OPM Form SF-182 "Authorization, Agreement and Certification of Training"

What Is OPM Form SF-182?

This is a legal form that was released by the U.S. Office of Personnel Management on December 1, 2006 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on December 1, 2006;
  • The latest available edition released by the U.S. Office of Personnel Management;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of OPM Form SF-182 by clicking the link below or browse more documents and templates provided by the U.S. Office of Personnel Management.

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Download OPM Form SF-182 "Authorization, Agreement and Certification of Training"

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B. Request Status (Mark (X) one)
A. Agency, code agency subelement
AUTHORIZATION, AGREEMENT
and submitting office number
Resubmission
Initial
AND CERTIFICATION OF TRAINING
Correction
Cancellation
Section A - TRAINEE INFORMATION
Please read instructions on page 6 before completing this form
1. Applicant's Name (Last, First, Middle Initial)
2.Social Security Number/Federal Employee Number
3. Date of Birth (yyyy-mm-dd)
6. Position Level (Mark (X) one)
4. Home Address (Number, Street, City, State, ZIP Code) (Optional)
5.
Home Telephone (Optional)
(Include Area Code)
a. Non-supervisory
b. Manager
c. Supervisory
d. Executive
7. Organization Mailing Address (Branch-Division/Office/Bureau/Agency))
8.
OfficeTelephone
9. Work Email Address
(Include Area Code and Extension)
11. Does applicant need special
10. Position Title
If yes, please describe below
accomodation?
Yes
No
12. Type of Appointment
14. Pay Plan
15. Series
16. Grade
17. Step
13.
Education Level
(click link to view codes or go to page 7)
Section B - TRAINING COURSE DATA
1b. Location of Training Site (if same, mark box)
1a. Name and Mailing Address of Training Vendor (No., Street, City, State, ZIP Code)
Ft. McNair monthly and Virginia Beach, VA for Annual Institute
2025 M St. NW
Suite 800
1c. Vendor Telephone Number
1d. Vendor Email Address
202-973-8683
info@trainingofficers.org
Washington D.C. 20036
2a. Course Title
2b. Course Number Code
3. Training Start Date
4. Training End Date (Enter Date as yyyy-mm-d
(Enter Date as yyyy-mm-dd)
d)
2017-09-12
2018-06-12
7.
Training Purpose Type
5. Training Duty Hours
6. Training Non-Duty Hours
8.
Training Type Code
(Click link to view codes or go to page 9)
(Click link to view codes or go to page 9)
9.
Training Sub Type Code
10.
Training Delivery Type Code
11.
Training Designation Type Code
12. Training Credit
13.
Training Credit Type Code
(Click link to view codes or go to page 9)
(Click link to view codes or go to page 12)
(Click link to view codes or go to page 13)
(Click link to view codes or go to page 13)
14. Training Accreditation Indicator
15. Continued Service Agreement
16. Continued Service Agreement Expiration Date
17.
Training Source Type Code
(
Required Indicator
Check below)
(Check below)
(Enter date as yyyy-mm-dd)
(Click link to view codes or go to page 13)
Yes
No
Yes
No
N/A
18. Training Objective
19. AGENCY USE ONLY
Section C - COSTS AND BILLING INFORMATION
1. Direct Costs and Appropriation / Fund Chargeable
2. Indirect Costs and Appropriation / Fund Chargeable
Appropriation Fund
Appropriation Fund
Item
Amount
Amount
Item
a. Tuition and Fees
a. Travel
$
$
b. Books & Material Costs
b. Per Diem
$
$
c. TOTAL
c. TOTAL
$
$
6. BILLING INSTRUCTIONS (Furnish invoice to):
3. Total Training Non-Government Contribution Cost
4. Document / Purchasing Order / Requisition Number
5. 8 - Digit Station Symbol (Example - 12-34-5678)
U.S. Office of Personnel Management
Standard Form 182
Page 1
Revised December 2006
NSN 7540-01-008-3901
All previous editions not usable.
B. Request Status (Mark (X) one)
A. Agency, code agency subelement
AUTHORIZATION, AGREEMENT
and submitting office number
Resubmission
Initial
AND CERTIFICATION OF TRAINING
Correction
Cancellation
Section A - TRAINEE INFORMATION
Please read instructions on page 6 before completing this form
1. Applicant's Name (Last, First, Middle Initial)
2.Social Security Number/Federal Employee Number
3. Date of Birth (yyyy-mm-dd)
6. Position Level (Mark (X) one)
4. Home Address (Number, Street, City, State, ZIP Code) (Optional)
5.
Home Telephone (Optional)
(Include Area Code)
a. Non-supervisory
b. Manager
c. Supervisory
d. Executive
7. Organization Mailing Address (Branch-Division/Office/Bureau/Agency))
8.
OfficeTelephone
9. Work Email Address
(Include Area Code and Extension)
11. Does applicant need special
10. Position Title
If yes, please describe below
accomodation?
Yes
No
12. Type of Appointment
14. Pay Plan
15. Series
16. Grade
17. Step
13.
Education Level
(click link to view codes or go to page 7)
Section B - TRAINING COURSE DATA
1b. Location of Training Site (if same, mark box)
1a. Name and Mailing Address of Training Vendor (No., Street, City, State, ZIP Code)
Ft. McNair monthly and Virginia Beach, VA for Annual Institute
2025 M St. NW
Suite 800
1c. Vendor Telephone Number
1d. Vendor Email Address
202-973-8683
info@trainingofficers.org
Washington D.C. 20036
2a. Course Title
2b. Course Number Code
3. Training Start Date
4. Training End Date (Enter Date as yyyy-mm-d
(Enter Date as yyyy-mm-dd)
d)
2017-09-12
2018-06-12
7.
Training Purpose Type
5. Training Duty Hours
6. Training Non-Duty Hours
8.
Training Type Code
(Click link to view codes or go to page 9)
(Click link to view codes or go to page 9)
9.
Training Sub Type Code
10.
Training Delivery Type Code
11.
Training Designation Type Code
12. Training Credit
13.
Training Credit Type Code
(Click link to view codes or go to page 9)
(Click link to view codes or go to page 12)
(Click link to view codes or go to page 13)
(Click link to view codes or go to page 13)
14. Training Accreditation Indicator
15. Continued Service Agreement
16. Continued Service Agreement Expiration Date
17.
Training Source Type Code
(
Required Indicator
Check below)
(Check below)
(Enter date as yyyy-mm-dd)
(Click link to view codes or go to page 13)
Yes
No
Yes
No
N/A
18. Training Objective
19. AGENCY USE ONLY
Section C - COSTS AND BILLING INFORMATION
1. Direct Costs and Appropriation / Fund Chargeable
2. Indirect Costs and Appropriation / Fund Chargeable
Appropriation Fund
Appropriation Fund
Item
Amount
Amount
Item
a. Tuition and Fees
a. Travel
$
$
b. Books & Material Costs
b. Per Diem
$
$
c. TOTAL
c. TOTAL
$
$
6. BILLING INSTRUCTIONS (Furnish invoice to):
3. Total Training Non-Government Contribution Cost
4. Document / Purchasing Order / Requisition Number
5. 8 - Digit Station Symbol (Example - 12-34-5678)
U.S. Office of Personnel Management
Standard Form 182
Page 1
Revised December 2006
NSN 7540-01-008-3901
All previous editions not usable.
Section D - APPROVALS
1a. Immediate Supervisor - Name and title
1b. Area Code / Telephone Number
1c. Email Address
1e. Date
1d. Signature
2a. Second-line Supervisor - Name and title
2b. Area Code / Telephone Number
2c. Email Address
2e. Date
2d. Signature
3a Training Officer - Name and title
3b. Area Code / Telephone Number
3c. Email Address
3e. Date
3d. Signature
Section E - APPROVALS / CONCURRENCE
1a. Authorizing Official - Name and title
1b. Area Code / Telephone Number
1c. Email Address
1e. Date
1d. Signature
Approved
Disapproved
Section F - CERTIFICATION OF TRAINING COMPLETION AND EVALUATION
1a. Authorizing Official - Name and title
1b. Area Code / Telephone Number
1c. Email Address
1e. Date
1d. Signature
TRAINING FACILITY ~ Bills should be sent to office indicated in item C6.
Please refer to number given in item C4 to assure prompt payment.
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U.S. Office of Personnel Management
Standard Form 182
Page 2
Revised December 2006
All previous editions not usable.
Privacy Act Statement
Authority
This information is being collected under the authority of 5 U.S.C. § 4115,
a provision of The Government Employees Training Act.
Purposes and Uses
The primary purpose of the information collected is for use in
the administration of the Federal Training Program (FTP) to document the nomination
of trainees and completion of training. Information collected may also be provided to
other agencies and to Congress upon request. This information becomes a part of the
permanent employment record of participants in training programs, and should be
included in the Governmentwide electronic system, (the Enterprise Human Resource
Integration system (EHRI) and is subject to all of the published routine uses of that
system of records.
Effects and Nondisclosure
Providing the personal information requested is
voluntary; however, failure to provide this information may result in ineligibility for
participation in training programs or errors in the processing of training you have
applied for or completed.
Information Regarding Disclosure of your Social Security Number (SSN) Under
Public Law 93-579, Section 7(b)
Solicitation of SSNs by the Office of Personnel
Management (OPM) is authorized under provisions of the Executive Order 9397,
dated November 22, 1943. Your SSN will be used primarily to give you recognition for
completing the training and to accumulate Governmentwide training statistical data
and information. SSNs also will be used for the selection of persons to be included in
statistical studies of training management matters. The use of SSNs is necessary
because of the large number of current Federal employees who have identical names
and/or birth dates and whose identities can only be distinguished by their SSNs.
U.S. Office of Personnel Management
Standard Form 182
Page 3
Revised December 2006
All previous editions not usable.
Note: This agreement must be signed by the nominee for Government training that exceeds 80 hours (or such other
designated period, less than 80 hours as prescribed by the agency) for which the Government approves payment of
training costs prior to the commencement of such training. Nothing contained in this SAMPLE agreement below shall
be construed as limiting the authority of an agency to waive, in whole or in part, an obligation of an employee to pay
expenses incurred by the Government in connection with the training.
Continued Service Agreement
Employees, who are selected to training for more than a minimum period as prescribed in Title 5
USC 4108 and 5 CFR 410.309, see your supervisor for more information on the internal policies
to implement a continued service agreement.
Employees Agreement to Continue in Service
To be completed by applicant:
I AGREE that, upon completion of the Government sponsored training described
1.
in this authorization, if I receive salary covering the training period, I will serve in
the agency three (3) times the length of the training period. If I received no salary
during the training period, I agree to serve the agency for a period equal to the
length of training, but in no case less than one month. (The length of part-time
training is the number of hours spent in class or with the instructor. The length of
full-time training is eight hours for each day of training, up to a maximum of 40
hours a week).
NOTE: For the purposes of this agreement the term “agency” refers to the
employing organization (such as an Executive Department or Independent
Establishment), not to a segment of such organization.
2.
If I voluntarily leave the agency before completing the period of service agreed to
in item 1 above, I AGREE to reimburse the agency for fees, such as the tuition
and related fees, travel, and other special expenses (EXCLUDING SALARY) paid
in connection with my training. These fees are reflected in Section C Costs and
Billing Information. Note: Additional information about fees and expenses can be
found in the Guide to Human Resource Reporting (GHRR).
http://www.opm.gov/feddata/ghrr/index.asp
3.
I FURTHER AGREE that, if I voluntarily leave the agency to enter the service of
another Federal agency or other organization in any branch of the Government
before completing the period of service agreed, I will give my organization written
notice of at least ten working days during which time a determination concerning
reimbursement will be made. If I fail to give this advance notice, I AGREE to pay
the full amount of additional expenses 5 U.S.C. 4108 (a) (2) incurred by the
Government in this training.
U.S. Office of Personnel Management
Standard Form 182
Page 4
Revised December 2006
All previous editions not usable.
4. I understand that any amount of money which may be due to the agency as a
result of any failure on my part to meet the terms of this agreement may be
withheld from any monies owed me by the Government, or may be recovered by
such other methods as are approved by law.
5. I FURTHER AGREE to obtain approval from my organization and the person
responsible for authorizing government training requests of any proposed change
in my approved training program involving course and schedule changes,
withdrawals or incompletions, and increased costs.
6.
I acknowledge that this agreement does not in any way commit the Government
to continue my employment. I understand that if there is a transfer of my service
obligation to another Federal agency or other organization in any branch of the
Government, the agreements will remain in effect until I have completed my
obligated service with that other agency or organization.
Period of obligated Service: ______________________________________
Employee's Signature: __________________________________________
Date: __________________
U.S. Office of Personnel Management
Standard Form 182
Page 5
Revised December 2006
All previous editions not usable.
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