DD Form 2906D Defense Civilian Intelligence Personnel System (DCIPS) Performance Evaluation of Record

What Is DD Form 2906D?

DD Form 2906D, Defense Civilian Intelligence Personnel System (DCIPS) Performance Appraisal is a form used for documenting performance goals as well as midpoint, closeout, and annual evaluation results in accordance with the requirements of the DCIPS. The latest edition of the appraisal form - sometimes incorrectly referred to as the DA Form 2906D - was released by the Department of Defense (DoD) in October 2011.

An up-to-date DD Form 2906D fillable version is available for download and digital filing below or can be found through the Executive Services Directorate website.

This form by both the civilian employee and the rating officials along with - in some cases - higher-level reviewers. Unlike the DD Form 2906 (Department of Defense Civilian Performance Plan, Progress Review and Appraisal), the DD Form 2906D embraces the evaluation of a narrower circle of employees, namely, the Defense Civilian Intelligence Personnel.

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DEFENSE CIVILIAN INTELLIGENCE PERSONNEL SYSTEM (DCIPS)
PERFORMANCE EVALUATION OF RECORD
EMPLOYEE NAME: _______________________________________________________________ PERFORMANCE YEAR: _____________
PRIVACY ACT STATEMENT
AUTHORITY: 10 U.S.C. 1601-1603; and E.O. 9397.
PRINCIPAL PURPOSE(S): This form will be completed by employees, rating officials, and higher level reviewers to document the performance
objectives, and midpoint, closeout, and annual evaluation requirements of the Defense Civilian Intelligence Personnel System. To ensure all
appropriate records on an employee's performance are retained and are available (1) to agency officials having a need for the information;
(2) to employees; and (3) to support actions based on the records.
ROUTINE USE(S): To OPM in connection with its personnel management evaulation role in the executive Branch. The Routine Uses found at
http://dpclo.defense.gov/privacy/SORNs/govt/OPMGOVT-2.html and http://dpclo.defense.gov/privacy/SORNs/blanket_routine_uses.html apply.
DISCLOSURE: Voluntary. However, failure to provide the requested information may result in the record being misfiled or being unable to be
filed in the correct employee file.
INSTRUCTIONS FOR COMPLETION OF DCIPS PERFORMANCE EVALUATION OF RECORD FORM
the employee's name (Last, First, Middle Initial) and the evaluation period (year portion of the valuation period end date).
Cover Sheet:
PART A - Administrative Data.
1. Employee Name: Name of the employee (Last, First, Middle Initial).
2. Social Security Number: Enter last 4 digits of the SSN.
3. Position Title: Enter the title of the employee's position as of the
period start date.
4. Pay Schedule/Occupational Series/Pay Band/Grade: Enter the employee's pay schedule, occupational code, and pay band as of the evaluation
period start date.
5. Organization: Enter the name of the employee's organization.
6. Duty Station: Enter the duty station where the employee works.
7. Pay Pool ID: Enter the employee's pay pool identification number.
8. Evaluation Period: Enter the start date and the end date of the evaluation period. Typically this is the evaluation cycle start and end date;
however, these dates can vary.
9. Evaluation Effective Date: This is the effective date of the closeout, closeout-early annual, or annual evaluation of record.
10. Plan Last Modified: Date the plan was last modified.
PART B - Performance Evaluation of Record Documentation.
To be completed by all parties as appropriate to document the establishment of performance objectives, midpoint review, closeout evaluation, and
evaluation of record as required.
PART C - Relevant Organizational Mission/Strategic Goals.
Organizational Mission and Strategic Goals as they apply to an employee's performance.
PART D - Performance Evaluation of Record - Summary.
Rating computations are based on performance elements and performance objectives, which may be weighted according to policy in effect for
the corresponding evaluation period. The Overall Performance Element Rating, Overall Performance Objective Rating, and Overall Rating are
rounded to one decimal point. The Performance Evaluation of Record is the whole number evaluation of record and descriptor (e.g., "3 -
Successful") converted from the Overall Rating as follows: 4.6 - 5.0 = "5 - Outstanding"; 3.6 - 4.5 = "4 - Excellent"; 2.6 - 3.5 = "3 - Successful";
2.0 - 2.5 = "2 - Minimally Successful"; <2 on any objective = "1 - Unacceptable".
PART E - Performance Elements.
Complete this section to document performance elements and the corresponding employee and rating official evaluations. This page should be
duplicated for each of the six standard performance elements. When completing an evaluation, mark (X) in the box to indicate the type of
evaluation (e.g., midpoint review or annual). When multiple evaluations are given during the year (e.g., midpoint review and annual), duplicate
each element page for each new type of evaluation. Only one type of evaluation should be documented on each page.
PART F - Performance Objectives.
Complete this section to document performance objectives and the corresponding employee and rating official evaluations. This page should be
duplicated for each job objective and type of evaluation. When completing an evaluation, mark (X) in the box to indicate the type of evaluation
(e.g., midpoint review or annual). When multiple evaluations are given during the year (e.g., midpoint review and annual), duplicate each
objective page for each new type of evaluation. Only one type of evaluation should be documented on each page.
DD FORM 2906D, OCT 2011
Cover Sheet
PREVIOUS EDITION IS OBSOLETE.
Adobe Professional 8.0
DEFENSE CIVILIAN INTELLIGENCE PERSONNEL SYSTEM (DCIPS)
PERFORMANCE EVALUATION OF RECORD
EMPLOYEE NAME: _______________________________________________________________ PERFORMANCE YEAR: _____________
PRIVACY ACT STATEMENT
AUTHORITY: 10 U.S.C. 1601-1603; and E.O. 9397.
PRINCIPAL PURPOSE(S): This form will be completed by employees, rating officials, and higher level reviewers to document the performance
objectives, and midpoint, closeout, and annual evaluation requirements of the Defense Civilian Intelligence Personnel System. To ensure all
appropriate records on an employee's performance are retained and are available (1) to agency officials having a need for the information;
(2) to employees; and (3) to support actions based on the records.
ROUTINE USE(S): To OPM in connection with its personnel management evaulation role in the executive Branch. The Routine Uses found at
http://dpclo.defense.gov/privacy/SORNs/govt/OPMGOVT-2.html and http://dpclo.defense.gov/privacy/SORNs/blanket_routine_uses.html apply.
DISCLOSURE: Voluntary. However, failure to provide the requested information may result in the record being misfiled or being unable to be
filed in the correct employee file.
INSTRUCTIONS FOR COMPLETION OF DCIPS PERFORMANCE EVALUATION OF RECORD FORM
the employee's name (Last, First, Middle Initial) and the evaluation period (year portion of the valuation period end date).
Cover Sheet:
PART A - Administrative Data.
1. Employee Name: Name of the employee (Last, First, Middle Initial).
2. Social Security Number: Enter last 4 digits of the SSN.
3. Position Title: Enter the title of the employee's position as of the
period start date.
4. Pay Schedule/Occupational Series/Pay Band/Grade: Enter the employee's pay schedule, occupational code, and pay band as of the evaluation
period start date.
5. Organization: Enter the name of the employee's organization.
6. Duty Station: Enter the duty station where the employee works.
7. Pay Pool ID: Enter the employee's pay pool identification number.
8. Evaluation Period: Enter the start date and the end date of the evaluation period. Typically this is the evaluation cycle start and end date;
however, these dates can vary.
9. Evaluation Effective Date: This is the effective date of the closeout, closeout-early annual, or annual evaluation of record.
10. Plan Last Modified: Date the plan was last modified.
PART B - Performance Evaluation of Record Documentation.
To be completed by all parties as appropriate to document the establishment of performance objectives, midpoint review, closeout evaluation, and
evaluation of record as required.
PART C - Relevant Organizational Mission/Strategic Goals.
Organizational Mission and Strategic Goals as they apply to an employee's performance.
PART D - Performance Evaluation of Record - Summary.
Rating computations are based on performance elements and performance objectives, which may be weighted according to policy in effect for
the corresponding evaluation period. The Overall Performance Element Rating, Overall Performance Objective Rating, and Overall Rating are
rounded to one decimal point. The Performance Evaluation of Record is the whole number evaluation of record and descriptor (e.g., "3 -
Successful") converted from the Overall Rating as follows: 4.6 - 5.0 = "5 - Outstanding"; 3.6 - 4.5 = "4 - Excellent"; 2.6 - 3.5 = "3 - Successful";
2.0 - 2.5 = "2 - Minimally Successful"; <2 on any objective = "1 - Unacceptable".
PART E - Performance Elements.
Complete this section to document performance elements and the corresponding employee and rating official evaluations. This page should be
duplicated for each of the six standard performance elements. When completing an evaluation, mark (X) in the box to indicate the type of
evaluation (e.g., midpoint review or annual). When multiple evaluations are given during the year (e.g., midpoint review and annual), duplicate
each element page for each new type of evaluation. Only one type of evaluation should be documented on each page.
PART F - Performance Objectives.
Complete this section to document performance objectives and the corresponding employee and rating official evaluations. This page should be
duplicated for each job objective and type of evaluation. When completing an evaluation, mark (X) in the box to indicate the type of evaluation
(e.g., midpoint review or annual). When multiple evaluations are given during the year (e.g., midpoint review and annual), duplicate each
objective page for each new type of evaluation. Only one type of evaluation should be documented on each page.
DD FORM 2906D, OCT 2011
Cover Sheet
PREVIOUS EDITION IS OBSOLETE.
Adobe Professional 8.0
DEFENSE CIVILIAN INTELLIGENCE PERSONNEL SYSTEM (DCIPS)
PERFORMANCE EVALUATION OF RECORD
(Please read Privacy Act Statement and Instructions before completing this form.)
PART A - ADMINISTRATIVE DATA
1. EMPLOYEE NAME (Last, First, Middle Initial)
2. SOCIAL SECURITY NUMBER (Last 4 digits)
XXX-XX-
3. POSITION TITLE
4. PAY SCHEDULE/OCCUPATIONAL SERIES/PAY BAND/GRADE
6. DUTY STATION
5. ORGANIZATION
7. PAY POOL ID
a. START DATE
b. END DATE
8. EVALUATION PERIOD
(YYYYMMDD)
(YYYYMMDD)
9. EVALUATION OF RECORD EFFECTIVE DATE
10. PERFORMANCE PLAN LAST MODIFIED
(YYYYMMDD)
(YYYYMMDD)
PART B – PERFORMANCE EVALUATION DOCUMENTATION
PERFORMANCE
CLOSEOUT
PERFORMANCE
MIDPOINT
EVALUATION OF RECORD
(other than early annual)
PLAN
REVIEW
Closeout-Early Annual
EMPLOYEE:
Signature:
(YYYYMMDD)
Date
RATING OFFICIAL
Printed Name:
Signature:
(YYYYMMDD)
Date:
Communication
(face-to
Method
face, telephone, other)
REVIEWING OFFICIAL:
Printed Name:
Signature:
(YYYYMMDD)
Date:
1
DD Form 2906D, OCT 2011
EMPLOYEE NAME: ___________________________________________________________________ PERFORMANCE YEAR: _____________
PART C - RELEVANT ORGANIZATIONAL MISSION/STRATEGIC GOALS
(Limited to 1400 characters)
PART D – PERFORMANCE EVALUATION OF RECORD - SUMMARY
(Please read Instructions for Part D before completing this section.)
SECTION 1 - Performance Elements
PERFORMANCE ELEMENT RATING
PERFORMANCE ELEMENT
(1 – 5)
Accountability for Results
Communication
Critical Thinking
Engagement and Collaboration
Personal Leadership and Integrity (non-supervisory)
Technical Expertise (non-supervisory)
Leadership (supervisors)
Managerial Proficiency (supervisors)
OVERALL PERFORMANCE ELEMENT RATING
SECTION 2 - Performance Objectives (maximum of 10 performance objectives)
PERFORMANCE
PERFORMANCE OBJECTIVE RATING
TITLE
OBJECTIVE
(1 – 5 or NR if not rated)
1
2
3
4
5
6
7
8
9
10
OVERALL PERFORMANCE OBJECTIVE RATING
SECTION 3 - Performance Evaluation of Record
Overall Performance Element Rating
Overall Performance Objective Rating
Overall Rating
Performance Evaluation of Record
2
DD Form 2906D, OCT 2011
EMPLOYEE NAME: _______________________________________________________________
PERFORMANCE YEAR: ____________________
PART E - PERFORMANCE ELEMENTS
PERFORMANCE ELEMENT:
MIDPOINT REVIEW
PERFORMANCE EVALUATION OF RECORD
CLOSEOUT (other than Early Annual)
TYPE OF EVALUATION:
(including Closeout-Early Annual)
(Limited to 2,000 characters)
EMPLOYEE SELF-REPORT OF ACCOMPLISHMENTS
(Limited to 2,000 characters)
RATING OFFICIAL EVALUATION
_____ of _____
3
DD Form 2906D, OCT 2011
EMPLOYEE NAME: ____________________________________________________________
PERFORMANCE YEAR: ____________________
PART F - PERFORMANCE OBJECTIVES
PERFORMANCE
LAST
OBJECTIVE
TITLE:
MODIFIED ON:
NO.
(YYYYMMDD)
(Limited to 1,000 characters)
PERFORMANCE OBJECTIVE
MIDPOINT REVIEW
PERFORMANCE EVALUATION OF RECORD
CLOSEOUT (other than Early Annual)
TYPE OF EVALUATION:
(including Closeout-Early Annual)
(Limited to 2,000 characters)
EMPLOYEE SELF-REPORT OF ACCOMPLISHMENTS
(Limited to 2,000 characters)
RATING OFFICIAL EVALUATION
_____ of _____
4
DD Form 2906D, OCT 2011

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DD Form 2906D Instructions

1.The first page of the form requires the employee's name and the year of evaluation. The same information is entered on top of all other pages of the form except for the second one.

  1. Part A is for the administrative data. The employee's name and the last four digits of their SSN are entered in Blocks 1 and 2. The employee, official or reviewer identifies the worker's position title at the moment of evaluation in Block 3.
  2. Block 4 presents the information about the employee's pay schedule, occupational code, and pay band relevant by the beginning of the evaluation procedure. Blocks 5 and 6 identify the employee's organization name and duty station. The pay pool ID number is provided in Block 7.
  3. The beginning and end of the evaluation cycle are marked in Block 8. Block 9 sets the effective date of the closeout, closeout-early annual, or annual evaluation of record. Block 10 specifies when the last modification was made.
  4. Part B requires that all parties involved fill in the necessary information to record the establishment of performance objectives, midpoint review, closeout evaluation, and evaluation of record.
  5. Part C describes how the organizational mission and strategic goals correlate with the employee's performance.
  6. The employee's performance evaluation of record is summarized in Part D. There are several elements to be evaluated, each element is graded according to the following rating:
    • From 4.6 to 5.0 - 5, Outstanding;
    • From 3.6 to 4.5 - 4, Excellent;
    • From 2.6 to 3.5 - 3, Successful;
    • From 2.0 to 2.5 - 2, Minimally Successful;
    • Less than 2 on any objective - 1, Unacceptable.
  7. Part E - Performance Elements - contains a self-assessment by the rated employee and evaluation done by the rating official. The type of evaluation should be selected from the provided list. If there are several evaluations throughout a year, each of them is recorded on a separate page.
  8. Performance objectives set by the rater are provided in Part F - Performance Objectives, along with a self-report of accomplishments done by the employee

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