forms stocked at the beltsville service center - Office of the Chief ...

FORMS STOCKED AT THE BELTSVILLE SERVICE CENTER 

Sponsor Stk-No UIS Desc Edition 

AMS/GIPSA 

APHIS 

AD-1023 PK100 CONTAINER EXAMINATION WORKSHEET 11/1/1986 

FLEXIBLE CONTAINER 

AD-748 PD100 CONTAINER EXAMNTN WORKSHT 5/1/1985 

AD-749 PD 100 CUMULATIVE ORIGNL INSP OF CONDITION OF 11/1/1977 

CONTAINER 

ARS 

AD-1038 PK100 STATEMENT OF UNDERSTANDING 10/1/1987 

AD-1039 PK100 TRAINING PLAN-AGREEMENT 12/1/1987 

AD-741 PD100 CONTAINER EXAMNTN WORKSHT (TABLE V & 11/1/1986 

TABLE VII) 

AD-245-4 PKG100 REQUEST FOR PUBLICATION 8/1/1984 

AD-941 PKG50 BIOLOGICAL SHIPMENT RECORD-FOREIGN 11/1/1995 

OVERSEAS SOURCE 

AD-942 PKG100 BIOLOGICAL SHIPMENT RECORD QUARANTINE 5/1/1990 

FACILITY 

AD-943 PK100 BIOLIGICAL SHIPMENT 4/1/1998 

Friday, April 30, 2004 Page 1 of 41


BSC 

CSRS 

DA 

DA/OO 

FAS 

FMD 

AD-944 PKG25 RECORD OF SHIPMENT OF EXOTIC 10/1/1994 

MICROORGANISMS FOR 

AD-944A PKG25 RECORD OF RELEASE OF EXOTIC 10/1/1994 

MICROORGANISMS FOR 

SHIPPING LABELS RO SHIPPING LABELS (INTERNAL USE ONLY) 1/31/2003 

AD-416 BX1000 RESEARCH WORK UNIT/PROJ DESCPTN-RES 4/1/1992 

RESUME-INPUT 

AD-417 PK100 RES WORK UNIT/PROJECT DESCPTN/CLASSN OF 4/1/1992 

RES-INPUT 

AD-427 PD 100 REQUEST FOR INFORMATION RETRIEVAL 4/1/1979 

OO-RI 71-013 EA A FEE-FOR-SERVICE PLAN WITH PREFERRED 2004 

PROVIDER ORGANIZATIONS 

AD-1146 EA CHILDREN SERVICES POSTER 2001 

AD-1148 EA CHILDREN SERVICES BROCHURE 2001 

AD-1072 EA BUILDING ON THE FRAMEWORK FOR CHANGE 3/1/1991 

WOMEN 

AD-121 PKG100 PASSPORT REQUEST 2/1/1990 

AD-750 PD 50 INTERNATIONAL TRAVEL CLEARANCE 5/1/1991 

AD-222 PD100 SPACE EVALUATION CHECK SHEET 4/1/1986 



FNS 

GSA-2957 EA REIMBURSABLE WORK AUTHORIZATION 3/1/1988 

SF-118 PK100 REPORT OF EXCESS REAL PROPERTY 5/1/1996 

SF-81 PK100 REQUEST FOR SPACE 2/1/1989 

AD-475B EA ***FNS ONLY*** AND JUSTICE FOR ALL Dec-99 

AD-475C EA **FNS USE ONLY** AND JUSTICE FOR ALL 12/1/1999 

FS 

MRMD 

AD-1060(SP) EA AND JUSTICE FOR ALL SPANISH 

AD-475A EA AND JUSTICE FOR ALL (ALL) 3/1/1998 

AD-777 BK INNOVATE DEVELOP ENCOURAGE ACTIVATE 7/1/1985 

SUGGEST 

270H BX "MRMD COPIER PAPER, SALMON, 8-1/2 X 11""" 

53-E-1828 HD "ENVELOPE, KRAFT, 9-1/2 X 12, BLANK" 

53-E-2906-31A HD "NFC ENVELOPE, GREEN, METERED, 9-1/2 X 7/1/1984 

53-E-2906-45A HD "NFC ENVELOPE, GREEN, METERED, 10 X 15" 7/1/1984 

53-E-6010 HD "ENVELOPE, WHITE, METERED, 4-1/8 X 9-1/2" 1/1/1983 

53-E-6015 HD "ENVELOPE, WHITE WINDOW, METERED, 4-1/8 1/1/1983 

X 9-1/2" 

53-E-6020 HD "ENVELOPE,WHITE, METERED, 6-1/16 X 10-1/2" 1/1/1983 

53-E-6025 HD "ENVELOPE, KRAFT, METERED, 9-1/2 X 12" 1/1/1983 

53-E-6030 HD "ENVELOPE, KRAFT, METERED, 10 X 15" 1/1/1983 

53-E-8700 HD "ENVELOPE, BLUE, ""SPECIAL ATTENTION"" 

3-7/8 X 8-7/8""" 

53-E-8701 HD "ENVELOPE, BLUE, ""SPECIAL ATTENTION"", 11/1/1987 

6982-5 BX "MRMD BULK PAPER SUPPLY, PEACH-TAN, 11 X 

17""" 

7530-00-181-7174 BX "MRMD COPIER PAPER, WHITE, 8-1/2 X 11""" 

7530-00-181-7175 BX "MRMD COPIER PAPER, WHITE, 8-1/2 X 14"""



NFC 

7530-01-033-8891 BX "MRMD COPIER PAPER, WHITE, 8-1/2 X 11"", 

3-HOLE PCHD" 

7530-01-146-3361 BX "MRMD COPIER PAPER, BLUE, 8-1/2 X 11""" 

7530-01-147-6811 BX "MRMD COPIER PAPER, YELLOW, 8-1/2 X 11""" 

7530-01-147-6812 BX "MRMD COPIER PAPER, GREEN, 8-1/2 X 11""" 

7530-01-148-1766 BX "MRMD COPIER PAPER, BUFF, 8-1/2 X 11""" 

7530-01-150-0334 BX "MRMD COPIER PAPER, PINK, 8-1/2 X 11""" 

7530-01-181-7175 BX "MRMD COPIER PAPER, WHITE, 8-1/2 X 14" 

7530-01-335-2623 BX "MRMD COPIER PAPER, RECYCLED, WHITE, 

8-1/2 X 11""" 

AD-1024 PKG 25 "CHANGE OF ADDRESS NOTICE, METERED, 6/1/1986 

WASHINGTON, DC" 

AD-12A PKG100 MAILING LABEL WITHOUT INDICIA 9/1/1982 

AD-270 PKG100 REQUEST FOR COPYING & DUPLICATING SVCS 10/1/1987 

AD-414A PKG100 "MAILING LABEL, METERED, SELF-ADHESIVE, 1/1/1983 

PIN-FED" 

AD-699 PD100 COPIER COST INVENTORY 1/1/1981 

AD-841 EA EXECUTIVE CORRESPONDENCE POUCH 7/1/1981 

AD-843 HD EXECUTIVE CORRESPONDENCE ENVELOPE 7/1/1981 

OF-65A BX200 "MESSENGER ENVELOPES, 4-1/8 X 9-1/2" 1/1/1994 

OF-65B BX250 "MESSENGER ENVELOPES, 9-1/2 X 12" 1/1/1994 

OF-65C BX250 "MESSENGER ENVELOPE, 12 X 16" 1/1/1994 

AD-1000 PKG50 CLAIM FOR RELOCATION INCOME TAX Oct-00 

ALLOWANCE 

AD-105 PKG100 **OBSOLETE** CHECK OR BOND FORWARDING 8/1/1975 

RECORD (3 FORMS TO SHEET) 

AD-1095 EA "ACCOUNTING/PAY PERIOD CALENDAR, 14 X 1/1/2002 

8-1/2"", SEPT. 2002-2004" 



AD-1095A EA "ACCOUNTING/ PAY PERIOD CALENDAR, 29 X 1/1/2002 

17"", SEPT. 2002-2004" 

AD-1101 EA USDA CONFIDENTIAL CONFLICT OF INTEREST 8/1/1995 

AD-1102 EA SPECIAL PROCESSING TRANSMITTAL 9/1/1997 

AD-1103 EA ACCOUNTING/PAY PERIOD CALENDARS FISCAL 2/1/1999 

YR 98-2010 

AD-1104 EA STATEMENT OF EARNING AND LEAVE 2/1/1997 

AD-1122 EA THE WORK NUMBER FOR EVERYONE 10/1/1997 

AD-1128 EA REQUEST FOR ELECTRONIC DOWNLOAD 11/1/1998 

SOFTWARE FROM NFC 

AD-1129 PK50 EMPLOYEE PERSONAL PAGE 5/1/1998 

AD-1133 EA REQUEST FOR TABLE MANAGEMENT SYSTEM 04/04 

(TMGT) ACTION 

AD-1173 EA CD-ROM REQUEST 3/1/2003 

AD-139 PD 50 FINAL SALARY PAYMENT REPORT 1/1/1994 

AD-187 EA MOTOR VEHICLE OPERATION & UTILIZATION 10/1/1982 

RECORD 

AD-202 PKG 50 TRAVEL AUTHORIZATION/ ADVANCE 11/1/1996 

AD-202M PKG 50 ATTACHMENT FOR MULTIPLE TRAVELERS 11/1/1996 

AD-202P BX 300 TRAVEL AUTHORIZATION/ ADVANCE 4/1/1988 

AD-202R PKG 50 ATTACHMENT FOR RELOCATION TRAVEL 11/1/1996 

AD-202RE PKG 50 ATTACHMENT FOR ELECTION OF SEPARATE 11/1/1996 

RELOCATION 

AD-216 PKG 50 VOUCHER DIFFERENCE STATEMENT 5/1/1977 

AD-304 PD100 **OBSOLETE** REQ&AUTH FOR ALLOTMNT 12/1/1990 

OF COMP FOR STATE INCOME TAX 

AD-320 SET 5 "TIME, ATTENDANCE & PROGRESS REPORT (FOR 

SCS ONLY)" 

AD-321 PK100 TIME AND ATTENDANCE REPORT 4/1/1990 

AD-321-3 PKG100 TIME & ATTENDANCE REPORT 7/1/1990 



AD-337 EA TRANSMITTAL-PERSONNEL & PAYROLL FORM 4/1/1984 

AD-343 PKG100 PAYROLL ACTION REQUEST 11/1/1995 

AD-354 PK 50 REQUEST FOR INFORMATION 9/1/1993 

AD-358 PD 50 VERIFICATION OF IMPREST CASH 2/1/1992 

AD-359 PD100 CASHIER ACCOUNT AUDIT 6/1/1990 

AD-382 PKG50 EMPLOYEE CLAIM FOR LOSS OR DAMAGE TO 10/1/1965 

PERSONAL PROP 

AD-424 PD 50 EMP APPL REIMBMNT OF 4/1/1988 

EXPENSES-SALE/PURCHASE-RSDNCE 

AD-496-4 PKG250 BILL FOR COLLECTION 5/1/1976 

AD-497 PKG50 REQUEST FOR TR ACTION 12/1/1975 

AD-55 EA MEMORANDUM OF TRAVEL EXPENSES 10/1/1950 

AD-567 PKG100 TELETICKET PAYMENT TRANSMITTAL 8/1/1988 

AD-568 PD 25 TRANSMITTAL - CREDIT CARD - GASOLINE 3/1/1981 

AD-569 PD 50 EXPENSE RECORD FOR TEMPORARY QUARTERS 3/1/1985 

AD-616 PK50 TRAVEL VOUCHER (TEMPORARY DUTY Nov-96 

AD-616R PKG50 TRAVEL VOUCHER - RELOCATION 11/1/1996 

AD-617 PK50 TRAVEL VOUCHER - CONTINUATION 11/1/1996 

AD-617R PKG50 TRAVEL VOUCHER CONTINUATION SHEET - 11/1/1996 

RELOCATION 

AD-63 EA *OBSOLETE* ALLOCATION OF FUNDS 10/1/1948 

AD-633 PKG100 MULTIUSE STANDARD REQUISITIONING/ISSUE 3/1/1977 

SYSTEM DOC 

AD-643 PKG100 TRANSMITTAL - GSA MOTOR POOL 2/1/1974 

AD-644 EA TRANSPORTATION SVCS DISTRIBUTION - GSA 2/1/1974 

MOTOR POOL 

AD-659 PD 50 CLAIM FOR UNIFORM ALLOWANCE 9/1/1986 

AD-661 PKG 50 **OBSOLETE** CASHIER SUB-VOUCHER 7/1/1975 



AD-663 PKG100 REQ FOR ISSUANCE OF 10/1/1984 

SUBSTITUTE/REPLACEMENT CHECK 

AD-667 PKG25 *OBSOLETE ** ADMINISTRATIVE BUDGET 7/1/1975 

CONTROL 

AD-672 PKG 50 REIMBMNT/ADVANCE OF FUNDS AGREEMENT 9/1/1986 

AD-673 PD 50 REQUEST TO BILL 4/1/1993 

AD-694 PKG100 TRANSMITTAL OF MERIT PAY POOL DATA 4/1/1981 

AD-703 EA *OBSOLETE* OPERATING PLAN 9/1/1982 

AD-704 PKG50 *OBSOLETE * ALLOTMENT ADVICE 7/1/1976 

AD-705 PD 50 *OBSOLETE* DEFECT TALLY SHEET FOR 7/1/1976 

FROZEN BROCCOLI 

AD-706 PD 25 *OBSOLETE * STATMT OF ESTMTD 7/1/1976 

REIMBMNTS/RECEIPTS 

AD-717 PKG50 AUDIT FOR LEAVE YEAR 20-- 5/1/2001 

AD-718 PD100 PERIOD END ESTIMATES 10/1/1976 

AD-729A PK100 MANAGEMENT CODE MASTER FILE UPDATE 6/1/1978 

AD-729B PKG100 *OBSOLETE* ACCOUNTING CODE INPUT FORM 1/1/1980 

AD-729C PKG 50 *OBSOLETE* ALLOCATION OF FUNDS 4/1/1983 

AD-729D PKG 50 *OBSOLETE* ACCOUNTING CODE INPUT FORM 4/1/1983 

AD-739 PKG100 *OBSOLETE* ALLOCATION OF FUNDS 9/1/1979 

AD-740 PKG 50 *OBSOLETE* DEFECT TALLY SHEET FOR 12/1/1982 

FROZEN BROCCOLI 

AD-742 PKG100 TRANSFER AND ADJUSTMENT VOUCHER 10/1/1991 

AD-757 PKG100 MISCELLANEOUS PAYMENT SYSTEM 2/1/1994 

AD-758 PD 100 *OBSOLETE* ACCOUNTING CLASSIFICATION 4/1/1979 

CODES 

AD-766 PKG100 *OBSOLETE* PMIS REAL PROPERTY RECORD 1/1/1980 

AD-780 PD 50 DISCOUNT NOTICE 10/1/1982 



AD-798 EA *OBSOLETE* PARTIAL RECEIPT 1/1/1981 

AD-799 EA ***OBSOLETE ** DATA FOR INCLUSION IN SF-113 1/1/1981 

REPORTS 

AD-838-5PE BX300 PURCHASE ORDER 7/1/1990 

AD-838-7 PKG100 PURCHASE ORDER 7/1/1990 

AD-838-7P BX 300 PURCHASE ORDER (PIN-FEED CONTINUOUS) 7/1/1990 

AD-838A EA *OBSOLETE* PARTIAL RECEIPT 11/1/1975 

AD-838B PD 50 INVOICE-RECEIPT CERTIFICATION 2/1/1991 

AD-838D PKG 50 BPA-INVOICE RECEIPT CERTIFICATION 11/1/1991 

AD-84 PKG100 SCHEDULE OF COLLECTIONS 12/1/1961 

AD-844 PKG 50 **OBSOLETE** BILLINGS AND COLLECTIONS 11/1/1981 

ACCOUNT MAINTENANCE PKG50 

AD-846 PKG 50 *OBSOLETE* FEE/CHARGE DOCUMENT 1/1/1982 

AD-847 PKG 50 *OBSOLETE* FEES AND CHARGES LISTING 1/1/1982 

AD-952 EA ORGANIZATIONAL STRUCTURE CODES TABLE 12/1/1993 

AD-953 PK100 *OBSOLETE* OFFICE PRODUCTS 6/1/1986 

CENTER-OBLIGATION DOCUMENT 

AD-954 EA ACCOUNT NOTIFICATION-GOVERNMENT 1/1/1996 

TRANSPORTATION SYS 

AD-955 PD 50 GSA TELEPHONE TRANSMITTAL 2/1/1990 

AD-956 PD 50 REQUEST FOR ORGINATING OFFICE NUMBER 4/1/1992 

ACTION 

AD-961 EA REMOTE FORMS QUEUING SYSTEM (RFQS) 6/1/1995 

ELECTION FORMS 

AD-962 EA PAYROLL/PERSONNEL DOCUMENT REPORTS 9/1/1994 

ELECTION FORM 

AD-995 PKG25 DELEGATION OF AUTHORITY 6/1/1986 

AD-996 PKG50 *OBSOLETE* REQUEST FOR AD-744 ACTION 3/1/1989 

AD-997 PK100 UNIT CERTIFYING OFFICER SIGNATURE CARD 1/1/1994 



AD-999 PK100 *OBSOLETE* MTR.VEHICLE ACCOUNTABILITY 4/1/1985 

& DATA REC.DOC.TYPE 1 

OF-1014A EA GENERAL LEDGER 12/1/1979 

OF-1016 EA DISTRIBUTION LEDGER 12/1/1979 

OF-1017G EA JOURNAL VOUCHER 9/1/1979 

OF-1114 EA BILL OF COLLECTION 12/1/1979 

OF-1114B EA COLLECTION VOUCHER 5/1/1979 

OF-1120 EA TRANSPORTATION REQUEST ACCOUNTABILITY 3/1/1980 

RECORD 

OF-1121 EA BILL OF LADING ACCOUNTABILITY RECORD 12/1/1979 

OF-1129 PKG100 REIMBURSEMENT VOUCHER 10/1/1986 

OF-1129A PKG100 CASHIER REIMBURSEMENT VOUCHER-ACCT. 10/1/1986 

MEMO 

OF-1137 PK50 LEAVE RECORD 12/1/1979 

OF-203 PD PRIVACY ACT INFORMATION REQUEST 7/1/1975 

OF-211 PKG10 REQ. FOR CHANGE OR ESTABLISHMENT OF 10/1/1986 

IMPREST FUND 

SBD-2152 EA U.S. SAVINGS BOND 

SF-1034 PKG100 PUB VOUCHER FOR PURCHASES/SVCS OTHER 10/1/1987 

THAN PERSONAL 

SF-1035 PKG100 PUBLIC VOUCHER-PUR & SVC OTHER THAN 9/1/1973 

PERSONAL(CON) 

SF-1035A PK100 PUB VOUCHER-PURCHASES/SVCS NOT 9/1/1973 

PERSONAL-MEMO(CON) 

SF-1047 PKG100 PUBLIC VOUCHER FOR REFUNDS (LETTER 9/1/1973 

SF-1048 PKG100 PUBLIC VOUCHER FOR REFUNDS 9/1/1973 

SF-1049 PKG100 PUBLIC VOUCHER FOR REFUNDS (TABULAR 9/1/1973 

SF-1050 PKG100 PUBLIC VOUCHER FOR REFUNDS (MEMO 9/1/1973 

SF-1055 PKG100 CLAIM AGNST US FOR AMTS DUE - DECEASED 9/1/1967 

CREDITOR 



SF-1069 PKG100 VOUCHER FOR ALLOWANCES AT FOREIGN 1/1/1978 

POSTS OF DUTY 

SF-1080 PKG100 VOUCHER-TRANSFER BETWN APPROPRIATNS 4/1/1982 

&/OR FUNDS 

SF-1081 PKG100 VOUCHER & SCHEDULE OF WITHDRAWALS & 9/1/1982 

CREDITS 

SF-1096 PKG100 SCHEDULE OF VOUCHER DEDUCTIONS 9/1/1982 

SF-1098 PKG100 SCHEDULE OF CANCELLED OR UNDELIVERED 7/1/1980 

CHECKS 

SF-1103-9 EA US GOVT BILL OF LADING 4/1/1985 

SF-1113 PK100 PUBLIC VOUCHER FOR TRANSPORTATION 11/1/1986 

CHARGES 

SF-1113A PKG100 *OBSOLETE* PUBLIC VOUCHER FOR TRANS. 11/1/1986 

CHARGES MEMO. 

SF-1128 PKG100 PAYROLL-PERSONAL SERVICES-PAYROLL CERT 9/1/1982 

& SUMMARY 

SF-1147 PK100 REQ FOR ISSUE OF REPLACMNT CHECK-ERROR 5/1/1995 

NAME/DESIG 

SF-1152 PKG100 DESIGNATION OF BENEFICIARY-UNPAID 11/1/1991 

COMPENSATION OF 

SF-1153 PK100 CLAIM FOR UNPAID COMP -DECEASED CIVILIAN 4/1/1982 

EMPLOYEE 

SF-1154 PKG100 PUB VOUCHER FOR UNPAID COMP-DECEASED 9/1/1967 

CIVILIAN EMP 

SF-1164 PG100 CLAIM FOR 11/1/1977 

REIMBURSMNT-EXPENDITRS-OFFICIAL BUSINESS 

SF-1165 BK50 "RECEIPT FOR CASH - SUBVOUCHER, 50 PER 6/1/1983 

SF-1166 OCR PK100 VOUCHER AND SCHEDULE OF PAYMENTS 5/1/1984 

SF-1167 PKG100 VOUCHER AND SCHEDULE OF PAYMENTS 5/1/1984 

SF-1186 EA TRANSMTL-TRANSPTATN SCHED'LS & RELATD 5/1/1997 

BASIC DOC 

SF-1189 PKG100 REQ BY EMPYE-PYMT-SALARIES/WAGES BY 1/1/1978 

CRED ACCOUNT 



OBPA 

OC 

SF-1199A PK100 DIRECT DEPOSIT FORM 6/1/1987 

SF-1203 EA PRIVATELY OWNED PERSONAL PROPERTY U.S. 4/1/1985 

GOV.BILL OF 

SF-210 PKG100 SIGNATURE/DESIGNATION CARD FOR 7/1/1981 

CERTIFYING OFFICER 

SF-215 PKG 50 DEPOSIT TICKET 5/1/1990 

SF-224 PKG100 STATEMENT OF TRANSACTIONS 5/1/1982 

SF-225 PKG100 REPORT ON OBLIGATIONS 3/1/1991 

SF-232 PKG100 POWR OF ATTNY INDIVAL-COLLECTN OF 2/1/1975 

SPECIFIC CHECK 

SF-2802 EA APPLICATION FOR REFUND OF RETIREMENT 1/1/1991 

DEDUCTIONS 

SF-2803 PKG100 APPLICATION TO MAKE DEPOSIT OR REDEPOSIT 6/1/1992 

SF-2804 EA APPLICATION TO MAKE VOLUNTARY 1/1/1995 

CONTRIBUTIONS (CSRS) 

SF-2805 EA REQUEST FOR RECOVERY OF DEBT DUE TO THE 10/1/1988 

SF-2806 EA INDIVIDUAL RETIREMENT RECORD 2/1/1980 

SF-2811 EA TRANS'L/SUMMARY RPT TO CARRIER-HEALTH 6/1/1984 

BENEFIT PROG 

W-4 EA WITHHOLDING EXEMPTION CERTIFICATE 1/1/2003 

W-5 EA EARNED INCOME CREDIT ADV. PAYMENT 1/1/2003 

SF-1151 PK100 NONEXPENDITURE TRANSFER AUTHORIZATION 12/1/1979 

SF-132 PKG100 APPOINTMENT & REAPPOINTMENT SCHEDULE 7/1/1976 

SF-133 PKG100 REPORT OF BUDGET EXECUTION 7/1/1976 

AD-1012 EA HANDOUT FOLDER 6/1/1996 

AD-1135 EA THE USDA HANDBOOK ON WORKPLACE 12/1/1998 

VIOLENCE PREVENTION 



AD-1135A EA VIOLENCE IN THE WORKPLACE POSTER 12/1/1999 

AD-155 PKG100 ORDER FOR PRINTED PUBLICATION 10/1/1961 

AD-156 PD50 ORDER FOR BULK DISTRIBUTION OF 2/1/1989 

AD-156A PD50 "INTERNAL DISTRIBUTION - ROOM 0466, SOUTH 2/1/1989 

BUILDING" 

AD-159 PKG50 MANUSCRIPT CLEARANCE 8/1/1967 

AD-271 PK100 REQUEST FOR PHOTOGRAPHIC SERVICES 2/1/1986 

AD-273 EA ORDER FOR ADDITIONS TO MAILING CODES 8/1/1972 

AD-400.1 EA "AL-STATE MAP,CNTY OUTLINE 8 1/2X11""" 6/1/1985 

AD-400.10 EA "ID-STATE MAP,CNTY 8-1/2X11""" 6/1/1985 

AD-400.11 EA "IL-STATE MAP,CNTY OUTLINES 8-1/2X11""" 6/1/1985 

AD-400.12 EA "IN-STATE MAP,CITY OUTLINES 8-1/2X11""" 6/1/1985 

AD-400.13 EA "IA-STATE MAP,CNTY OUTLINES 8-1/2X11""" 6/1/1985 

AD-400.14 EA "KS-STATE MAP,CNTY OUTLINES 8-1/2X11""" 6/1/1985 

AD-400.15 EA "KY-STATE MAP,CNTY OUTLINES 8-1/2X11""" 6/1/1985 

AD-400.16 EA "LA-STATE MAP,CNTY OUTLINES 8-1/2X11""" 6/1/1985 

AD-400.17 EA "ME-STATE MAP,CNTY OUTLINES 8-1/2X11""" 6/1/1985 

AD-400.18 EA "MD-STATE MAP,CNTY OUTLINES 8 1/2 X 11" 6/1/1985 

AD-400.19 EA "MA-STATE MAP, CNTY OUTLINES 8 1/2 X 11" 6/1/1985 

AD-400.2 EA "AZ-STATE MAP CNTY OUTLOOK 8-1/2X11""" 6/1/1985 

AD-400.20 EA "MI-STATE MAP, CITY OUTLINES 8 1/2 X 11" 6/1/1985 

AD-400.21 EA "MN-STATE MAP, CNTY OUTLINES 8 1/2 X 11" 6/1/1985 

AD-400.22 EA "MS-STATE MAP, CNTY OUTLINES 8 1/2 X 11" 6/1/1985 

AD-400.23 EA "MO-STATE MAP, CNTY OUTLINES 8 1/2 X 11" 6/1/1985 

AD-400.24 EA "MT-STATE MAP, CNTY OUTLINES 8 1/2 X 11" 6/1/1985 

AD-400.25 EA "NE-STATE MAP, CNTY OUTLINES 8 1/2 X 11" 6/1/1985 



AD-400.26 EA "NV-STATE MAP, CNTY OUTLINES 8 1/2 X 11" 6/1/1985 

AD-400.27 EA "NH-STATE MAP, CNTY OUTLINES 8 1/2 X 11" 6/1/1985 

AD-400.28 EA "NJ-STATE MAP, CNTY OUTLINES 8 1/2 X 11" 6/1/1985 

AD-400.29 EA "NM-STATE MAP, CNTY OUTLINES 8 1/2 X 11" 6/1/1985 

AD-400.3 EA "AR-STATE MAP,CNTY OUTLINES 8-1/2X11""" 6/1/1985 

AD-400.30 EA "NY-STATE MAP, CNTY OUTLINES 8 1/2 X 11" 6/1/1985 

AD-400.31 EA "NC-STATE MAP, CNTY OUTLINES 8 1/2 X 11" 6/1/1985 

AD-400.32 EA "ND-STATE MAP, CNTY OUTLINES 8 1/2 X 11" 6/1/1985 

AD-400.33 EA "OH-STATE MAP, CNTY OUTLINES 8 1/2 X 11" 6/1/1985 

AD-400.34 EA "OK-STATE MAP, CNTY OUTLINES 8 1/2 X 11" 6/1/1985 

AD-400.35 EA "OR-STATE MAP, CNTY OUTLINES 8 1/2 X 11" 6/1/1985 

AD-400.36 EA "PA-STATE MAP, CNTY OUTLINES 8 1/2 X 11" 6/1/1985 

AD-400.37 EA "RI-STATE MAP, CNTY OUTLINES 8 1/2 X 11" 6/1/1985 

AD-400.38 EA "SC-STATE MAP, CNTY OUTLINES 8 1/2 X 11" 6/1/1985 

AD-400.39 EA "SD-STATE MAP, CNTY OUTLINES 8 1/2 X 11" 6/1/1985 

AD-400.4 EA "CA-STATE MAP,CNTY OUTLINES 8-1/2X11""" 6/1/1985 

AD-400.40 EA "TN-STATE MAP, CNTY OUTLINES 8 1/2 X 11" 6/1/1985 

AD-400.41 EA "TX-STATE MAP, CNTY OUTLINES 8 1/2 X 11" 6/1/1985 

AD-400.42 EA "UT-STATE MAP, CNTY OUTLINES 8 1/2 X 11" 6/1/1985 

AD-400.43 EA "VT-STATE MAP, CNTY OUTLINES 8 1/2 X 11" 6/1/1985 

AD-400.44 EA "VA-STATE MAP, CNTY OUTLINES 8 1/2 X 11" 6/1/1985 

AD-400.45 EA "WA-STATE MAP, CNTY OUTLINES 8 1/2 X 11" 6/1/1985 

AD-400.46 EA "WV-STATE MAP, CNTY OUTLINES 8 1/2 X 11" 6/1/1985 

AD-400.47 EA "WI-STATE MAP, CNTY OUTLINES 8 1/2 X 11" 6/1/1985 

AD-400.48 EA "WY-STATE MAP, CNTY OUTLINES" 6/1/1985 



AD-400.49 EA "AK-STATE MAP, CNTY OUTLINES 8 1/2 X 11" 6/1/1985 

AD-400.5 EA "CO-STATE MAP CNTY OUTLINES 8-1/2X11""" 6/1/1985 

AD-400.50 EA "HI-STATE MAP, CNTY OUTLINES 8 1/2 X 11" 6/1/1985 

AD-400.6 EA "CT-STATE MAP,CNTY OUTLINES 8-1/2X11""" 6/1/1985 

AD-400.7 EA "DE-STATE MAP,CNTY OUTLINES 8-1/2X11""" 6/1/1985 

AD-400.8 EA "FL-STATE MAP,CNTY OUTLINES 8-1/2X11""" 6/1/1985 

AD-400.9 EA "GA-STATE MAP,CNTY OUTLINES 8-1/2X11""" 6/1/1985 

AD-401.1 EA "US MAP, STATE OUTLINES/8 1/2 X 11" 6/1/1985 

AD-401.2 EA "US MAP, STATE OUTLINES/NAMES IN BLK 8 1/2 6/1/1985 

X 11" 

AD-448 EA "USDA ORGANIZATIONAL CHART, SIZE 18 X 24" 9/1/1990 

AD-59 PKG 50 REQUEST FOR MANUSCRIPT REVIEW 1/1/1986 

AD-652 PD50 REQUEST FOR VISUAL SERVICES 9/1/1980 

AD-653 PD 100 MANUSCRIPT GUIDE SHEET 9/1/1974 

(NON-REPRODUCIBLE BLUE) 

AD-653A PKG100 MANUSCRIPT GUIDESHEET (BROWN) PKG-100 1/1/1983 

AD-656 PD REQ FOR USDA PUBLICATIONS 5/1/1976 

AD-731 EA FREEDOM OF INFORMATION REQUEST LOG 3/1/1977 

AD-78 PK100 REQUEST FOR PRINTING & BINDING 12/1/1995 

AD-797 PD AUDIO VISUAL PROPOSAL 12/1/1981 

AD-816 PKG100 GRID FOR FORMAT I AND FORMAT VI (DOUBLE 3/1/1985 

PAGE SPREA 

AD-818 PKG100 GRID FOR FORMAT II & FORMAT VII 3/1/1985 

AD-825 PK100 GRID FOR STATIONERY FORMAL AND INFORMAL 3/1/1981 

LETTER 

AD-827 PKG 50 "GRID FOR PRES. MAT. CHARTS, GRAPHS, COPY 3/1/1981 

SLIDES" 



OCFO 

AD-830 PKG100 MEDIUM OVERSIZE GRID FOR FORMAT II 80% 3/1/1985 

REDUCTION 

AD-836 EA "LITHOGRAPHIC PRINT OF THE PRESIDENT (20 X 2001 

24"")" 

AD-836A EA "LITHOGRAPHIC PRINT OF THE PRESIDENT (11 X 2001 

14"")" 

AD-840B EA LITHOGRAPH PRINT OF THE SEC. OF 1/1/1993 

AD-845 PD 50 "REQUEST FOR VIDEO, FILM, AND 4/1/1985 

TELECONFERENCE" 

GPO-3430 EA ORDER FORM 2/1/1985 

MP-1063 EA AGRICULTURE FACT BOOK 1994 1/1/1994 

OF-272 EA REPORT DOCUMENTATION PAGE 4/1/1977 

SF-14 PD TELEGRAPHIC MESSAGE 11/1/1980 

"DM-2300-1,A1-9" EA AGRICULTURE TRAVEL REGULATIONS 7/1/1981 

(AMENDMENTS 1-9) 

AD-1018 PKG100 NOTICE OF CHANGE TO DINERS GOVERNMENT 1/1/1985 

CHARGE CARD 

AD-1083 PK50 REQUEST FOR ACTION FOR 2/1/1999 

AD-1083A EA CONTINUATION SHEET FOR ORDERING 2/1/1999 

PROCEDURES 

AD-622 PD100 NOTICE OF PREAPPLICATION REVIEW ACTION 12/1/1972 

OF-1114A EA OFFICIAL RECEIPT 12/1/1979 

SF-1038 PD 100 ADVANCE OF FUNDS APPLICATION & ACCOUNT 10/1/1977 

SF-1145 PK100 VOUCHER FOR PAYMENT UNDER FEDERAL 1/1/1992 

TORT CLAIMS 

SF-1193A EA LTR OF CREDIT (TREAS DISB CTR OR REGIONAL 10/1/1976 

OFFICE) 

SF-269 PKG100 FINANCIAL STATUS REPORT (LONG FORM) 8/1/1991 

SF-269A PKG100 FINANCIAL STATUS REPORT (SHORT FORM) 2/1/1992 



OCIO 

SF-270 PKG100 REQUEST FOR ADVANCE OR REIMBURSEMENT 7/1/1976 

SF-271 PKG100 OUTLAY RPT & REQ FOR REIMBURSEMENT FOR 7/1/1976 

CONST PROGS 

SF-272 PKG100 FEDERAL CASH TRANSACTIONS REPORT 7/1/1976 

SF-272A PKG100 FEDERAL CASH TRANSACTIONS REPORT 9/1/1976 

(CONTINUATION) 

SF-424 PK100 FEDERAL ASSISTANCE (SEE AD-621-625) 4/1/1988 

SF-424.2 BK APPLICATION FOR FED.ASSIST. W/SF-424C & 4/1/1988 

SF-424D) 

SF-424A PKG100 *OBSOLETE* BUDGET INFORMATION 4/1/1988 

NON-CONSTRUCTION PROGRAMS 

SF-424B PKG100 ASSURANCES NON-CONSTRUCTION PROGRAMS 4/1/1988 

SF-424C PKG BUDGET INFORMATION CONSTRUCTION 4/1/1988 

PROGRAMS 

SF-424D PKG ASSURANCES - CONSTRUCTIOIN PROGRAMS 4/1/1988 

"DM-3020-1,AMEND" EA AMENDMENT TO THE DEPARTMENTAL FORMS 4/1/1995 

CATALOG 

AD-10 PK100 LONG DISTANCE CALL RECORD 3/1/1959 

AD-1019 EA TELEPHONE DIRECTORY UPDATE 11/1/1991 

AD-102 PD100 TELEPHONE TOLL CALL REGISTER AND 3/1/1958 

CERTIFICATE 

AD-1136 EA AGRICULTURE PROPERTY MANAGEMENT 9/1/1997 

REGULATIONS 

AD-116 PK 50 CLEARANCE & APPRVL FOR DEPTMNTAL 9/1/1982 

ISSUANCES 

AD-172 PKG200 CORRESPONDENCE CONTROL 7/1/1966 

AD-234 PKG100 "CHARGE OUT (CARD), SIZE 8-1/2 X 11" 11/1/1986 

AD-27 PD 100 RUSH SLIP 5/1/1963 

AD-287 PKG50 EMPLOYEE SUGGESTION 7/1/1997 



AD-311 PG100 SPEED MEMO 3/1/1981 

AD-367 PKG50 REPORTS EVALUATION CHECK LIST 12/1/1970 

AD-368 PD 25 REPORT ANALYSIS AND CLEARANCE SHEET 2/1/1982 

AD-396 EA INITIAL & SIGNATURE INDICATOR 12/1/1966 

AD-410A EA USDA MEMORANDUM 2/1/1970 

AD-474 PD 50 TRANSMITTAL - TELEPHONE & UTILITIES 1/1/1982 

AD-604 EA ANNUAL LEAVE SCHEDULE 3-Dec 

AD-637 PD 50 GENERAL PURPOSE CODING 9/1/1974 

AD-638 PD 50 REPORT PLANNING 2/1/1975 

AD-687 PKG100 FORMS ACTION REQUEST AND NOTICE 3/1/1991 

AD-764 EA REQUEST FOR NETWORK 9/1/1981 

TELECOMMUNICATION SERVICES 

AD-778 PKG 25 SECRETARY'S MEMORANDA-FORMAT 1/1/1981 

AD-778A EA SECRETARY'S ANNOUNCEMENT SERIES 9/1/1987 

AD-793 PKG 50 FORMAL & INFORMAL LETTERHEAD - OFFICIAL 6/1/1980 

AD-811 PD 50 DEPARTMENTAL REGULATION 1/1/1981 

AD-811A EA AMENDMENT TO DEPARTMENTAL REGULATION 1/1/1981 

AD-812 EA DEPARTMENTAL MANUAL 1/1/1981 

AD-812A PKG100 AMENDMENT TO DEPARTMENTAL MANUAL 1/1/1981 

AD-813 PKG100 DEPARTMENTAL NOTICE 1/1/1981 

AD-814 PKG 50 DIRECTIVE FORMAT GUIDE 1/1/1981 

AD-834 PD 50 IRM TECHNICAL APPROVAL REQUEST 1/1/1991 

CERTIFICATION 

AD-835 PD 50 IRM SYSTEM AND SERVICE SECURITY 8/1/1990 

CERTIFICATION 

AD-868 PD 100 CORRESPONDENCE SLIP 10/1/1982 

DM-3020-1 EA DEPARTMENTAL FORMS MANUAL 9/1/1991 



OCRE 

OGC 

DM-3200-1 EA APPLICATION SYSTEMS LIFE CYCLE 3/1/1988 

MANAGEMENT MANUAL 

DM-3440-1 EA "CLASSIFICATION, DECLASSIFICATION, AND 8/1/1983 

SAFEGUARDING" 

GSA-2068A EA QTRLY RPT ADP PROVIDED ANOTHER AGY OR 6/1/1975 

OBTAND COM'L 

OF-11 PKG100 REFERENCE REQUEST-FEDERAL RECORDS 7/1/1987 

CENTERS 

OF-21 PD **OBSOLETE** CROSS-REFERENCE (33 2/1/1962 

OF-363 PD 100 MEMORANDUM OF CALL 1/1/1994 

OF-67 EA 2002 ACTIVITY SCHEDULE 1/1/2000 

SF-135 PKG100 RECORDS TRANSMITTAL & RECEIPT 7/1/1985 

SF-135A PKG100 RECORDS TRANSMITTAL & RECEIPT (CON 7/1/1985 

SF-145 PKG100 TELEPHONE SERVICE REQUEST (FIELD USE) 6/1/1982 

AD-1034 EA COMPLAINT OF EMPLOYMENT DISCRIMINATION 3/1/1989 

AD-1056 EA SEXUAL HARASSMENT - POSTER IT COULD COST 9/1/1992 

YOU 

AD-1056A EA SEXUAL HARASSMENT IT COULD COST YOU 9/1/1992 

YOUR JOB.... 

AD-1058 EA FRAMEWORK FOR CHANGE: WORK FORCE 5/1/1990 

DIVERSITY 

AD-1085 EA SEXUAL HARASSMENT IS ILLEGAL 9/03 

AD-1181 EA EQUAL EMPLOYMENT OPPORTUNITYIS THE LAW 9/03 

SF-181 PK100 RACE AND NATIONAL ORIGIN INDENTIFICATION 5/1/1982 

53-E-1987 HD "OGC ENVELOPE, WHITE FIELD USE ONLY 4-1/8 

X 9-1/2" 

53-L-1986-30 PKG500 LETTERHEAD - BOND (OGC) FIELD USE 

53-L-1986-50 PK500 LETTERHEAD - MANIFOLD (OGC) 

53-L-1986-60 PKG500 LETTERHEAD - OGC 



OHRM 

AD-747 PKG100 COURT-ORDERED CHILD CARE OR ALIMONY 12/1/1982 

DEDUCTION 

SF-94 PK100 STATEMENT OF WITNESS 2/1/1983 

SF-95 PKG100 "CLAIM FOR DAMAGE, INJURY, OR DEATH" 7/1/1985 

1873 EA RETIREMENT EMBLEM(ONE PIECE JOINT AND 1/1/1985 

CATCH) 

198 EA 10 YEAR EMBLEM (RODIUM PLATED) 

7107 EA EMBLEM-50-YEAR W/3-POINT DIAMOND CHARM 

7109 EA EMBLEM-40-YEAR GOLD W/RUBY CHARM 

7111 EA *OBSOLETE* EMBLEM-30-YEAR GOLD CHARM 

7115 EA *OBSOLETE* EMBLEM-40-YEAR GOLD W/RUBY 

TIE TACK 

7116 EA EMBLEM-35-YEAR GOLD TIE TACK 

7121 EA EMBLEM-40-YEAR GOLD W/RUBY LAPEL PIN 

7987 EA 35 YEAR LAPEL PIN 

8225 EA 20 YEAR EMBLEM (RODIUM PLATED) 1/1/1985 

8226 EA 30 YEAR EMBLEM(10K GOLD-FILLED ANTIQUE 1/1/1985 

GOLD) 

8227 EA 40 YEAR EMBLEM(10 K GOLD-FILLED ANTIQUE 1/1/1985 

FINISH) 

8228 EA 50 YEAR(10K GOLD-FILLED ANTIQUE FINISH) 1/1/1985 

AD-1010 EA OCCUPATIONAL SAFETY AND HEALTH 4/1/1984 

PROTEC.FOR USDA EMP 

AD-1032 EA CERTIFICATE OF RECOGNITION (TAKE PRIDE IN 2/1/1987 

AMERICA 

AD-1053 EA "USDA EEO POSTER - 9/1/1992 

COUNSELING,MEDIATION,& COMPLAINT" 



AD-1054 PK50 REQUEST FOR PAYROLL DEDUCTIONS FOR 6/1/1989 

ASSOCIATION 

AD-1057 EA MANAGER'S GUIDE FOR SELECTIVE PLACEMENT 8/1/1989 

AD-1061 EA BUILDING ON THE FRAMEWORK FOR CHANGE: 12/1/1990 

WORK FORCE 

AD-1062 EA USDA CAREERS -POCKET FOLDER - MAKING A 12/1/1990 

WORLD OF 

AD-1063 EA USDA CAREERS POCKET FOLDER 8/1/1999 

AD-1064 EA USDA CAREERS - ADMINISTRATION 8/1/1999 

AD-1065 EA USDA CAREERS - BUSINESS AND INDUSTRY 8/1/1999 

AD-1066 EA USDA CAREERS - SCIENCE AND TECHNOLOGY 8/1/1999 

AD-1067 EA USDA CAREERS - DIRECTORY 8/1/1999 

AD-1067A NATURAL RESOURCES & ENVIRONMENT 99/08 

AD-1073 EA RECOMMENDATION AND APPROVAL OF/A 4/1/1991 

RECRUITMENT/ 

AD-1074 EA SERIVCE AGREEMENT FOR RECEIPT OF 4/1/1991 

PAYMENT FOR A 

AD-1075 PK25 SENIOR EXECUTIVE SERVICE RECERTIFICATION 7/1/1991 

AD-1075A PKG25 SES RECERTIFICATION EXECUTIVE'S 7/1/1991 

STATEMENT OF 

AD-1078 EA THE STANDARDS OF ETHICAL CONDUCT FOR 9/1/1999 

EMPLOYEES OF 

AD-1084 EA USDA SUMMER INTERN PROGRAM 9/1/1992 

AD-1085 EA SEXUAL HARASSMENT 8/1/2003 

AD-1090 PKG 25 REQUEST AND APPROVAL FOR OUTSIDE 1/1/1994 

EMPLOYMENT 

AD-1097 EA GUIDE FOR EMPLOYEE RECOGNITION 12/1/1994 

AD-1111 PK25 EMPLOYEE SUGGESTION PROGRAM 1/1/1997 

AD-1121 EA PURCHASE CARD MANAGEMENT SYSTEM (PCMS) 10/1/1997 

REQUEST FOR 



AD-1131 PKG 50 EMPLOYEE EXPRESS 6/1/1998 

AD-1145 EA BALANCING OPTIONS WORK & LIFE BROCHURE 5/1/2002 

AD-1145A EA BALANCING OPTIONS POSTER 5/1/2002 

AD-1145B EA BALANCING OPTIONS FOLDER 5/1/2002 

AD-1147 PKG25 USDA PUBLIC TRANSPORTATIN BENEFIT 10/22/2002 

PROGRAM APPLICATION 

AD-1163 PKG50 CONFIRMATION OF REQUEST FOR REASONABLE 4/1/2002 

ACCOMMODATIONS 

AD-1164 PKG50 REASONABLE ACCOMMODATION IN FORMATION 4/1/2002 

REPORTING FORM 

AD-1165 PKG50 DENIAL OF REASONABLE ACCOMMODATION 4/1/2002 

REQUEST 

AD-1166 EA ELDER CARE SERVICES AND REFERRALS 8/1/2002 

(PAMPHLET) 

AD-1167 EA. ELDER CARE SERVICES AND REFERRALS 8/1/2002 

AD-1170 TRANSIT SUBSIDY CASH REIMBURSEMENT 3/21/2003 

CERTIFICATION 

AD-1181 EA EQUAL OPPORTUNITY EMPLOYMENT IS THE 9/1/2003 

AD-141A EA CERTIFICATION OF APPRECIATION 12/1/1987 

AD-184 PD100 APPL FOR MOTOR VEHICLE OPERATOR'S ID 9/1/1981 

AD-284A EA "CERTIFICATE OF TRAINING, SIZE 8-1/2 X 11" 5/1/1992 

AD-287-1 EA POINTERS FOR SUCCESSFUL SUGGESTIONS 10/1/1981 

AD-287-2 PKG100 RECOMMEDATION & APPROVAL OF AWARDS 7/1/1994 

AD-287-3 PKG50 REFERRAL AND APPRAISAL OF EMPLOYEE Sep-60 

SUGGESTION 

AD-287-3A PKG 50 REFERRAL AND APPRAISAL OF EMPLOYEE 9/1/1960 

SUGGESTION 

AD-332 PD100 POSITION DESCRIPTION COVER SHEET 4/1/1986 

AD-349 PD100 EMPLOYEE ADDRESS 12/1/1993 

AD-350B PKG100 USDA PERSONNEL DATA 6/1/1983 



AD-356 PD 50 DUES CHANGE-BETWEEN LOCALS WITHIN 5/1/1985 

NAT'L LABOR ORG 

AD-356A PD 50 CANCELN OF WITHHOLDG DUES TO LABOR 5/1/1985 

ORGANIZATIONS 

AD-408 PD100 CHANGE IN OVERSEAS EMPLOYMENT REPORT 5/1/1971 

AD-411 PD 100 VACANCY ANNOUNCEMENT 5/1/1983 

AD-411A PD 100 AGENCY SUMMARY VACANCY ANNOUNCEMENT 6/1/1981 

AD-435 PKG 50 USDA PERFORMANCE APPRAISAL 11/1/1986 

AD-435A PKG 50 "USDA,PERFORMANCE PLAN,PROGRESS REVIEW 12/1/1986 

& APPRAISAL" 

AD-435B PKG 50 "PERFORMANCE PLAN, PROGRESS REVIEW AND 12/1/1986 

APPRAISAL" 

AD-435C PKG100 SES APPRAISAL RECORD 3/1/1993 

AD-435P BX500 USDA PERFORMANCE APPRAISAL (PINFEED 3/1/1993 

VERSION) 

AD-471 PK100 CLASSIFIED DOCUMENT ACCOUNTABILITY 1/1/1984 

AD-489 PKG50 RECORD OF IMPORTANT PAPERS 8/1/1971 

AD-490 PD 25 ASSIGNEE EVALUATION OF MOBILITY 10/1/1977 

ASSIGNMENTS 

AD-491 PKG100 SECURITY DEBRIEFING SECRECY AGREEMENT 2/1/1977 

AD-495 PKG100 HONOR AWARDS NOMINATION FORM Sep-00 

AD-507 PKG100 PROBATIONARY OR TRIAL PERIOD REPORT 10/1/1980 

AD-507-P BX 300 PROBATIONARY-TRIAL PERIOD REPORT (PIN-FED 10/1/1980 

VERSION) 

AD-581 PK100 LUMP SUM LEAVE OR COMPENSATORY TIME 2/1/1983 

PAYMENTS 

AD-582 PKG 50 AUTHORIZATION FOR RESTORED ANNUAL 5/1/1978 

LEAVE (NCR) 

AD-658 PKG100 WITHIN-GRADE INCREASE RECORD 9/1/1981 

AD-658-P BX300 WITHIN-GRADE INCREASE RECORD (PIN-FED) 12/1/1981 



AD-67 PKG100 REQUEST FOR PRIOR CLEARANCE OF 6/1/1985 

PERSONNEL ACTION 

AD-68 EA LENGTH OF SERVICE CERTIFICATE (40 YEARS) 2/1/1993 

AD-68A EA LENGTH OF SERVICE CERTIFICATE (30 YEARS) 2/1/1993 

AD-68B EA LENGTH OF SERVICE CERTIFICATE (20 YEARS) 2/1/1993 

AD-68C EA LENGTH OF SERVICE CERTIFICATE (10 YEARS) 2/1/1993 

AD-68D EA LENGTH OF SERVICE CERTIFICATE 1-Apr 

AD-68E EA LENGTH OF SERVICE CERTIFICATE (50 YEARS) 2/1/1981 

AD-69 EA CERTIFICATE OF MERIT 1/1/1972 

AD-696 PKG 50 NOTICE TO APPLICANT 8/1/1981 

AD-715 EA DETAIL OF PERSONNEL COMPENSATION 8/1/1976 

AD-734 PD 50 REQUEST FOR CANDIDATES 5/1/1981 

AD-735 PD 100 EVALUATION OF CANDIDATES 9/1/1980 

AD-738 EA USDA SAFETY INSPECTION CHECKLIST 8/1/1977 

AD-743 EA DRIVING RECORD 10/1/1977 

AD-762A PKG 50 PERSONNEL MANAGEMENT QUESTIONNAIRE 10/1/1981 

AD-769 PKG 50 REQUEST FOR SES PERSONNEL ACTION 8/1/1986 

AD-773 EA SUPERVISORY OR MANAGERIAL PROBATIONARY 5/1/1980 

PERIOD RPT. 

AD-773-P BX 300 SUPERVISORY/MANAGERIAL PROBATIONARY 5/1/1980 

PERIOD REPORT 

AD-775 EA CLASSIFICATION REVIEW ACTIVITY REPORT 7/1/1980 

AD-776 EA "USDA, UPWARD MOBILITY PROG - JOST 7/1/1979 

TRAINING SCHED" 

AD-779 PD 100 BIOGRAPHICAL SKETCH (PERSONNEL IN 5/1/1980 

WASH.D.C.AREA ON 

AD-794 EA EQUAL EMPLOYMENT OPPORTUNITY POSTER 9/1/1981 

(CONSL PHOTO) 



AD-815 EA POST EMPLOYMENT RESTRICTIONS 1/1/1991 

AD-872 PKG 25 PROPERTY DAMAGE INCIDENT 12/1/1983 

AD-881 PKG25 INDIVIDUAL DEVELOPMENT PLAN 3/1/1983 

AD-S1063 EA LAS CARRERAS PROFESIONALES DEL USDA 2001 

DR 4130-2 EA REVISED CRITERIA FOR THE SECRETARY'S 4/1/1998 

HONOR AWARDS 

FD-258 EA FINGERPRINT CARD (CONTRACTORS) 12/1/1982 

FE 74-AL EA FEDERAL EMPLOYEES GROUP LIFE INSURANCE 

FE-6 EA CLAIM FOR DEATH BENEFITS 12/1/1993 

FE-74-A EA FEDERAL EMPLOYEES GROUP LIFE INSURANCE 

FERS-1 PKG FERS PRERETIREMENT COUNSELING & 2/1/1990 

SEMINAR GUIDE 

FERS-1A PKG INDEX TABS FOR FERS PRERETIREMENT 

COUNSELING & 

FERS-1B EA BINDERS FOR PRERETIREMENT COUNSELING & 

SEMINAR 

HCFA-1500 EA HEALTH INSURANCE CLAIM FORM 12/1/1990 

HISP-YRBK1 EA HISPANIC YEARBOOK 2000 2/3/2000 

MTLSM002 PK100 LONG TERM CARE 2002 

OF-104 PKG100 NAME CARD 9/1/1974 

OF-306 PKG100 DECLARATION FOR FEDERAL EMPLOYMENT 1/1/2001 

OF-5 PKG100 INQUIRY AS TO AVAILABILITY 3/1/1982 

OF-510 PKG100 APPLYING FOR A FEDERAL JOB 9/1/1994 

OF-612 PK100 OPTIONAL APPLICATION FOR FEDERAL 9/1/1994 

EMPLOYMENT 

OF-630A PKG 50 REQUEST TO DONATE ANNUAL LEAVE TO 6/1/1989 

LEAVE RECIPIENT 

OF-69 EA ASSIGNMENT AGREEMENT-IPA MOBILITY 2/1/1989 

PROGRAM 



OF-8 PKG100 POSITION DESCRIPTION 1/1/1985 

OF-86 PK25O PERSONAL DATA WARNING LABEL 5X3 RED 5/1/1976 

OF-86A PKG500 "PERSNL DATA WARNG LBL,3-1/2X1-WH PPR 5/1/1976 

W/RED INK" 

OPM-1390 PD EXECUTIVE PERSONNEL TRANSACTION 4/1/1979 

OPM-1482 EA AGENCY CERTIFICATION OF STATUS OF 11/1/1983 

REEMPLOYED 

OPM-71 PK100 REQUEST FOR LEAVE OR APPROVED ABSENCE 1-Jun 

OWCP-1500 PKG50 HEALTH INSURANCE CLAIM FORM 4/1/1992 

SF-1014A PK100 GENERAL LEGDER Oct-67 

SF-105 PKG100 CERT OF MEMBERSHP IN US CIVIL SVC 12/1/1979 

RETIRMNT SYSTEM 

SF-1150 PK100 RECORD OF LEAVE DATA Dec-77 

SF-1150P BX500 RECORD OF LEAVE DATA 

SF-1154A PK100 PUBLIC VOUCHER FOR UNPAID COMPENSATION 9/1/1967 

DUE A DECEA 

SF-1177 PK100 U.S. SAVINGS BOND ISSUE FILE ACTION 12/1/1965 

SF-1182 PK100 SUBSCRIBER LIST FOR US SAVINGS BOND 

SF-1187 PK100 REQUEST-PAYROLL DEDUCTION-LABOR 6/1/1989 

ORGANIZATION DUES 

SF-1188 PK100 CANCELLATION OF PAYROLL DEDUCTIONS FOR 1/1/1979 

LABOR ORZN 

SF-1198 PKG100 REQ BY EMPLYE-ALLTMT OF PAY-CDT SAVNG 3/1/1982 

ACCT-FIN ORG 

SF-127 PKG100 REQUEST FOR OFFICIAL PERSONNEL FOLDER 7/1/1986 

SF-1402 EA CERTIFICATE OF APPOINTMENT 10/1/1983 

SF-144 PKG100 STATMNT OF PRIOR FED CIVILIAN & MILITARY 10/1/1995 

SERVICE 

SF-15 PKG100 CLAIM FOR 10-POINT VETERAN PREFERENCE 2/1/1990 



SF-182 PK100 "REQ, AUTH, AGREEMENT, & 12/1/1979 

CERTIFICATE-TRAINING" 

SF-182P BX 600 "REQUEST,AUTHORIZATION,AGREEMENT AND 9/1/1986 

CERTIFICATION" 

SF-184 PKG100 REQUEST FOR EMPLOYEE MEDICAL FOLDER 1/1/1988 

SF-256 PK100 SELF IDENTIFICATION OF MEDICAL DISABILITY 8/1/1987 

SF-268 PD100 COBOL CODING SHEETS Sep-76 

SF-293 PKG100 NOTICE TO SEPARATED EMPLOYEE 7/1/1989 

CONCERNING DISP. OPF 

SF-308 EA REQUEST FOR WAGE DETERMINATION May-85 

SF-3102 EA DESIGNATION OF BENEFICIARY 6/1/2000 

SF-3112 PKG25 DOC. IN SUPPORT OF DISABILITY RETIRE APP. 12/1/1995 

CSRS/FER 

SF-3113 PK100 APPLYING FOR IMMEDIATE RETIREMENT 1/1/1997 

UNDER THE FERS 

SF-3114 PK100 APPLYING FOR DEATH BENEFITS UNDER THE 1/1/1997 

SF-312 PKG100 CLASSIFIED INFORMATION NONDISCLOSURE 1/1/1991 

AGREEMENT 

SF-39 PKG100 REQUEST FOR REFERRAL OF ELIGIBLES 11/1/1988 

SF-39A PKG REQ/JUST FOR SELECTVE FCTRS & QUALTY 10/1/1974 

RANKG FCTRS 

SF-424-1 EA APPLICATION FOR FEDERAL ASSISTANCE Apr-88 

SF-450 PKG 50 CONFIDENTIAL FINANCIAL DISCLOSURE REPORT 7/1/1992 

SF-50B-P BX 800 NOTIFICATION OF PERSONNEL ACTION 7/1/1991 

SF-52 PKG100 REQUEST FOR PERSONNEL ACTION 7/1/1991 

SF-52B BX2000 REQUEST FOR PERSONNEL ACTION 8/1/1988 

SF-59 PK100 REQUEST FOR APPROVAL OF NONCOMPETITIVE 1/1/1979 

ACTION 

SF-61 PK100 APPOINTMENT AFFIDAVITS 6/1/1986 

SF-61B PKG100 DECLARATION OF APPOINTEE 11/1/1991 



SF-62 PK100 AGENCY REQT TO PASS OVER A PREFERENCE 10/1/1979 

ELIGIBLE ETC 

SF-66 EA OFFICIAL PERSONNEL FOLDER 1/1/1989 

SF-66B PKG100 *OBSOLETE * LABEL-CAUTION PERSONEL 1/1/1981 

RECORDS RESTRICED USAGE 

SF-66C EA MERGED RECORDS PERSONNEL FOLDER (MRPF) 11/1/1983 

SF-66D EA EMPLOYEE MEDICAL FOLDER 4/1/1985 

SF-700 PKG100 SECURITY CONTAINER INFORMATION 8/1/1985 

SF-701 PK100 ACTIVITY SECURITY CHECKLIST 8/1/1985 

SF-702 PKG100 SECURITY CONTAINER CHECK SHEET 8/1/1985 

SF-703 PK100 TOP SECURITY COVER SHEET 8/1/1985 

SF-704 PK100 SECRET COVER SHEET 8/1/1985 

SF-705 PK100 CONFIDENTIAL COVER SHEET 8/1/1985 

SF-71 PK100 APPLICATION FOR LEAVE 12/1/1997 

SF-75 PKG100 REQUEST FOR PRELIMINARY EMPLOYMENT 10/1/1991 

SF-78 PK100 CERTIFICATE OF MEDICAL EXAMINATION 10/1/1969 

SF-8 PKG100 NTC TO FED EMP ABOUT UNEMPLOYMENT 6/1/1987 

INSURANCE 

SF-85 PK100 QUESTIONNAIRE FOR NON-SENSITIVE POSITIONS 9/1/1995 

SF-85P PK100 QUESTIONNAIRE FOR PUBLIC TRUST POSITIONS 9/1/1995 

SF-86 PK100 QUESTIONNAIRE FOR SENSITIVE POSITIONS 9/1/1995 

(NAT'L SECUR 

SF-86A PK100 CONTINUATION SHEET FOR QUESTIONNAIRES 9/1/1995 

SF-87 PK100 FINGERPRINT CHART 4/1/1984 

SF-93 PK100 REPORT OF MEDICAL HISTORY 6/1/1996 

SF-95A PK100 "CLAIM FOR DAMAGE,INJURY OR DEATH 7/1/1985 

(SPANISH VERSION)" 

TIPS-2 EA USDA MERIT PROMOTION PLAN 9/1/1984 



OIG 

OO 

OC 

TSP-1102 EA "*OBSOLETE* TSP OPEN SEASON NOV. 15, 2001 2002 

TO JAN. 15, 2002" 

TSP-5 EA *OBSOLETE* SOMETHING TO SMILE ABOUT! 5/1/2001 

TSP-6 EA THRIFT SAVINGS PLAN: STATEMENT Apr-92 

REGARDING SPOUSES 

AD-870 PKG "REPORTING,ALLEGED, OR SUSPECTED 7/1/1982 

BRIBERY ATTEMPTS" 

AD-873 PK100 PROPERTY PASS 6/1/1983 

"AGPMR-AMEND,D-18" EA "AGRICULTURE PROPERTY MANAGEMENT 4/1/1994 

REGULATIONS D,18" 

AD-1091 PKG25 REQUEST FOR EXPRESS DELIVERY 3/1/1994 

PA-1613 EA DOING BUSINESS WITH USDA Apr-98 

OPCD 

AD-824 EA GRID FOR FACT MAT 3/1/1985 

AD-840 EA LITHOGRAPH PRINT OF THE SEC.OF 3/1/1995 

AGRICULTURE (20X24) 

AD-840A EA LITHOGRAPHIC PRINT OF THE SEC.OF 3/1/1995 

AGRICULTURE 11X14 

CD-ROM EA CD-ROM INCLUDING ALL FEGLI 99 OPEN 4/1/1999 

ENROLLMENT 

CE-57 EA REDUCTION IN FORCE BENEFITS GUIDE 8/1/1994 

FE-74-C EA FEDERAL EMPLOYEES GROUP LIFE INSURANCE 4/1/1999 

FEGLI-LG EA FEGLI POSTER 28 X 43 

FEGLI-MD EA FEGLI POSTER 11 X 17 4/1/1999 

FEGLI-SM EA FEGLI 99 OPEN ENROLLMENT PERIOD - POSTER 4/1/1999 

8-1/2X11 



LTCNH2003 EA NEW HIRE MATERIAL FOR LONG TERM CARE 2003 

OO-RI 20-59 EA INFORMATION FOR ANNUITANTS 5/1/1997 

OO-RI 25-26 EA INFORMATION FOR SURVIVOR ANNUITANTS 1/1/1993 

OO-RI 25-27 EA SURVIVOR BENEFITS FOR CHILDREN 11/1/1995 

OO-RI 30-13 EA INFORMATION FOR DISABILITY ANNUITANTS 5/1/1993 

OO-RI 38-126 EA LIFE EVENTS & YOUR RETIREMENT & 8/1/1995 

INSURANCE BENEFITS 

OO-RI 70-1 EA FEHB GUIDE TO FEDERAL EMPLOYEES BENEFIT 11/1/2002 

PLANS FOR CIVILIAN EMPLOY 

OO-RI 70-10 EA ENROLLMENT INFO. GUIDE COMPARISON CHART 1/1/2000 

OO-RI 70-13 EA CUSTOMER SATISFACTION SURVEY 

OO-RI 70-5 EA GUIDE TO FEDERAL EMPLOYEES HEALTH 11/1/2002 

BENEFITS PLANS 

OO-RI 70-7 EA 1994 ENROLLMENT INFO. GUIDE & COMPARISON 11/1/1995 

CHART 

OO-RI 70-8 EA FEHB 2003 GUIDE TO FED EMPLOYEES HEALTH 2-Nov 

BENEFITS FOR CERTAIN TEMPS 

OO-RI 71-003 EA ALLIANCE HEALTH BENEFIT PLAN 2003 

OO-RI 71-004 EA APWU HEALTH PLAN 2003 

OO-RI 71-005 EA BLUE CROSS BLUE SHIELD SERVICE BENEFIT 3-Jan 

PLAN 2003 

OO-RI 71-006 EA "GOVERNMENT EMPLOYEES HOSPITAL 2004 

ASSOCIATION, INC BENEFIT PLAN" 

OO-RI 71-007 EA MAIL HANDLERS BENEFIT PLAN 2004 3-Jan 

OO-RI 71-009 EA NATIONAL ASSOCIATION OF LETTER CARRIERS 4-Jan 

HEALTH BENEFIT PLAN 2004 

OO-RI 71-13 EA POSTMASTERS HEALTH BENEFIT PLAN 1/1/2001 

OO-RI 71-3 EA *OBSOLETE* AMERICAN POSTAL WORKERS 1/1/2001 

UNION HEALTH BENEFIT 

OO-RI 71-4 EA *OBSOLETE* AMER. POSTAL WORKERS UNION 1/1/2000 

HEALTH BENEFIT 



OO-RI 71-5 EA *OBSOLETE* SERVICE BENEFIT PLAN (BLUE 1/1/2001 

CROSS/ BLUE SHIELD) 

OO-RI 71-6 EA *OBSOLETE* GOVT EMPLOYEES HOSPITAL 1/1/2002 

ASSOCIATION BENEFIT PLAN 

OO-RI 72-1 EA 2003- FOREIGN SERVICE BENEFIT PLAN 1/1/2003 

OO-RI 72-11 EA SSEHA HEALTH BENEFIT PLAN 1/1/1993 

OO-RI 72-3 EA NAPUS HEALTH BENEFIT PLAN 1/1/1993 

OO-RI 72-4 EA PANAMA CANAL AREA BENEFIT PLAN 1/1/1993 

OO-RI 72-5 EA RURAL CARRIER BENEFIT PLAN 1/1/1993 

OO-RI 72-6 EA SAMBA HEALTH BENEFIT PLAN 1/1/2000 

OO-RI 72-8 EA BACE HEALTH BENEFIT PLAN 1/1/1993 

OO-RI 73-146 EA "FREESTATE HEALTH PLAN, INC." 1/1/1998 

OO-RI 73-20 EA "COLUMBIA MEDICAL PLAN, INC." 1/1/1996 

OO-RI 73-268 EA CAREFIRST (BLUECROSS AND BLUE SHIELD) 1/1/1996 

OO-RI 76-10 EA ASSIGNMENT OF FEDERAL EMPLOYEES' GROUP 1/1/1995 

LIFE INS. 

OO-RI 76-12 EA FEDERAL EMPLOYEES GROUP LIFE INSURANCE 6/1/1992 



OO-RI 76-27 EA FEGLI '99 ELECTION FORM - OPEN 4/1/1999 

ENROLLMENT PERIOD 

OO-RI 79-2 EA CIVIL SVC RETIREES & SURVIVOR ANNUITANTS 7/1/1996 

OO-RI 79-27 EA TEMPORARY CONTINUATION OF COVERAGE 6/1/1992 

(TCC) UNDER THE 

OO-RI 83-1 EA RETIREMENT FACTS PAMPHLET ON CSRS 3/1/1995 

OO-RI 83-10 EA RETIREMENT FACTS ON VOLUNTARY 3/1/1995 

OO-RI 83-11 EA THINKING ABOUT RETIREMENT 4/1/1991 



OO-RI 83-13 EA INFORMATION FOR SEPARATING CSRS 9/1/1996 

EMPLOYEES WHO ARE 

OO-RI 83-16 EA INSTRUCTIONS FOR THE SEMINAR LEADER OR 1/1/1993 

COUNSELOR 

OO-RI 83-18 EA INFORMATION ABOUT REEMPLOYMENT FOR 9/1/1996 

CSRS ANNUITANTS 

OO-RI 83-19 EA CSRS OFFSET RETIREMENT (RETIREMENT 9/1/1996 

OO-RI 83-2 EA RETIREMENT FACTS PAMPHLET ON MILTARY 3/1/1995 

SERVICE 

OO-RI 83-3 EA RETIREMENT FACTS PAMPHLET ON DEPOSITS 3/1/1995 

OO-RI 83-4 EA RETIREMENT FACTS PAMPHLETS ON 9/1/1996 

DISABILITY RETIREMEN 

OO-RI 83-5 EA RETIREMENT FACTS PAMPHLET ON SURVIVOR 9/1/1996 

BENEFITS 

OO-RI 83-6 EA RETIREMENT FACTS PAMPHLET ON EARLY 9/1/1996 

RETIREMENT 

OO-RI 83-7 EA RETIREMENT FACTS ON COMPUTING 9/1/1996 

OO-RI 83-8 EA RETIRMENT FACTS ON CREDIT FOR USED 9/1/1996 

OO-RI 83-9 EA RETIREMENT FACTS ON REFUNDS 3/1/1995 

OO-RI 84-1 EA COURT-ORDERED BENEFITS FOR FORMER 9/1/1996 

SPOUSES CSRS 

OO-RI 84-2 EA FEDERAL PAYMENTS THAT MAY BE AVALIABLE 9/1/1996 

TO FEDERAL 

OO-RI 84-3 EA LIFE EVENTS AND YOUR RETIREMENT AND 9/1/1996 

INSURANCE 

OO-RI 90-1 EA FEDERAL EMPLOYEES RETIREMENT 9/1/1996 

OO-RI 90-11 EA INFORMATION FOR SEPARATING FERS 9/1/1996 

EMPLOYEES WHO ARE 

OO-RI 90-12 EA INFORMATION FOR FERS SURVIVOR ANNUITANTS 10/1/1993 

OO-RI 90-18 EA INFORMATION ABOUT REEMPLOYMENT FOR 3/1/1995 

FERS ANNUITANTS 

OO-RI 90-3 EA FERS TRANSFER 9/1/1996 



OO-RI 90-8 EA INFORMATION FOR FERS ANNUITANTS 3/1/1991 

OO-RI 98-2 EA INFO. FOR FERS DISABILITY ANNUITANTS 10/1/1995 

OPM-FSATRI EA INTRODUCING THE FEDERAL FLEXIBLE 5/1/2003 

SPENDING ACCOUNT - PGM FOR 2003 

SF-2800 EA APPL FOR DEATH BENFTS-CIVIL SVC 3/1/1992 

RETIREMENT SYSTEM 

SF-2801 EA (CSRS) APPLICATION FOR IMMEDIATE 1/1/1990 

SF-2808 EA DESIGNTN OF BENEFICY-CIV SVC RETIREMENT 5/1/1993 

SYSTEM 

SF-2809 EA HEALTH BENEFITS REGISTRATION FORMS 7/1/1999 

SF-2810 EA NOTIFICATION OF CHANGE IN HEALTH 6/1/1995 

SF-2817 EA LIFE INSURANCE ELECTION Jun-00 

SF-2818 EA CONTINUATION OF LIFE INSURANCE COVERAGE 1-May 

AS A 

SF-2819 EA NOTICE OF CONVERSION PROVILEGE 5/1/1995 

SF-2821 EA AGENCY CERTIFICATION OF INSURANCE STATUS 5/1/1995 

SF-2822 EA REQUEST FOR INSURANCE 1/1/1993 

SF-2823 EA DESIGNATION OF BENEFICIARY 1-Apr 

SF-3104 EA APPLICATION FOR DEATH BENEFITS 8/1/2002 

SF-3104B EA DOCUMENTATION AND ELECTIONS IN SUPPORT 5/1/1998 

SF-3106 EA APPLICATION FOR REFUND OF RETIREMENT 3/1/1996 

DEDUCTIONS 

SF-3106A EA CURRENT-FORMER SPON.APP. REFUND 2/1/1987 

RETIREMENT DEDUCTN 

SF-3107 EA (FERS) APPLICATION FOR IMMEDIATE 4/1/2000 

SF-3108 PKG25 APPLICATION TO MAKE SERVICE CREDIT 2/1/1999 

PAYMENT FOR CS 

SF-3109 EA ELECTION OF COVERAGE FERS 7/1/1989 

TENT-CD EA "OPEN ENROLLMENT APR 24 - JUNE 30, 1999" 4/1/1999 



TSP-0502 EA "*OBSOLETE* TSP OPEN SEASON MAY 15- JULY 5/1/2002 

31, 2002 FOR FERS AND CSRS E" 

TSP-0503 EA "TSP OPEN SEASON APRIL 15-JULY 31, 2003" 5/1/2003 

TSP-0599 EA "*OBSOLETE* TSP OPEN SEASON MAY 15 - JULY 1/1/1999 

31,1999" 

TSP-1 EA THRIFT SAVINGS PLAN ELECTION FORM 8/1/2002 

TSP-1002 EA *OBSOLETE* TSP OPEN SEASON OCT 15- DEC 10/1/2002 

31-2002 

TSP-1003 EA "TSP OPEN SEASON - OCT 15 - DEC 31, 2003" 3-Oct 

TSP-1101 EA "*OBSOLETE* TSP OPEN SEASON - UPDATE MAY 2001 

15,2001 - JULY 31, 2001" 

TSP-15 EA CHANGE IN MARITAL STATUS 11/1/1994 

TSP-16 EA REQUEST WAIVER OF NOTICE SPOUSE/SPOUSES 3/1/1997 

CONSENT 

TSP-17 EA APPLICATION FOR ACCOUNT BALANCE OF 5/1/2000 

DECEASED 

TSP-20 EA TSP-LOAN APPLICATION 2/1/1998 

TSP-20H EA HARDSHIP LOAN APPLICATION 6/1/1996 

TSP-3 EA TSP DESIGNATION OF BENEFICIARY FORM 8/1/2002 

TSP-30 EA *OBSOLETE* TSP INTERFUND TRANSFER 7/1/1995 

TSP-4 EA "TSP OPEN SEASON APRIL 15 - JUNE 30, 2003" 4/1/2003 

TSP-50 EA THRIFT SAVINGS PLAN INVESTMENT 5/1/2001 

TSP-536 EA IMPORTANT TAX INFORMATION ABOUT PYMTS 7/1/2001 

FROM YOUR 

TSP-70 EA THRIFT SAVINGS PLAN WITHDRAWAL REQUEST 8/1/2002 

TSP-75/75T EA AGE-BASED IN-SERVICE WITHDRAWAL 5/1/1998 

TSP-76/75T EA TSP- FINANCIAL HARDSHIP IN-SERVICE 5/1/1998 

WITHDRAWAL 

TSP-77 EA TSP REQUEST FOR PARTIAL WITHDRAWAL 2-Aug 

TSP-9 EA TSP-CHANGE OF ADDRESS 6/1/1994 



TSPBK-01 EA TSP WITHDRAWAL INFORMATION 11/1/1994 

TSPBK-02 EA WITHDRAWING YOUR TSP ACCOUNT BALANCE 8/1/2002 

TSPBK-03 EA AFTER LEAVING FEDERAL SERVICE GUIDE TO 8/1/2002 

TSPBK04 EA TSP-LOAN PROGRAM 8/1/2002 

TSPBK-05 EA TSP-ANNUITIES 6/1/2003 

TSPBK-08 EA SUMMARY OF THE THRIFT SAVINGS PLAN FOR 5/1/2001 

FEDERAL 

TSPBK-09 EA TSP AT A GLANCE 5/1/2001 

TSPBK-10 EA WITHDRAWING YOUR TSP ACCOUNT 12/1/1992 

BALANCE-ADDENDUM 1989 

TSPBK-11 EA TSP INFORMATION ABOUT COURT ORDERS 2/1/2001 

TSPBK-12 EA TSP IN-SERVICE WITHDRAWALS 6/1/2003 

TSP-LF-01 EA TSP START ON THE RIGHT TRACK TO YOUR 5/1/2001 

TSP-LF-03 EA CSRS EMPLOYEES: THE THRIFT SAVINGS PLAN 9/1/1991 

TSP-LF-04 EA YOU MAY THINK THE THRIFT SAVINGS PLAN 5/1/1996 

ISN'T FOR 

TSP-LF-05 EA UNDERSTANDING YOUR THRIFT SAVINGS PLAN 11/1/2001 

PARTICIPANT 

TSP-LF-06 EA UNDERSTANDING YOUR THRIFT SAVINGS PLAN 12/1/1997 

TSP-LF-07 EA CSRS EMPLOYEES - TAKE A CLOSER LOOK AT 5/1/2001 

THE TSP 

TSP-LF-08 EA MISSING ANYTHING IN THE MOVE? 6/1/1996 

TSP-LF-09 EA TSP WEB SITE - WWW.TSP.GOV 5/1/2001 

TSP-PL EA TSP OPEN SEASON POSTER - LARGE 4/15/2003 

TSP-PS EA TSP OPEN SEASON POSTER - SMALL 5/1/2003 

TSP-U-50 EA THRIFT SAVING PLAN - INVESTMENT 8/1/2002 

VIDEO-30 EA VIDEO EXPLAINING THE FEGLI 99 OPEN 

ENROLLMENT 



OSEC 

POD 

PPD 

VIDEO-90 EA VIDEO EXPLAINING THE ENTIRE FEGLI 4/1/1999 

PROGRAM (90 MIN) 

ZP00-33 EA THE CSRS AND FERS HANDBOOK FOR 12/1/1995 

PERSONNEL AND 

AD-1087A EA "USDA LOGO DECAL, 1-5/8 X 2-3/16"", PEEL AND 4/1/1993 

STICK" 

AD-1087B EA "3 INCH USDA SEAL DECAL, PEEL AND STICK" 4/1/1993 

AD-1087C EA "USDA LOGO DECAL, 3 X 4-5/16"", PEEL AND 4/1/1993 

AD-1087D EA "USDA LOGO DECAL, 5-3/16 X 7-3/8"", PEEL AND 4/1/1993 

STICK" 

AD-1087E EA "USDA LOGO DECAL, 8-3/8 X 13-5/16"", PEEL AND 4/1/1993 

STICK" 

AD-114 PKG100 EXECUTIVE CORRESPONDENCE JACKET 9/1/1981 

AD-469 EA INVENTORY OF EMERGENCY & VITAL RECORDS 10/1/1973 

AD-580 EA CERT OF APPOINTMENT (TO PUBLIC ADVISORY 12/1/1970 

COMMITTEE) 

AD-690 PKG100 TRANSMITTAL RECORD 1/1/1976 

AD-736 PK100 OSEC SUBPOENA 1-Jan 

AD-737 PK100 OSEC SUBPOENA DUCES TECUM 1-Jan 

AD-755 PD50 ADVISORY COMMITTEE MEMBERSHIP 2-Oct 

BACKGROUND INFORMATION 

OF-41 PD100 ROUTING & TRANSMITTAL SLIP 7/1/1976 

CB-01 PKG 50 CARDBOARD 8-1/2 X 11 

AD-1112 EA *OBSOLETE* USDA APC LAPC 10/1/1997 

INSTRUCTION/REFERNECE GUIDE 

AD-1113 EA USDA - PCMS - TRAINING WORKBOOK 10/1/1997 



PPM/PDSD 

PPMD 

AD-1114 PKG 5 "CARDHOLDER INSTRU. PCMS - NFC 9/1/1998 

PROCEDURES TITLE VI," 

AD-1115 EA MICRO-PURCHASE SELF STUDY COURSE 10/1/1997 

-INSTRUCTION 

AD-1117 EA UNITED STATES OF AMERICA I.M.P.A.C. 9/1/1996 

AD-1118 EA USDA PURCHASE CARD PROGRAM (INSERT) 

AD-1119 EA USDA - VINYL REGISTER 9/1/1996 

AD-1119A EA CHECK REGISTER (REFILL) 

AD-1120 EA *OBSOLETE* THE USDA PURCHASE CARD 3/1/1997 

PROGRAM (VIDEO) 

AD-1130 EA DOING BUSINESS WITH USDA (KIT) 9/1/2001 

AD-1139 EA CHECKBOOK COVER 

AD-1140 EA REGISTER FOR CHECKBOOKS 1/1/1999 

GSADC-8911101946 EA RULES AND REGULATIONS GOVERNING PUBLIC 1/1/1996 

BUILDING 

GSADC8911101946S EA RULES AND REGULATIONS GOVERNING PUBLIC 1/1/1996 

BLDGS. 

AD-1184 PK 25 SENSITIVE SECURITY INFORMATION 01//04 

"AMENDMENT, R-5" EA AGRICULTURE PROPERTY MANAGEMENT 

REGULATIONS 

53-B-24480-10 EA "SHELF-STORAGE, GRAY FIBER WITH METAL 

STAYS" 

8-T-100 EA "TAGS, LICENSE PLATES, AUTOMOBILE, SET OF 

8-T-110 EA "TAG, LICENSE PLATE, MOTORCYCLE" 

AD-106 PKG 50 PROPERTY RECORD 12/1/1950 

AD-107 PKG100 RPT OF TRANSFER/DISPOSITION/CONSTRUCTION 11/1/1989 

OF PPTY 



AD-1071 PK250 "USDA EXCESS PROPERTY TAG (3-1/8"" X 3/1/1991 

6-1/4"")PKG-250" 

AD-1071A PK500 "USDA PROPERTY ISSUED TAG (3-1/8"" X 6-1/4"")" 3/1/1991 

AD-112 PKG 50 "REPORT OF UNSERVICEABLE, LOST OR 3/1/1994 

DAMAGED PROPERTY" 

AD-113 PD 50 PHYSICAL INVENTORY REPORT FOR PERIOD 6/1/1966 

ENDING 

AD-113A PD 50 PHYSICAL INVENTORY REPORT (CONTINUATION 6/1/1966 

SHEET) 

AD-14A PD 25 " REQUEST FOR SUPPLIES,FORMS,AND/OR 12/1/1981 

PUBLICATIONS" 

AD-178 EA FORMS STOCKING & REORDER CARD 4/1/1984 

AD-182 EA STOCK HISTORY RECORD 12/1/1964 

AD-183 PKG100 STOCK ISSUE RECORD 4/1/1959 

AD-185 PKG100 PENALTY FOR UNOFFICIAL USE OF A GOVT. 5/1/1970 

VEHICLE 

AD-53 EA USDA PHOTO IDENTIFICATION CARD 3/1/1981 

AD-54 EA USDA NON-PHOTO IDENTIFICATION CARD 3/1/1981 

AD-651 EA MOTOR VEHICLE ACCIDENT REPORT ENVELOPE 10/1/1974 

AD-719 PD 50 MACHINE SERVICE REQUEST 11/1/1976 

AD-728 PD 50 REQ/AUTH FOR HOME TO WORK 12/1/1988 

AD-732 PD 100 REQ FOR SVC OR MOVEMENT OF PROPERTY 3/1/1977 

AD-792 EA DEPARTMENTAL LEGEND AND IDENTIFICATION 6/1/1985 

DECAL 

AD-865 BX 750 *OBSOLETE* STRAIGHT BILL OF LADING (OO 9/1/1982 

USE ONLY) 

AD-869 BX2000 *OBSOLETE* U.S. GOVERNMENT SHIPMENT 11/1/1982 

GSA-2485 PD 100 COST COMPARISON FOR SHIPPING HOUSEHOLD 3/1/1983 

GOODS 

OF-1127 PKG100 INDIVIDUAL PAY CARD 12/1/1979 



PROC 

OF-23 PKG100 CHARGEOUT RECORD 2/1/1962 

OF-345 PKG100 PHYSICAL FITNESS INQUIRY FOR MOTOR 11/1/1985 

VEHICLE OPERATO 

OF-346 PKG100 U.S.GOVT. MTR. VEHICLE OPERATORS ID CARD 11/1/1985 

OF-7 PKG100 PROPERTY PASS 9/1/1988 

OF-95 PKG100 OPEN/LOCKED SIGN FOR RESTRICTED FILES 7/1/1975 

PPMD-100 EA MOTOR VEHICLE FLEET OPERATIONS REVIEW 11/1/1990 

GUIDE 

SF-1034A PKG100 PUBLIC VOUCHER FOR PURCHASES & SERVICES 

OTHER THAN 

SF-1145A PK100 VOUCHER FOR PAYMENT UNDER FED. TORT 9/1/1973 

SF-1184 PK100 UNAVAILABLE CHECK CANCELLATION 11/1/1975 

SF-120 PKG100 REPORT OF EXCESS PERSONAL PROPERTY 4/1/1957 

SF-120A PKG100 REPORT OF EXCESS PERSONAL PROPERTY 6-PT 4/1/1957 

SNAP-OUT 

SF-122 PKG 50 TRANSFER ORDER - EXCESS PERSONAL 6/1/1974 

SF-126 PKG100 REPORT OF PERSONAL PROPERTY FOR SALE 7/1/1978 

SF-146 PKG100 CHANGES IN TELEPHONE LISTING 11/1/1976 

SF-361 PD100 DISCREPANCY IN SHIPMENT REPORT 3/1/1984 

SF-82 PK100 AGENCY REPORT OF MOTOR VEHICLE DATA 4/1/1987 

SF-91 PK100 OPERATOR'S REPORT OF MOTOR VEHICLE 2/1/1993 

ACCIDENT 

SF-91A PKG 25 INVESTIGATION REPORT OF MOTOR VEHICLE 6/1/1978 

ACCIDENT 

SF-97 PK100 US GOVT CERT OF RELEASE OF A MOTOR 4/1/1991 

AD-700 PKG100 PROCUREMENT REQUEST 4/1/1982 

AD-760 PD REPORT OF INDIVIDUAL PROCUREMENT 5/1/1985 



RPMD 

SHMD 

AH-1 EA *OBSOLETE* SELLING TO THE USDA 5/1/1987 

SF-18 PKG100 REQUEST FOR QUOTATIONS 10/1/1983 

SF-2 PKG100 US GOVT LEASE FOR REAL PROPERTY 2/1/1965 

AD-1017 PKG25 REAL PROPERTY UTILIZATION SURVEY 1/1/1985 

DM-5100-1 EA DEPARTMENTAL REAL PROPERTY LEASING 3/1/1991 

MANUEL 

SF-114 PK100 SALE OF GOVERNMENT PROPERTY-BID & 5/1/1978 

SF-114A PK100 SALE OF GOVERNMENT PROPERTY-ITEM 1/1/1970 

PAGE-SEALED BID 

SF-114B PK100 SALE OF GOVERNMENT PROPERTY-SEALED BID 1/1/1970 

SF-118A PK100 "BLDG,STRUCTRS,UTILITS AND MISC 5/1/1996 

SF-118B PK100 LAND -SCHEDULE B- TO RPT OF EXCESS REAL 5/1/1996 

PROPERTY 

SF-118C PK100 RELATED PERSONAL PROPERTY 5/1/1996 

SF-81A PKG100 SPACE REQUIREMENT WORKSHEET 10/1/1983 

CA-1 PKG25 FED EMP NOTICE OF TRAUMATIC INJURY 4/1/1999 

CA-10 EA WHAT A FED-EMP SHOULD DO WHEN INJURED 8/1/1987 

AT WORK 

CA-11 PKG50 WHEN INJURED AT WORK 4/1/1999 

CA-16 PK100 AUTHORIZATION FOR EXAMINATION AND/OR 1/1/1997 

TREATMENT 

CA-17 EA DUTY STATUS REPORT 1/1/1997 

CA-2 PK 25 NOTICE OF OCCUPATIONAL DISEASE AND CLAIM 1/1/1997 

FOR 

CA-20 PK50 ATTENDING PHYSICIAN'S REPORT 11/1/1999 

CA-20A PKG 50 *OBSOLETE* ATTENDING PHYSICIAN'S 1/1/1997 

SUPPLEMENTAL REPORT 



CA-2A PK100 FEDERAL EMPLOYEE'S NOTICE OF 9/1/1996 

RECURRENCE OF DISAB. 

CA-3 EA *OBSOLETE* REPORT OF TERMINATION OF 6/1/1988 

DISABILITY AND/OR PAYMENT 

CA-35A PKG25 GENERAL CHECKLIST (PROCESSING 8/1/1988 

OCCUPATIONAL DISEASE 

CA-35B PKG25 HEARING LOSS CHECKLIST 8/1/1988 

CA-35C PKG25 ASBESTOS RELATED ILLNESS CHECKLIST 10/1/1987 

CA-35D PKG25 CORONARY/VASCULAR CONDITIONS 8/1/1988 

CA-35E PKG25 SKIN DISEASE CHECKLIST 8/1/1988 

CA-35F PKG25 PULMONARY/RESPIRATORY CHECKLIST 8/1/1988 

CA-35G PKG25 PSYCHIATRIC ILLNESS CHECKLIST 8/1/1988 

CA-35H PKG25 WORK-RELATED CARPAL TUNNEL SYNDROME 10/1/1987 

CA-5 EA "CLAIM FOR COMP BY WIDOW,WIDOWER, OR 1/1/1997 

CHILDREN" 

CA-550 EA FEDERAL INJURY COMPENSATION Jan-99 

CA-5B EA "CLAIM FOR COMPENSATION BY PARENTS, BRO. 1/1/1997 

SIS., ETC." 

CA-6 EA REPORT OF FATALITY 1/1/1997 

CA-7 EA CLAIM FOR COMPENSATION 11/1/1999 

CA-7&20 PKG50 CLAIM FOR COMPENSATION 11/1/1999 

CA-7A EA TIME ANALYSIS FORM 6/1/1996 

CA-7B PK50 LEAVE BUY BACK (LBB) 6/1/1996 

WORKSHEET/CERTIFICATION AND 

CA-8 EA *OBSOLETE* CLAIM FOR CONTINUING 1/1/1997 

COMPENSATION ON ACCOUNT OF 

CA-8&20A EA *OBSOLETE* CLAIM FOR CONTINUING COMP ON 10/1/1995 

ACCOUNT OF DISABILITY 

CA-810 EA INJURY COMPENSATION FOR FEDERAL 1/1/1999 

CA-915 PK50 CLAIMANT MEDICAL REIMBURSEMENT FORM Feb-99 



WASC 

AD-1105A EA CONFERENCE FACILITIES IN THE WASHINGTON 3/1/1996 

MET. AREA 

AD-1105B EA USDA CONFERENCE FACILITIES IN THE 3/1/1996 

WASHINGTON MET. 

AD-733 PD 100 IDENTIFICATION CARD CONTROL RECORD 5/1/1977

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