OPM Form 1623 List of Experts and Consultants Hired Under 5 U.s.c. 3109

OPM form EIB-SBA1623 is a U.S. Office of Personnel Management form also known as the "List Of Experts And Consultants Hired Under 5 U.s.c. 3109". The latest edition of the form was released in May 1, 2006 and is available for digital filing.

Download an up-to-date fillable OPM Form EIB-SBA1623 in PDF-format down below or look it up on the U.S. Office of Personnel Management Forms website.

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List of Experts and Consultants Hired Under 5 U.S.C. 3109
Employing Agency Code:
Who Served During Calendar Year:
(
)
Contact Name:
Phone:
Department or Agency:
Date:
Type
Schd
Days
M.I.
Last Name
First Name
Dollars Paid
(E or C)
(I or O)
Worked
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
Form authorized for local reproduction
OPM Form 1623
Revised May 2008
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List of Experts and Consultants Hired Under 5 U.S.C. 3109
Employing Agency Code:
Who Served During Calendar Year:
(
)
Contact Name:
Phone:
Department or Agency:
Date:
Type
Schd
Days
M.I.
Last Name
First Name
Dollars Paid
(E or C)
(I or O)
Worked
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
Form authorized for local reproduction
OPM Form 1623
Revised May 2008
Print Form
Save Form
Clear Form
Instructions for Completing “List of Experts and Consultants
Hired under 5 U.S.C. 3109”
This annual report to OPM is required by 5 U.S.C. 3109(e) from all agencies that used and
paid employees hired under section 3109 during the year reported. Each agency submits,
by February 28, one consolidated report covering the entire agency for the year ending
December 31. Send the report to: Expert and Consultant Reports, Center for Talent and
Capacity Policy, U.S. Office of Personnel Management, 1900 E Street, NW, Room 6500,
Washington, DC 20415. A computer-prepared report in the same format is acceptable. A
negative reply is not required. You may duplicate copies of the report form for further use.
Notes: Do not report employees who were (1) not paid, or (2) hired under any other
appointment authority. Do not report services procured by contracts.
Complete the following report items:
Employee agency code. Enter first 2 letters of the “Agency/subelement” code, found in OPM’s
The Guide to Personnel Data Standards , Appendix 1.
Who served during calendar year xxxx. Enter 4 digits of the year reported.
Contact name and phone. Enter name and phone number of the agency person who
can Contact name and phone. Enter name and phone number of the agency person
who can provide more information about this report.
Department or agency. Enter department or agency name. Date. Enter date the report is
submitted. The format is MM/DD/YYYY.
Last name, first name, M.I. Enter full name and middle initial of expert or consultant.
Type. Enter “E” for expert or “C” for consultant to show position in which employed.
Schd. Enter “I” for intermittent or “O” for other than intermittent, to show work schedule.
Days. Enter number of days the employee worked as an expert or consultant for your agency
during the year reported.
Dollars paid. Enter total gross pay your agency gave the employee for expert or consultant
work during the year reported. Use the “wages” figure, box 10, on the IRS W-2 Statement,
unless the employee also worked in some other capacity for your agency during the year.
OPM Form 1623
Revised May 2008
Page 2

Download OPM Form 1623 List of Experts and Consultants Hired Under 5 U.s.c. 3109

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