Records Managers

National Archives and Records Administration
General Records Schedules


Transmittal No. 22
April 2010

General Records Schedules
Forms Index

Standard Forms

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

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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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