GSA2105

Annual Man-Hour Preventive Maintenance Requirements

Agency
GSA
Revision
Rev. November 1970
Fillable fields
553
Pages
2
Official source
GSA form page
Checked
October 20, 2026
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Page 1 of form GSA2105

GSA Form 2105: Annual Man-Hour Preventive Maintenance Requirements

GSA Form 2105, Annual Man-Hour Preventive Maintenance Requirements, is a two-page GSA form. The footer reads GENERAL SERVICES ADMINISTRATION and GSA FORM NOV 70 2105. GSA hosts it in its forms library; its page lists the current revision date as 11/1970 and no authority or regulation.

Page 1, Section I, PM Man-Hour Requirements, is a table of items with a PM guide number, quantity, frequency, standard man-hours and total man-hours allowed, and a total at the bottom. Page 2, Section II, PM Monthly Schedule for FY, has a column for each month from July to June. Both pages repeat a header for field office, building number, area and group code, the preparer's name, shop and date.

The form prints no instructions. 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 2105: Annual Man-Hour Preventive Maintenance Requirements, as printed by GSA

What's on GSA Form 2105

Header blocks

Field office, building number, area and group code, prepared by (name), shop and date, repeated at the top of both pages.

Section I: PM guide number and item

Each row of the PM Man-Hour Requirements table starts with a PM guide number and an item.

Section I: quantity and frequency

Columns for the quantity and the frequency of each item.

Section I: man-hours and total

Man-hours are split into Standard and Total Allowed columns, with a Total box at the foot of the table.

Section II: monthly schedule

The PM Monthly Schedule for FY has a blank for the fiscal year and twelve columns, July through June.

How to complete GSA Form 2105

  1. 1

    Fill in the header

    Enter the field office, building number, area and group code, the preparer's name, shop and date.

  2. 2

    List each item

    On page 1, enter the PM guide number and the item for each row of Section I.

  3. 3

    Add quantity and frequency

    Fill in the quantity and frequency columns for each item.

  4. 4

    Enter the man-hours

    Fill in the standard and total allowed man-hours for each row, then the total at the bottom.

  5. 5

    Complete the monthly schedule

    On page 2, repeat the header, write the fiscal year after FY and fill in the month columns from July to June.

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Routing and edition

Where it goes

The form prints no instructions, address or routing.

Signatures

The form has no signature block. The header asks for the preparer's name and a date.

Edition

The footer reads GSA FORM NOV 70 2105, and GSA's page lists the current revision date as 11/1970 with no authority or regulation.

Who fills out GSA Form 2105?

  • The preparer

    Each page has a Prepared By (Name) block and a Date block.

  • The shop

    A Shop block sits beside the preparer's name on both pages.

  • The field office

    The header has a Field Office block on both pages.

  • The building

    The header also asks for the building number and an area and group code.

The form prints no instructions. Its header blocks, repeated on both pages, identify these.

Official sources and the blank

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Questions about Form GSA2105

Who issues GSA Form 2105?

The footer reads GENERAL SERVICES ADMINISTRATION and GSA FORM NOV 70 2105. GSA hosts it in its forms library, and its page lists no authority or regulation.

What does Section I of GSA Form 2105 record?

PM man-hour requirements: a PM guide number, item, quantity, frequency, standard man-hours and total man-hours allowed for each row, with a total at the bottom.

What does Section II record?

A PM monthly schedule for a fiscal year, with one column for each month from July to June.

Does GSA Form 2105 need a signature?

The form prints no signature block. Each page has a Prepared By (Name) block and a Date block.

Does the form include instructions?

No. The PDF prints only the two pages of header blocks and tables, with no instructions or routing.