Header: page, report number and date
Page and number of pages, the report number and the date.
GSA184B
Construction Progress Report (Change Order Breakdown)
GSA Form 184B prints the heading Construction Progress Report (Modification/Change Order Breakdown). GSA's forms page lists it as Construction Progress Report (Change Order Breakdown), with a current revision date of 10/2016 and the authority or regulation PBS 2800.16. The footer reads GENERAL SERVICES ADMINISTRATION, and GSA hosts it in its forms library.
The instructions on the back say GSA 184B is prepared by the contracting officer or an authorized representative, and is used on all construction contracts awarded under new construction, repair and alteration programs, regardless of Delivery Method. The form says it provides part of the necessary documentation on construction progress and that a copy is completed promptly prior to payment requests.
Each row is one modification, with five columns in dollars only: modification number, total value of the modification, value of work completed (previous and current), value of materials, and total value of completed work. You can fill it out free in your browser on this page and download the result without an account.

Page and number of pages, the report number and the date.
The contract number and the task order number.
The modification number and the total value of the modification in the contract, in dollars only.
Sub-column (a), previous value, is the cumulative amount completed through the previous report. Sub-column (b), current value, is the amount completed since the previous report.
The value of stored materials during the construction phase, in dollars only.
The value of work in place and stored materials for each modification.
Enter the page count, report number and date, then the contract number and task order number.
Enter the modification number in Column 1 and the total value of the modification in the contract in Column 2.
In Column 3, enter the cumulative amount completed through the previous report in sub-column (a) and the amount completed since the previous report in sub-column (b).
Enter the value of stored materials in Column 4 and the value of work in place and stored materials in Column 5.
The form says a copy is completed promptly prior to payment requests and that the information on it is kept current.
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
The form prints no address or routing. It says the GSA Form 184B provides part of the necessary documentation on construction progress.
The form says a copy is completed promptly prior to payment requests, and the information on it is kept current.
GSA's page lists the authority or regulation as PBS 2800.16.
GSA's page lists the title Construction Progress Report (Change Order Breakdown). The PDF heading reads Construction Progress Report (Modification/Change Order Breakdown), and the footer reads GSA 184B (REV 10/2016). It prints no OMB number or privacy statement.
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The form says GSA 184B is prepared by the contracting officer.
The form says the contracting officer's authorized representative may prepare it instead of the contracting officer.
The form says it is used on all construction contracts awarded under new construction, repair and alteration programs, regardless of Delivery Method.
Each row is for one modification number, with the total value of that modification in the contract and the work completed against it.
The instructions on the back of the form say who prepares it and which contracts it covers.
The agency’s own page for Form GSA184B.
The official blank form, to print or fill by hand.
No tool matches that search.
The footer reads GENERAL SERVICES ADMINISTRATION and GSA 184B (REV 10/2016). GSA hosts it in its forms library, and its page lists the authority or regulation as PBS 2800.16.
The form says it is prepared by the contracting officer or the contracting officer's authorized representative.
The form says a copy is completed promptly prior to payment requests and that the information on it is kept current.
One modification: its number, the total value of the modification in the contract, the previous and current value of work completed, the value of stored materials and the total value of work in place and stored materials.
The form says sub-column (a) is the cumulative amount completed through the previous report and sub-column (b) is the current amount completed since the previous report.
GSA's forms page lists GSA184B as Construction Progress Report (Change Order Breakdown). The PDF on that page prints the heading Construction Progress Report (Modification/Change Order Breakdown). The page gives no reason for the difference.