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Get OPM SF 182 2020-2024

Document / Purchasing Order / Requisition Number 5. 8 - Digit Station Symbol Example - 12-34-5678 U.S. Office of Personnel Management Page 1 NSN 7540-01-008-3901 Standard Form 182 Revised December 2006 All previous editions not usable. B. Request Status Mark X one A. Agency code agency subelement and submitting office number AUTHORIZATION AGREEMENT AND CERTIFICATION OF TRAINING Resubmission Initial 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 4. Home Address Number Street City State ZIP Code Optional 5. Home Telephone Optional 3. Date of Birth yyyy-mm-dd 6. Position Level Mark X one Include Area Code 8. OfficeTelephone Yes 12. Type of Appointment d. Executive 9. Work Email Address 11. Does applicant need special accomodation 10. Position Title b. Manager c* Supervisory 7. Organization Mailing Address Branch-Division/Office/Bureau/Agency a* Non-supervisory If yes please describe below No 14. Pay Plan 13. Education Level click link to view codes or go to page 7 15. Series 16. Grade 17. Step 1a* Name and Mailing Address of Training Vendor No* Street City State ZIP Code 1b. Location of Training Site if same mark box 1c* Vendor Telephone Number 2a* Course Title 2b. Course Number Code 5. Training Duty Hours 6. Training Non-Duty Hours 10. Training Delivery Type Code 4. Training End Date Enter Date as yyyy-mm-dd 7. Training Purpose Type 9. Training Sub Type Code 1d. Vendor Email Address 14. Training Accreditation Indicator Check below 3. Training Start Date Enter Date as yyyy-mm-dd 15. Continued Service Agreement Required Indicator Check below 8. Training Type Code 12. Training Credit Enter date as yyyy-mm-dd 17. Training Source Type Code N/A 18. Training Objective 19. AGENCY USE ONLY Section C - COSTS AND BILLING INFORMATION 1. Direct Costs and Appropriation / Fund Chargeable Amount Item Appropriation Fund 2. Indirect Costs and Appropriation / Fund Chargeable a* Tuition and Fees a* Travel b. Books Material Costs b. Per Diem c* TOTAL 3. Total Training Non-Government Contribution Cost 6. BILLING INSTRUCTIONS Furnish invoice to 4. Section D - APPROVALS 1a* Immediate Supervisor - Name and title 1b. Area Code / Telephone Number 1c* Email Address 1d. Signature 1e. Date 2a* Second-line Supervisor - Name and title 3a Training Officer - Name and title 1a* Authorizing Official - Name and title Approved Disapproved Section F - CERTIFICATION OF TRAINING COMPLETION AND EVALUATION TRAINING FACILITY Bills should be sent to office indicated in item C6. l Please refer to number given in item C4 to assure prompt payment. Print Form Save Form Page 2 Clear Form 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.

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