| APHIS Forms |
Form
No. |
Fillable |
Title |
Revision Date, Other Info |
Format |
APHIS 1 |
Yes |
Request and Authorization for Occasional or Irregular Unscheduled Overtime |
03/1983 |
PDF |
APHIS 3 |
N/A |
Request for Clearance/Approval of Issuance |
N/A |
Replaced with MRP 3 |
APHIS 11-R |
Yes |
Information Systems Security Incident Form |
09/2006 |
PDF |
APHIS 12 |
Yes |
Change Management Request Form |
03/2006 |
PDF |
APHIS 14-R |
Yes |
FTS 2001 Calling Card Tracking Sheet Generic Cards Without Names |
10/2004 |
PDF |
APHIS 29 |
Yes |
Occupational Medical Monitoring Program - Occupational Exposures
APHIS Form 29 Explained (PSS) |
11/2003 |
PDF |
APHIS 40 |
Yes |
Employee Exit Inventory |
04/1998 |
PDF |
APHIS 47 |
Yes |
Transmittal and Receipt for Accountable Items |
04/2001 |
PDF |
APHIS 62-R |
Yes |
Employee Travel Advance Request |
06/2011 |
PDF |
APHIS 63
|
Yes |
Justification for Non-Competitive Federal Assistance |
10/1982 |
Emloyees Only DOC |
APHIS 66-R |
No |
Job Analysis - Major Duty Identification |
08/1982 |
PDF |
APHIS 67-R |
No |
Job Analysis - Knowledge, Skills and Abilities Determination |
08/1984 |
PDF |
APHIS 68-R |
No |
Job Analysis Rating Plan |
08/1982 |
PDF |
APHIS 71
|
Yes |
Summary of Information Collections (Pubic Burden) |
01/1996 |
Employees Only PDF |
APHIS 79 |
Yes |
Worksheet for Calculating Costs to the Federal Government for Information Collection |
09/1996 |
Employees Only PDF |
APHIS 80-R |
No |
Export Certificate Record |
03/1986 |
PDF |
APHIS 83i
|
Yes |
Paperwork Reduction Act Submission |
10/1995 |
Employees Only Replaced with OMB 83i PDF |
APHIS 90 |
No |
Report of Reimbursable Services Rendered
Instructions |
N/A |
PDF
XLS |
APHIS 94 |
Yes |
Record of Public Funds Received
Instructions |
06/2006 |
PDF |
APHIS 103 |
Yes |
Annual Agreements Meetin |
03/2012 |
PDF |
APHIS 106 |
No |
APHIS Local Registration Authority (LRA) Request for Training and Acknowledgment of Role Responsibilities |
02/2009 |
PDF |
APHIS 109-R |
Yes |
Detailed Cost Analysis |
06/1996 |
PDF |
APHIS 135 |
Yes |
Form Processing and Reproduction Record |
01/2007 |
Employees Only PDF |
APHIS 144 |
No |
APHIS Desktop Security Exception Request (DSER) |
11/2005 |
PDF |
APHIS 147-R |
No |
Annual Salary Computation Sheet For Appointments Above the Minimum Rate
|
05/1992 |
PDF |
APHIS 160-R |
No |
Annual Hazardous Materials Inventory |
03/1992 |
PDF |
APHIS 162 |
No |
Serious Accident Preliminary Report |
03/1992 |
PDF |
APHIS 164 |
No |
Hazardous Materials Certification Statement |
03/1992 |
PDF |
APHIS 167-E |
Yes |
Fluorescent Lamps and OtherMercury-Containing Universal WastesRecycling ProgramContainer Request Form |
11/2003 |
PDF |
APHIS 168 |
Yes |
Hazardous Waste DisposalRequest Form |
11/2003 |
PDF |
APHIS 176 |
No |
Travel Savings Form |
04/2006 |
PDF |
APHIS 187-R |
No |
Request for Publication/Material |
05/1997 |
PDF |
APHIS 188 |
Yes |
Printing Request |
05/2007 |
Employees Only PDF |
APHIS 192 |
No |
Application for Credit Account and Request for Services |
12/2002 |
PDF |
APHIS 203 |
Yes |
Request for Access to NFC's Travel System |
09/2004 |
PDF |
APHIS 240-R |
No |
APHIS Office Ergonomic Evaluation Checklist (OEEC) |
03/2003 |
PDF |
APHIS 256-1 |
No |
Safety Inspection Checklist (General Safety) |
04/1995 |
PDF |
APHIS 256-2 |
No |
Safety Inspection Checklist (Animal Handling Facilities and Equipment, Bird Quarantine Facilities, and Greenhouses) |
01/1995 |
PDF |
APHIS 256-3 |
No |
Safety Inspection Checklist (Laboratories) |
04/1995 |
PDF |
APHIS 256-4 |
No |
Safety Inspection Checklist (Machine/Workshop) |
04/1995 |
PDF |
APHIS 256 |
No |
Safety Inspection Checklist (Hazardous Chemical Storage, Explosives Storage, and Waste Disposal) |
06/1997 |
PDF |
APHIS 257-R |
No |
Hazard Communication Standard Checklist |
07/1996 |
PDF |
APHIS 258 |
No |
Respirator Use Approval |
11/1998 |
PDF |
APHIS 259-R |
Yes |
Workplace Incident Report |
12/2012 |
PDF |
APHIS 260 |
No |
Medical Alert Card (Employee) |
12/2007 |
English PDF, Spanish PDF |
APHIS 260-A |
No |
Medical Alert Card |
12/2007 |
English PDF, Spanish PDF |
APHIS 264-R |
Yes |
Facility Environmental Inventory Report |
06/2003 |
PDF |
APHIS 265-R |
Yes |
Individual Discovery Report |
06/2003 |
PDF |
APHIS 266-R |
Yes |
Hazardous Waste Accumulation Inspection Form |
06/2003 |
PDF |
APHIS 267-R |
Yes |
Monthly Hazardous Waste (Generator) Activity Report |
06/2003 |
PDF |
APHIS 270-R |
No |
APHIS Hazard Assessment Form |
N/A |
PDF |
APHIS 301 |
No |
Incident Record Discharge of a Non-Lethal Personal Protective Device (NLPPD) |
08/2001 |
PDF |
APHIS 302 |
No |
Invetory Control Record for Non-Lethal Personal Protective Devices (NLPPD) |
08/2001 |
PDF |
APHIS 329 |
Yes |
Contract Delivery Receipt |
08/1982 |
PDF |
APHIS 511-R |
No |
APHIS ID/Access Request |
06/2004 |
PDF |
APHIS 512-R |
Yes |
APHIS Data Center Visitor Log
|
01/2011 |
PDF |
APHIS 513 |
Yes |
APHIS User Account Control Form |
05/2007 |
PDF |
APHIS 514 |
Yes |
APHIS Data Center Access Control Form |
09/2007 |
DOC |
APHIS 515-R |
Yes |
Incident Report |
06/2004 |
PDF |
APHIS 516 |
No |
Remote Access Account Control Form |
06/2008 |
PDF |
APHIS 520 |
Yes |
Risk Acceptance Form |
01/2012 |
PDF |
APHIS 601 |
Yes |
Fundamentals of APHIS Human Resource Management (FARHM) Application Form |
09/2004 |
PDF |
APHIS 602 |
No |
Managing Performance & Conduct Application Form |
01/2004 |
PDF |
APHIS 603 |
Yes |
Learning Contract |
02/2004 |
PDF |
APHIS 672 |
Yes |
Reimbursement or Advance of Funds Agreement |
05/2008 |
PDF |
APHIS 672-A |
Yes |
Reimbursement or Advance of Funds Agreement Continuation Form |
05/2008 |
PDF |
APHIS 2007 |
No |
Qualifications of Veterinary Biologics Personnel |
11/2001 |
PDF |
APHIS 7001 |
Yes |
United States Interstate and International Certificate of Health Examination for Small Animals |
11/2010 |
PDF |
APHIS 7005 |
No |
Record of Acquisition & Dogs and Cats on Hand |
06/1995 |
PDF |
APHIS 7006 |
Yes |
Record of Disposition of Dogs and Cats |
06/1995 |
PDF |
APHIS 7006-A |
Yes |
Continuation Sheet for Record of Disposition of Dogs and Cats |
01/1990 |
PDF |
APHIS 7020 |
Yes |
Record of Acquisition, Disposition or Transport of Animals (Other than Dogs and Cats) |
04/1993 |
PDF |
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