GSA Form 1667: Register of Purchases (Retail Operations)

GSA Form 1667, Register of Purchases (Retail Operations), is a General Services Administration form. Its footer prints GENERAL SERVICES ADMINISTRATION and GSA FORM 1667 (REV. 1-86), and GSA hosts it in its forms library. GSA's page lists no authority or regulation for it.

It is a one-page log with nine columns, (a) to (i). Check boxes at the top mark the purchase type as a depot requisition, a blanket purchase arrangement or a purchase order, beside the CSC name and number, the BPA number, the BPA expiration date and the BPA or local purchase limitation in dollars. Each row records one order: its number, order date, source, date received, receiving document number, dollar value and the date reported on 830.

The form prints no instructions and does not say who keeps it. You can fill it out free in your browser on this page and download the result without an account.

Top of page 1 of GSA Form 1667: Register of Purchases (Retail Operations), as printed by GSA

What's on GSA Form 1667

Purchase type check boxes

DEPOT REQUISITION, BLANKET PURCHASE ARRANGEMENT and PURCHASE ORDER.

CSC name and BPA number

The CSC name and number, and the BPA number, with the note Use separate BPA folder.

BPA expiration date and limitation

The BPA expiration date, and the BPA or local purchase limitation with a $ sign.

Columns (a) to (c): order details

Julian date/act. no/P.O. no., serial number/lines and order date.

Columns (d) to (g): source and receipt

Source, date received, receiving document number and dollar value.

Columns (h) and (i): reporting and remarks

Date reported on 830, and remarks.

How to complete GSA Form 1667

1
Check the purchase type
Check DEPOT REQUISITION, BLANKET PURCHASE ARRANGEMENT or PURCHASE ORDER at the top left.
2
Fill in the header blocks
Enter the CSC name and number, the BPA number, the BPA expiration date and the BPA or local purchase limitation.
3
Log each order on one row
Enter the Julian date/act. no/P.O. no., serial number/lines, order date and source in columns (a) to (d).
4
Record the receipt and value
Enter the date received, the receiving document number and the dollar value in columns (e) to (g).
5
Note the 830 date and remarks
Column (h) takes the date reported on 830 and column (i) any remarks.

The PDF prints no instructions. These steps follow the order of the blocks on the form.

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Where it goes and what the form says

Where it goes

The PDF gives no routing, address or filing instructions. It is a register, and the BPA number block says to use a separate BPA folder.

The 830 column

Column (h) is headed DATE REPORTED ON 830. The PDF does not name or describe 830 further.

No OMB number or burden statement

The form prints no OMB number, Privacy Act notice or burden estimate, and GSA's page lists no authority or regulation for it.

Who uses GSA Form 1667?

A GSA retail operation
The title is Register of Purchases (Retail Operations), and the footer prints GENERAL SERVICES ADMINISTRATION.
Purchases by depot requisition
One check box marks the register for depot requisitions.
Purchases under a blanket purchase arrangement
A second check box marks blanket purchase arrangement purchases. The BPA number block says Use separate BPA folder.
Purchases by purchase order
A third check box marks purchase orders. A BPA or local purchase limitation in dollars sits at the top right.

The form has no instructions and names no person, title or office that fills it out. This is what the printed form shows about its use.

Official sources and the blank

Official GSA form page
The agency’s own page for Form GSA1667.
Blank PDF
The official blank form, to print or fill by hand.

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Questions about Form GSA1667

Who issues GSA Form 1667?

The footer prints GENERAL SERVICES ADMINISTRATION and GSA FORM 1667 (REV. 1-86). GSA hosts it in its forms library, and GSA's page gives 01/1986 as the current revision date.

Does GSA Form 1667 have instructions?

No. The downloaded PDF is a single page with the header blocks and columns (a) to (i), and no instructions.

What purchase types does it cover?

Check boxes at the top mark depot requisition, blanket purchase arrangement or purchase order.

What is the 830 column?

Column (h) is headed DATE REPORTED ON 830. The form does not explain 830 further.

GSA Form 1667: Register of Purchases (Retail Operations)