE331)
ARS 514	Research Position Evaluation Case Writeup (10/97) (Available in Microsoft Word on HRD Web site: http://www.afm.ars.usda.gov/rpes/rpes_forms.htm)
ARS 570	In-Depth Reviewer Contact Sheet (2/98) (Available in Microsoft Word on HRD Web site: http://www.afm.ars.usda.gov/rpes/rpes_forms.htm)
CA 17	Duty Status Report (Rev. 1/97)
CA 20	Attending Physician's Report (Rev. 1/97)
ERS 13	Employee Identification Card Request Form (12/2000)
GSA 1655	Employee Clearance Record (Rev. 2/1998)
HRD CASECLOSE	Recruitment Case File Checklist
HRD FORM212	Status of Your Application for Vacancy
HRD POSTDOC	Filled Postdoc Position
HRD QUALS	Qualifications Analysis Sheet
HRD RECJUST	Request and Justification for Recruitment Action
HRD SYFORM	Recruitment and Selection Approval Request (For Categories 1 and 4 Positions)
HRD SYSELECT	Request for Approval to Select (SY);
HRD VOLSIGN	Volunteer Sign-in Record
I 9	Immigration and Naturalization Service (Rev.11/21/91)
OF 306	Declaration for Federal Employment (Rev.1/2001)
OF 612	Optional Application for Federal Employment (9/94)
OF 5	Inquiry as to Availability (Rev. 3/82)
OF 8	Position Description (Rev. 1/85)
OPM 71	Request for Leave or Approved Absence (replaces SF71) (6/2002)
OPM 1170	List of College Courses and Certificate of Scholastic Achievement (Rev. 1/92)
OPM 1556	Former Spouse's Consent to FERS Election (7/87)
OPM 1635	Welfare to Work Program (4/97)
OPM 1643	Child Care Subsidy Application Form (Rev.5/2003)
OPM 1644	Child Care Provider Information for the Child Care subsidy Program for Federal Employees (Rev.5/2003)
REE 3	Temporary Leave Transfer Program - Leave Recipient Application (3/97)
REE 33	Application for Change in Tour of Duty (4/2002)
REE 34	Tour Renewal Agreement (5/2003)
REE 34A	Tour Renewal Agreement for Hawaii and Alaska (5/2003)
REE 101	Application for Approval to Engage in Non-Federal Employment or Activity (8/2003)
REE 172	Confirmation of Request for Reasonable Accommodation (5/2003)
REE 173	Denial of Reasonable Accommodation Request (5/2003)
REE 331	Time and Attendance Schedule (8/2004) (replaces ARS331)
SF 7	Service Record (Rev. 12/80)
SF 7B	Employee Record (Rev. 12/80)
SF 8	Notice to Federal Employee About Unemployment Insurance (Rev. 6/87)
SF 39	Request for Referral of Eligibles (Rev. 11/88)
SF 39A	Request and Justification for Selective Factors and Quality Ranking Factors (10/74)
SF 50-B	Notification of Personnel Action (Rev. 7/91)
SF 52	Request for Personnel Action (Rev. 7/91)
SF 52A	Recruitment/Placement Action Attachment (Rev. 2/91)
SF 59	Request for Approval of Noncompetitive Action (Rev. 1/79)
SF 62	Agency Request to Pass Over a Preference Eligible or Object to an Eligible (Rev. 10/79)
SF 71	Request for Leave or Approved Absence (Rev. 12/97) Has been replaced by OPM Form 71
SF 75	Request for Preliminary Employment Data (Rev. 8/98)
SF 144	Statement of Prior Federal service (Rev. 9/83)
SF 171	Application for Federal Employment (Rev. 6/88)
SF 171A	Continuation Sheet for SF 171 (Rev. 6/88)
SF 172	Amendment to Application for Federal Employment (Rev. 6/88)
SF 180	Request Pertaining to Military Records (Rev. 7/84)
SF 308	Request for Wage Determination and Response to Request (Rev. 5/85)
SF 1150	Record of Leave Data (Rev.12/77)
SF 1152	Designation of Beneficiary - Unpaid Compensation of Deceased Civilian Employee (Rev. 11/91)
SF 1189	Request by Employee for Payment of Salaries or Wages by Credit to Account at a Financial Organization (Rev. 5/75)
SF 1199A	Direct Deposit Sign-up Form (Rev. 6/87)
SF 2800	Application for Death Benefits - CSRS (Rev.4/86)
SF 2800A	Agency Certification for Death in Service - CSRS ( 4/88)
SF 2801-3	Election of Former Spouse Survivor Annuity or Combination Current/Former Spouse Annuity (1/90)
SF 2801-1	Certified Summary of Federal Service - CSRS (Rev. 1/90)
SF 2801	Application for Immediate Retirement - CSRS (Rev. 1/90)
SF 2801-2	Spouse's Consent to Survivor Election (Rev. 1/90)
SF 2801-D	Agency Checklist of Immediate Retirement Procedures - CSRS (Rev. 1/90)
SF 2803	Application to Make Deposit or Redeposit - CSRS (Rev. 3/87)
SF 2808	Designation of Beneficiary - CSRS (Rev. 2/99)
SF 2809	Health Benefits Registration Form (Rev. 7/99)
SF 2810	Notice of Change in Health Benefits Enrollment (Rev. 6/95)
SF 2817	Life Insurance Election - Federal Employee's Group Life Insurance Program (Rev. 6/2000)
SF 2818	Continuation of Basic Life Insurance Coverage (Rev. 5/2001)
SF 2819	Notice of Conversion Privilege - FEGLI (Rev. 5/95)
SF 2821	Agency Certification of Insurance Status -FEGLI (Rev.5/1995)
SF 2822	Request for Insurance - FEGLI (Rev. 1/2002)
SF 2823	Designation of Beneficiary - FEGLI (Rev.4/2001)
SF 2824A	Applicant's Statement of Disability In Connection with Disability Retirement Under CSRS (7/84)
SF 3102	Designation of Beneficiary - FERS (Rev. 12/93)
SF 3104	Application for Death Benefits - FERS (1/97)
SF 3106 / SF 3106A	Application for Refund of Retirement Deductions [includes Current/Former Spouse's Notification of Application for Refund of Retirement Deductions Under the Federal Employee's Retirement System] (Revised 8/2000)
SF 3107	Application for Immediate Retirement - FERS (Rev. 1/97)
SF 3107-1	Certified Summary of Federal Service - FERS (Rev. 3/88)
SF 3107D	Agency Checklist of Immediate Retirement Procedures - FERS (Rev. 3/88)
SF 3108	Application to Make Service Credit Payment for Civilian Service - FERS (Rev. 5/88)
TSP 1	Election Form (Rev. 8/2002)
TSP 17	Information Relating to Deceased Participant (3/98)
TSP 18	Validation of Retirement Information (8/87)
TSP 19	Transfer Thrift Savings Plan Information Between Agencies (2/88)
TSP 20	Loan Application (Rev. 8/2002)
TSP 3	Designation of Beneficiary (Rev. 10/96)
EQUAL OPPORTUNITY
SF 181	Race and National Origin Identification (Rev. 5/82)
FACILITIES AND SPACE MANAGEMENT
ARS 494	Revocable Permit (6/88)
NCPC-A	Federal Project Proposal (2/2002)
NCPC-B	Annual Review of Project Status (2/2002)
SF 81	Request for Space (Rev. 2/89)
SF 81A	Space Requirements Worksheet (10/83)
SF 81 AP2	Instructions, Standards and Symbols
SF 118A	Buildings, Structures, Utilities, and miscellaneous Facilities (Rev. 5/96)
FISCAL MANAGEMENT
AD 354	Request for Information (Rev. 9/93)
AD 424	Employee Application for Reimbursement of Expenses Incurred Upon Sale or Purchase (or both) of Residence Upon Change of official Station (Rev. 4/88)
AD 567	Teleticket Payment Transmittal (Rev. 8/88)
AD 568	Transmittal - Credit Card - Gasoline (7/76)
AD 661	Cashier Sub - Voucher Register (7/75)
AD 672	Reimbursement or Advance of Funds Agreement (Rev. 9/86)
AD 673	Request to Bill (Rev. 7/89)
AD 718	Period End - Estimates (10/76)
AD 742	Transfer and Adjustment Voucher (Rev. 10/91)
AD 757	Miscellaneous Payments System (Rev. 2/94)
AD 838B	Invoice - Receipt Certification (Rev.2/91)
AD 838D	BPA Invoice - Receipt Certification (Rev.11/91)
AD1143	Foundation Financial Information System (FFIS) and FFIS Data Warehouse (no date)
ARS 4	Rates for Quarters and Services Furnished Federal Employees (11/73)
ARS 23	Record of Payments (2/2002)
ARS 305	Transmittal of Invoice for Payment (4/2002)
ARS 323-8	Request for Use of Prior Fiscal Year Funds (3/90)
ARS 324	Transmittal of Reimbursable or Trust Fund Agreement (SAA Version 1/96)
ARS 371	Construction Progress and Payment Schedule (11/1984)
ARS 372	Contractor's Request for Payment Transmittal (11/1984)
GSA 2972	Agency Request for Adjustment/SIBAC Charge-Backs to FBF SLUC Billings (Rev. 3/84)
OF 1129	Cashier Reimbursement Voucher and/or Accountability Report (Rev.10/86)
REE21	Record of Public Funds Received and Transmitted for Deposit (replaces ARS326-1
SF 1034	Public Voucher for Purchases and Services Other than Personal (Rev. 10/87)
SF 1080	Voucher for Transfers Between Appropriations and/or Funds (Rev. 4/82)
SF 1081	Voucher and Schedule of Withdrawals and Credits (Rev. 9/82)
SF 1113	Public Voucher for Transportation Charges (Rev. 11/86)
SF 1129	Cashier Reimbursement Voucher and/or Accountability Report (Rev. 2/82)
SF 1145	Voucher for Payment Under Federal Tort Claims Act (1/1992)
SF 1166	Voucher and Schedule of Payments (Rev. 5/84)
SF 270	Request for Advance or Reimbursement (Rev. 2/92)
SF 2804	Application to Make Voluntary Contributions (Rev. 10/2000)
SF 2804B	Information Regarding Voluntary Contributions
FLEET MANAGEMENT
AD 728	Request and Authorization for Home to Work Transportation (Rev. 12/88)
ARS 45	Vehicle Inspection Check List (9/83)
GSA 1781	Motor Vehicle Requisition (6/98)
SF 82	Agency Report of Motor Vehicle Data (Rev. 7/99)
SF 91	Motor Vehicle Accident Report (Rev. 2/93)
FOREIGN RESEARCH
ARS 215	Memo of Understanding Between the Foreign Visiting Scientist and the ARS (9/2001)
ARS 216	Arrival Orientation Checklist for Foreign Research Associate (1/98)
ARS 217	Progress Report on Foreign Research Assoc. Assigned to ARS (1/98)
ARS 218	Foreign Research Associate's Final Report (1/98)
ARS 219	Departure Checkout of Foreign Research Associate (1/98)
HOMELAND SECURITY
OFI 86C	Special Agreement Checks (SAC) (2/2002)
PERSONAL PROPERTY MANAGEMENT
AD 107	Report of Transfer or Other Disposition or Construction of Property (11/89)
AD 112	Report of Unserviceable, Lost, Stolen Damaged or Destroyed Property (03/94)
AD 732	Request of Service or Movement of Property (3/77)
AD 873	Property Pass (6/63)
OF 7	Property Pass (9/88)
SF 1038	Advance of Funds Application and Account (Rev. 10/77)
SF 120	Report of Excess Personal Property (Rev. 4/57)
SF 120A	Continuation Sheet - Report of Excess Personal Property (4/57)
SF 121	Annual Report of Utilization and Disposal of Excess and Surplus Personal Property (Rev. 8/85)
SF 122	Transfer Order - Excess Personal Property (6/74)
SF 126	Report of Personal Property for Sale (Rev. 7/78)
SF 126A	Report of Personal Property for Sale (Continuation Sheet) (2/65)
SF 18	Request for Quotation (Rev. 6/95)
SF 118C	Related Personal Property (Rev. 5/96)
PERSONNEL SECURITY
AD 471	Classified Document Accountability Record (1/84)
OGE 450	Confidential Financial Disclosure Report (9/2002)
OGE450A	Confidential Certificate of No New Interests (Executive Branch) (3/2004)
REE 1	Receipt for Loaned Property (replaces ARS39) (Rev.10/2002)
REE 102	ADODR Certification (4/2004)
REE 103	COR/COTR Certification (4/2004)
SF 278	Executive Branch Personnel Public Financial Disclosure Report (3/2000)
SF 701	Activity Security Checklist (8/85)
SF 702	Security Container Check Sheet (8/85)
SF 85	Questionnaire for Non-Sensitive Positions (Rev. 9/95)
SF 85P	Questionnaire for Public Trust Positions (Rev. 9/95)
SF 86	Questionnaire for National Security Positions (Rev. 9/95)
SF 86A	Continuation Sheet for Questionnaires SF 86, SF 85P and SF 85 (Rev. 9/95)
PUBLIC AFFAIRS
AD 156	External Distribution (Rev. 2/89)
AD 156A	Internal Distribution (Rev. 2/89)
AD652	Request for Visual Services (8/2003)
AD845	Request for Broadcast Media & Technology Services (7/2002)
SF 1	Printing and Binding Requisition (Rev. 7/79)
SF 1-C	Printing and Binding Requisition for Specialty Items (1/60)
REAL PROPERTY MANAGEMENT
ARS 495	Easement Deed (9/99)
ARS 519	Assurance of Compliance with the Department of Agriculture Regulations Under Title VI of the Civil Rights Act of 1964 (10/75)
GSA 3626	US Government Lease for Real Property (8/92)
SF 2	US Government Lease for Real Property (2/65)
SF 118	Report of Excess Real Property (Rev. 5/96)
SF 118B	Land (Rev. 6/96)
RECORDS MANAGEMENT
AD-311	US Department of Agriculture - Speed Memo (3/81)
AD 755	Advisory Committee Membership Background Information (8/95)
ARS 213	Report of Congressional Conversion (5/85)
ARS433	Reference Memo (3/1993)
ARS 482	ARS482 - REE Issuance Review Sheet ( Rev. 9/2003)
ARS 484	REE Issuance Review List (Rev. 9/2003)
ARS 485	REE Final Issuance Clearance Sheet (Rev. 9/2003)
OF 11	Reference Request - Federal Records Centers (Rev. 9/79)
OF 41	Routing and Transmittal Slip (Rev. 1/94)
OF 271	Conversation Record (12/76)
OMB 83-I	Paperwork Reduction Act Submission (10/95)
OMB 83-C	Paperwork Reduction Act Change Worksheet (10/95)
SF 115	Request for Records Disposition Authority (Rev. 3/91)
SF 115A	Request for Records Disposition Authority - Continuation (Rev. 3/91)
SF 135	Records Transmittal and Receipt (Rev. 7/85)
SF 135A	Records Transmittal and Receipt (Continuation) (Rev. 7/85)
SF 258	Request to Transfer, Approval, and Receipt Records to National Archives of the United States (Rev. 10/78)
SF 298	Report Documentation Page (Rev. 2/89)
SAFETY AND HEALTH
CA 3	Report of Termination of Disability and/or Payment (Rev. 1/97)
CA 16	Authorization for Examination and/or Treatment (1/97)
ARS 182AB	OMSP - Occupational Exposures (9/2001)
ARS 182C	OMSP - Occupational/Medical Questionnaire (11/2000)
ARS 182C(2)	OMSP - Medical History Update Form (9/2000)
ARS 182D	OMSP - Physical Examination Form (9/2000)
SCIENTIFIC QUALITY REVIEW
ARS 199a	Ad Hoc Peer Review of ARS Research Project (11/2000)
ARS 200PA	OSQR Confidentiality Agreement (11/2000)
ARS 202PA	Peer Reviewer Information (11/2000)
ARS 203PA	Suggested Peer Reviewer (11/2000)
ARS 206P	Contract Justification (11/2000)
ARS 207P	Statement of Work (11/2000)
ARS 209P	OSQR Expense Report (11/2000)
ARS 211P	Invoice - Request for Stipend (11/2000)
ARS 221P	Transportation Details (11/2000)
ARS 222P	Action Class Rating Worksheet (11/2000)
ARS 223P	Peer Reviewer's Recommendations on ARS Research Project Plans (11/2000)
ARS 225P	Panel Peer Review of ARS Research Project (11/2000)
ARS 227P	Action Class Judgment of ARS Research Project (11/2000)
ARS 533	Manuscript Peer Review (8/1999)
TELECOMMUNICATIONS MANAGEMENT
AD 474	Transmittal - Telephone and Utilities (1/82)
SF 145	Telephone Service Request (Rev. 6/82)
SF 63	Memorandum of Call (Rev. 8/81)
TRAVEL AND TRANSPORTATION
AD 121	Passport Request (Rev. 2/90)
AD 202	Travel Authorization/Advance (Rev. 11/96)
AD 202M	Attachment for Multiple Travelers (Rev. 11/96)
AD 202R	Attachment for Relocation Travel (Rev. 11/96)
AD 569	Expense Record for Temporary Quarters (Rev.3/85)
AD 616	Travel Voucher (Temporary Duty Travel) (Rev. 11/96)
AD 616R	Travel Voucher (Relocation) (Rev. 11/96)
AD 750	International Travel Clearance (5/91)
AD1147	Public Transportion Benefit Program Application (Rev.10/22/02)
ARS 183	Service Agreement (Rev. 7/2001) * (Replaced by REE 183)
DSP 11	Application for Passport/Registration (8/1/89)
REE 183	Service Agreement (replaces ARS183) (1/2004)
SF 326	Semiannual Report of Payments Accepted from a Non-Federal Source (2/98)
SF 326A	Semiannual Report of Payments Accepted from a Non-Federal Source - Continuation (2/98)
SF 1103	US Government Bill of Lading (Rev. 4/85)
SF 1200	Government Bill of Lading Correction Notice (8/82)
SF 361	Transportation Discrepancy Report (Rev. 3/84)

Electronic Forms Page

Questions/Comments may be directed to Brenda Clark, bclark@ars.usda.gov