Header and population data
Facility name and location, period covered, date, lot number, total activity items and total lot items.
GSA2620
Monthly/Quarterly Inventory Report
- Agency
- GSA
- Revision
- Rev. 12/1970
- Fillable fields
- 65
- Pages
- 1
- Official source
- GSA form page
- Checked
- October 20, 2026
GSA Form 2620: Monthly/Quarterly Inventory Report
GSA Form 2620, Monthly/Quarterly Inventory Report, is a General Services Administration form, printed as GSA FORM 2620 (REV. 12-70) with REPORT CONTROL SYMBOL FSS-210 at the top. GSA hosts it in its forms library, and GSA's page gives a current revision date of 12/1970 and lists no authority or regulation.
The one-page form reports the screen or sample of an inventory lot at a facility: the period covered, the lot number, population data, count dates and the last locator test, a findings table of items wrong and items out of tolerance by increment, an analysis of inventory adjustments, and a sample decision of Accepted, Rejected or Resample. It ends with a Remarks space and a signature line for the Chief, Statistical, Sampling Branch.
The PDF prints no instructions, OMB number or privacy statement. You can fill it out free in your browser on this page and download the result without an account.
What's on GSA Form 2620
Count dates and locator test
Start and finish count dates, the date of the last locator test (prior to count date) and the locator error rate as a percent.
Findings table
For each increment number (a): items counted (b), items wrong by number (c) and error rate (d), and items out of tolerance by number (e) and error rate (f), with a Totals row.
Analysis of inventory adjustments
Total gains by inventory plus total losses by inventory give the gross adjustments, each in dollars.
Adjustment rate and average line adjustment
Adjustment rate is gross adjustments over the record value of increment(s), as a percent. Average line adjustment is gross adjustments over items wrong.
Sample decision, remarks and signature
Check Accepted, Rejected or Resample, add remarks, and the signature of the Chief, Statistical, Sampling Branch.
How to complete GSA Form 2620
- 1
Fill in the header
Enter the facility name and location, the period covered, the date, the lot number, the total activity items and the total lot items.
- 2
Record the count dates
Enter the start and finish count dates, the date of the last locator test prior to the count date, and the locator error rate.
- 3
Enter the findings
For each increment, fill in columns (a) to (f), then the Totals row.
- 4
Work out the adjustments
Add total gains and total losses to get the gross adjustments, then fill in the adjustment rate and average line adjustment using the formulas printed on the form.
- 5
Decide and sign
Check Accepted, Rejected or Resample, add any remarks, and the Chief, Statistical, Sampling Branch signs at the bottom.
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Routing and what the form says
Where it goes
The PDF gives no filing address or routing, and it prints no instructions.
Edition and report control symbol
The footer reads GENERAL SERVICES ADMINISTRATION and GSA FORM 2620 (REV. 12-70), and REPORT CONTROL SYMBOL FSS-210 is printed at the top. GSA's page gives a current revision date of 12/1970 and lists no authority or regulation.
Terms not defined
The form does not define a screen, sample, increment, locator test or tolerance.
Notices
The PDF prints no Privacy Act notice, OMB number or burden estimate.
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Who fills out GSA Form 2620?
The PDF prints no instructions. These are the roles and records its blocks name.
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Questions about Form GSA2620
Who issues GSA Form 2620?
The footer reads GENERAL SERVICES ADMINISTRATION and GSA FORM 2620 (REV. 12-70). GSA hosts it in its forms library, and its page lists no authority or regulation.
Who signs GSA Form 2620?
The form prints one signature line, headed CHIEF, STATISTICAL, SAMPLING BRANCH (Signature).
What sample decisions can be checked?
The form prints three boxes: Accepted, Rejected and Resample, with the note Check one.
How is the adjustment rate worked out?
The form adds total gains by inventory and total losses by inventory to get the gross adjustments, then divides the gross adjustments by the record value of increment(s) to give a percent.
What is report control symbol FSS-210?
The form prints REPORT CONTROL SYMBOL FSS-210 at the top right. It does not explain the symbol.
Does GSA Form 2620 come with instructions?
No. The PDF prints no instructions, Privacy Act notice or OMB number, and it does not say where the report goes.