General Records Schedule Forms
Transmittal No. 22
April 2010
General Records Schedules
Forms Index
| SF Number | Title | Schedule | Item |
|---|---|---|---|
| 1 | Printing and Binding Requisition | 3 | 6 |
| 13 | 2 | ||
| 1A | Binding Instructions | 3 | 6 |
| 13 | 2 | ||
| 1B | List of Books to be Bound | 3 | 6 |
| 13 | 2 | ||
| 1C | Printing and Binding Requisition for Specialty Items | 3 | 6 |
| 13 | 2 | ||
| 2 | U.S. Government Lease for Real Property | 3 | 3 |
| 2B | U.S. Government Lease for Real Property Short Form | 3 | 3 |
| 7 | Service Record (obsolete as of Dec. 31, 1994) | 1 | 2 |
| 7A | Service Record - Continuation (obsolete as of Dec. 31, 1994) | 1 | 2 |
| 7B | Employee Record (obsolete as of Dec. 31, 1994) | 1 | 6 |
| 7D | Position Identification Strip (obsolete as of Dec. 31, 1994) | 1 | 11 |
| 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 | 3 |
| 6 | 1 | ||
| 44a-d | Purchase Order - Invoice - Voucher | 3 | 3 |
| 6 | 1 | ||
| 50 | Notification of Personnel Action | 1 | 1, 14 |
| 50B | 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 | 11 | 2 |
| 83 | Request for OMB Review (Replaced by OMB 83, Paperwork Reduction Act Submission) | 16 | 6 |
| 82 | Agency Report of Motor Vehicle Data | 10 | 4 |
| 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 | 3 |
| 10 | 6 | ||
| 98 | Notice of Intention to Make a Service Contract and Response to Notice | 3 | 11 |
| 98A | Notice of Intention to Make a Service Contract and Response to Notice (Attachment A) | 3 | 11 |
| 99 | Notice of Award of Contract | 3 | 3 |
| 113A | Monthly Report of Federal Civilian Employment | 1 | 16 |
| 114 | Sale of Government Property - Bid and Award | 4 | 3 |
| 114A | Sale of Government Property - Item Bid Page - Sealed Bid | 4 | 3 |
| 114B | Sale of Government Property - Item Bid Page - Sealed Bid | 4 | 3 |
| 114C | Sale of Government Property - General Sale Terms and Conditions | 4 | 3 |
| 114C-1 | Sale of Government Property - Special Sealed Bid Conditions | 4 | 3 |
| 114C-2 | Sale of Government Property - Special Sealed Bid - Term Conditions | 4 | 3 |
| 114C-3 | Sale of Government Property - Special Spot Bid Conditions | 4 | 3 |
| 114C-4 | Sale of Government Property - Special Auction Conditions | 4 | 3 |
| 114D | Sale of Government Property - Amendment of Invitation for Bids/Modification of Contract | 4 | 3 |
| 114E | Sale of Government Property - Negotiated Sales Contract | 4 | 3 |
| 114F | Sale of Government Property - Item Bid Page - Spot Bid or Auction | 4 | 3 |
| 115 | Request for Records Disposition Authority | 16 | 2 |
| 115A | 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 |
| 120A | 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 |
| 123A | Transfer Order - Surplus Personal Property (Continuation Sheet) | 4 | 2 |
| 126 | Report of Personal Property for Sale | 4 | 2 |
| 126A | Report of Personal Property for Sale (Continuation Sheet) | 4 | 2 |
| 127 | Request for Official Personnel Folder (Separated Employee) | 1 | 17 |
| 132 | Apportionment and Reapportionment Schedule | 5 | 4 |
| 133 | Report on Budget Execution | 5 | 3 |
| 135 | Records Transmittal and Receipt | 16 | 2 |
| 135A | Records Transmittal and Receipt (Continuation) | 16 | 2 |
| 144 | Statement of Prior Federal Service | 1 | 1 |
| 145 | Telephone Service Request | 3 | 3 |
| 12 | 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 |
| 272A | Federal Cash Transactions Report - Continuation | 3 | 3 |
| 273 | Reinsurance Agreement for a Miller Act Performance Bond | 3 | 3 |
| 274 | Reinsurance Agreement for a 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 | 25 | 2a |
| 278A | Assets and Income Public Financial Disclosure Report | 25 | 2a |
| 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 | 6 | 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 |
| 1012A | Travel Voucher (Memorandum) | 9 | 1 |
| 1013A | Payroll for Personal Services | 2 | 2 |
| 1034 | Public Voucher for Purchases and Services Other Than Personal | 6 | 1 |
| 1034A | 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 |
| 1035A | Public Voucher for Purchases and Services Other Than Personal (Memorandum) (Continuation Sheet) | 6 | 1 |
| 1038 | Advance of Funds Application and Account | 6 | 1 |
| 9 | 3 | ||
| 1047 | Public Voucher for Refunds | 6 | 1 |
| 1048 | Memorandum - Public Voucher for Refunds | 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 Withholdings Under the Davis-Bacon Act (40 U.S.C. 3141 et seq.) and/or The Contract Work Hours and Safety Standards Act (40 U.S.C. 3701 et seq.) | 3 | 3, 11 |
| 1094 | U.S. Tax Exemption Certificates | 3 | 12 |
| 1094A | U.S. Tax Exemption Certificate Accountability Record | 3 | 12 |
| 1096 | Schedule of Voucher Deductions | 6 | 1 |
| 1098 | Schedule of Canceled or Undelivered Checks | 6 | 1 |
| 1103A | U.S. Government Bill of Lading - Memorandum Copy | 9 | 1 |
| 1104 | U.S. Government Bill of Lading - Shipping Order | 9 | 1 |
| 1109A | U.S. Government Bill of Lading - Continuation Sheet - Memorandum | 9 | 1 |
| 1113 | Public Voucher for Transportation Charges | 6 | 1 |
| 1113A | Public Voucher for Transportation Charges (Memorandum) | 6 | 1 |
| 9 | 1 | ||
| 1128 | Payroll for Personal Services - Payroll Certification and Summary | 6 | 1 |
| 1128A | Payroll for Personal Services - Payroll Certification and Summary - Memorandum | 2 | 2 |
| 1145 | Voucher for Payment Under Federal Tort Claims Act | 6 | 1 |
| 1145A | 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 |
| 1156A | Public Voucher for Fees and Mileage of Witnesses - Memorandum | 6 | 1 |
| 9 | 3 | ||
| 1157 | Claims for Witness Attendance Fees, Travel, and Miscellaneous Expenses | 9 | 3 |
| 1164 | Claim for Reimbursement for Expenditures on Official Business | 6 | 1 |
| 9 | 3 | ||
| 1165 | Receipt for Cash - Subvoucher | 6 | 1 |
| 1166 | Voucher and Schedule of Payments | 6 | 1 |
| 1166A | Voucher and Schedule of Payments - Memorandum | 6 | 1 |
| 1167 | Voucher and Schedule of Payments (Continuation Sheet) | 6 | 1 |
| 1167A | Voucher and Schedule of Payments (Continuation Sheet) - Memorandum | 6 | 1 |
| 1169A | 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 |
| 1176A | 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 |
| 1199a | Direct Deposit Sign-up Form | 2 | 17 |
| 1203A | 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 | 1 |
| 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 | 1 |
| 6 | 5 | ||
| 1221 | Statement of Transactions According to Appropriations, Funds, and Receipt Accounts (Foreign Service Account) | 6 | 1 |
| 6 | 5 | ||
| 1303 | Request for Federal Cataloging/Supply Support Action | 3 | 2 |
| 3 | 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 |
| 2812A | 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
| OF NUMBER | TITLE | Schedule | Item |
|---|---|---|---|
| 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 a 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 Records | 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 Contributions - 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 |
| 153A | 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 |
| 189A | Travel Reimbursement Voucher - Memorandum | 6 | 1 |
| 9 | 1 | ||
| 189B | Travel Reimbursement Voucher (Continuation Sheet) Schedule of Expenses and Amounts Claimed | 6 | 1 |
| 189C | Travel Reimbursement Voucher (Continuation Sheet) - Memorandum Schedule of Expenses and Amounts Claimed | 6 | 1 |
| 9 | 1 | ||
| 190 | Foreign Service Emergency Locator Information | 1 | 6 |
| 191 | Outgoing Telegram | 12 | 3 |
| 191A | Outgoing Telegram - Continuation Sheet | 12 | 3 |
| 199 | Notice of Shipment of Effects - Residence-to-Residence Method | 9 | 1 |
| 200 | Monthly Record of Vehicle Operation Costs | 10 | 2 |
| 202 | Leave Record | 2 | 7 |
| 202A | Leave Summary | 2 | 7 |
| 205 | Statement of Operating Cash Advance and Replenishment Voucher | 6 | 1 |
| 206 | Purchase Order, Receiving Report and Voucher | 3 | 3 |
| 206A | 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 |
| 1017G | 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 |
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