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MRPBS - Forms - APHIS Forms

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All documents (unless otherwise stated) have been created in Portable Document Format (PDF) and can only be viewed by using Adobe Acrobat Reader.  Some of our forms require Acrobat Reader 4.0 or above to be able to complete the form on-line or to use the links within the forms. The data from these forms can not be submitted or saved to your PC at this time, however, you can complete the form on-line, print it and then mail or fax the form to the appropriate personnel. 

Form

Fillable

Download
Format/Size

Description of  Form

Revision Date

APHIS-1

Yes

(PDF; 42Kb)

Request and Authorization for Occasional or Irregular Unscheduled Overtime

03/83

APHIS 14R

Yes

(PDF; 110Kb)

FTS 2001 Calling Card Tracking Sheet Generic Cards Without Names

10/04

APHIS 29

Yes

(PDF; 494Kb)

Occupational Medical Monitoring Program - Occupational Exposures

APHIS Form 29 Explained (PPT; 1174Kb)
(Employees Only)

11/03

APHIS 40

Yes

(PDF; 20Kb)

Employee Exit Inventory

04/98

APHIS 47

Yes

(PDF; 35Kb)

Transmittal and Receipt for Accountable Items

04/01

APHIS 48

Yes

(PDF; 17Kb)

APHIS Outstanding Supervisor Award Justification

08/08

APHIS 63
(Employees Only)

Yes

(DOC; 45Kb)

Justification for Non-Competitive Federal Assistance

10/82

APHIS-66-R

Yes

(PDF; 23Kb)

Job Analysis - Major Duty Identification

08/82

APHIS-67-R

Yes

(PDF; 95Kb)

Job Analysis - Knowledge, Skills and Abilities Determination

08/84

APHIS-68-R

Yes

(PDF; 13Kb)

Job Analysis Rating Plan

08/82

APHIS-71
(Employees Only)

Yes

(PDF; Kb)

Summary of Information Collections (Pubic Burden)

01/96

APHIS-79
(Employees Only)

Yes

(PDF; 132Kb)

Worksheet for Calculating Costs to the Federal Government for Information Collection

09/96

APHIS-83i
(Employees Only)

Yes

(PDF; 59Kb)

Paperwork Reduction Act Submission

10/95

APHIS-90

No

(PDF; Kb)

Report of Reimbursable Services Rendered


Excel Verison (XLS; 18Kb)
Lotus 123 Version (123: 10Kb)
Instructions (PDF; 10Kb)

N/A

APHIS 94

Yes

(PDF; 7Kb)

Record of Public Funds Received


Instructions (PDF; 7Kb)

06/06

APHIS 109-R

Yes

(PDF; 94Kb)

Detailed Cost Analysis

06/96

APHIS-135
(Employees Only)

Yes

(PDF; 124Kb)

Form Processing and Reproduction Record

01/07

APHIS 144

No

(PDF; Kb)

APHIS Desktop Security Exception Request (DSER)

11/05

APHIS 160-R

No

(PDF; 5Kb)

Annual Hazardous Materials Inventory

03/92

APHIS 162

No

(PDF; 5Kb)

Serious Accident Preliminary Report

03/92

APHIS 164

No

(PDF; 3Kb)

Hazardous Materials Certification Statement 

03/92

APHIS-167E

Yes

(PDF; 58Kb)

Fluorescent Lamps and OtherMercury-Containing Universal WastesRecycling ProgramContainer Request Form

11/03

APHIS-168

Yes

(PDF; 150Kb)

Hazardous Waste DisposalRequest Form

11/03

APHIS-187-R

No

(PDF; 9Kb)

Request for Publication/Material

05/97

APHIS-188
(Employees Only)

Yes

(PDF; 320Kb)

Printing Request

05/07

APHIS 192

No

(PDF; 12Kb)

Application for Credit Account and Request for Services

12/02

APHIS 203

Yes

(PDF; 87Kb)

Request for Access to NFC's Travel System

09/04

APHIS 240-R

No

(PDF; 103Kb)

APHIS Office Ergonomic Evaluation Checklist (OEEC)

03/03

APHIS 256-1

No

(PDF; 28Kb)

Safety Inspection Checklist (General Safety)

04/95

APHIS 256-2

No

(PDF; 17Kb)

Safety Inspection Checklist (Animal Handling Facilities and Equipment, Bird Quarantine Facilities, and Greenhouses)

01/95

APHIS 256-3

No

(PDF; 25Kb)

Safety Inspection Checklist (Laboratories)

04/95

APHIS 256-4

No

(PDF; 26Kb)

Safety Inspection Checklist (Machine/Workshop)

04/95

APHIS 256-5

No

(PDF; 19Kb)

Safety Inspection Checklist (Hazardous Chemical Storage, Explosives Storage, and Waste Disposal)

06/97

APHIS 257-R

No

(PDF; 18Kb)

Hazard Communication Standard Checklist

07/96

APHIS 259-R

Yes

(PDF; 136Kb)

Workplace Incident Report

12/01

APHIS 260 English Version
APHIS 260 Spanish Version

No

(PDF; 156Kb)

Medical Alert Card (Employee)

12/07

APHIS 260a English Version
APHIS 260a Spanish Version

No

(PDF; 154Kb)

Medical Alert Card

12/07

APHIS 264-R

Yes

(PDF; 288Kb)

Facility Environmental Inventory Report

06/03

APHIS 265-R

Yes

(PDF; 89Kb)

Individual Discovery Report

06/03

APHIS 266-R

Yes

(PDF; 212Kb)

Hazardous Waste Accumulation Inspection Form

06/03

APHIS 267-R

Yes

(PDF; 383Kb)

Monthly Hazardous Waste (Generator) Activity Report

06/03

APHIS 270-R

No

(PDF; 9Kb)

APHIS Hazard Assessment Form

N/A

APHIS 329

Yes

(PDF; 13Kb)

Contract Delivery Receipt

08/82

APHIS 513

No

(PDF; 70Kb)

APHIS User Account Control Form

05/07

APHIS 514

Yes

(DOC; 58Kb)

APHIS Data Center Access Control Form

09/07

APHIS 515-R

Yes

(PDF; 118Kb)

Incident Report

06/04

APHIS 516

No

(PDF; 20Kb)

Remote Access Account Control Form

06/08

APHIS 601

Yes

(PDF; 123Kb)

Fundamentals of APHIS Human Resource Management (FARHM) Application Form 

09/04

APHIS 602

No

(PDF; 13Kb)

Managing Performance & Conduct Application Form

01/04

APHIS 603

Yes

(PDF; 97Kb)

Learning Contract

02/04

APHIS 672

Yes

(PDF; 699Kb)

Reimbursement or Advance of Funds Agreement

05/08

APHIS 672A

Yes

(PDF; 452Kb)

Reimbursement or Advance of Funds Agreement Continuation Form

05/08


Last Modified: September 12, 2008

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