GSA Form 2967: Request for Specification and/or Purchase Description Action

GSA Form 2967, Request for Specification and/or Purchase Description Action, is a one-page General Services Administration form, Rev. 6/84 on its footer. GSA hosts it in its forms library.

A requesting activity uses the top of the form to ask for action on a specification or purchase description for an item: to furnish one, revise one, discontinue a program item or take another action. It names the item, the buying program and method of purchase, dates and the estimated annual dollar volume, and gives a recommendation marked essential or suggested. The officer making the request signs block 14.

The bottom section, Action by Technical Support Office, records what that office did and is signed by the Technical Support Officer. The PDF 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 2967: Request for Specification and/or Purchase Description Action, as printed by GSA

What's on GSA Form 2967

Blocks 1 to 5: request and contact

Request number, date of request, requesting activity, the person to contact for further information and a telephone number.

Blocks 6 to 8: the item

National Stock Number (if available), item name, buying program (Stores Stock, FSS, NSP or other) and method of purchase.

Block 9: action required

Furnish or revise a specification and/or purchase description, program item discontinued, or other action to specify.

Blocks 10 to 12: dates and volume

Invitation drafting date, number of the last IFB (FS Schedule only) and the estimated annual dollar volume.

Blocks 13 to 16: recommendation and signature

Recommendation and background information, marked essential or suggested, then the requesting officer's signature, title and date.

Blocks 17 to 21: Technical Support Office action

Type of action taken: number assigned with copy attached, concur in the recommended change, or do not concur with an explanation, plus signature, title, priority and date.

The form has 21 numbered blocks.

How to complete GSA Form 2967

1
Identify the request
Enter the request number and date, the requesting activity and a contact name and telephone number in blocks 1 to 5.
2
Describe the item
Enter the National Stock Number if available, the item name, the buying program and the method of purchase in blocks 6 to 8.
3
Choose the action and add details
Check the action required in block 9, then complete the invitation drafting date, last IFB number and estimated annual dollar volume in blocks 10 to 12.
4
Explain and sign
Give the recommendation and background in block 13, mark it essential or suggested, and sign with title and date in blocks 14 to 16.
5
Technical Support Office records the action
The Technical Support Office checks the type of action taken in block 17, enters any purchase description or specification number, and signs with title, priority and date.

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Where it goes and what the form says

Where it goes

The PDF prints no address or routing instructions. Its bottom section is headed Action by Technical Support Office, which completes blocks 17 to 21.

Instructions and notices

The PDF is a single page with no instructions, privacy notice or burden statement. GSA's page lists no authority or regulation for it.

Who uses GSA Form 2967?

The requesting activity
Block 3 names the requesting activity that asks for the specification or purchase description action.
A contact person
Blocks 4 and 5 give the name of the person to contact for further information and a telephone number with area code and extension.
The requesting officer
Block 14 is the signature of the officer making the request, printed on the form as Requestion Officer, with title and date in blocks 15 and 16.
The Technical Support Office
Blocks 17 to 21 are completed by the Technical Support Office and signed by the Technical Support Officer, who also enters a priority.

The form has a request section and an action section, each with its own signature.

Official sources and the blank

Official GSA form page
The agency’s own page for Form GSA2967.
Blank PDF
The official blank form, to print or fill by hand.

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Questions about Form GSA2967

Who issues GSA Form 2967?

It is printed as a General Services Administration form, Rev. 6/84. GSA hosts it in its forms library.

What actions can be requested on GSA Form 2967?

Block 9 lists furnishing or revising a specification and/or purchase description, program item discontinued, and other actions, which are specified on the form.

Who completes the bottom of the form?

The section headed Action by Technical Support Office. It is signed by the Technical Support Officer in block 18, with title, priority and date in blocks 19 to 21.

What results can the Technical Support Office record?

Block 17 offers three: number assigned with a copy attached, for a purchase description or specification; concur in the recommended change; or do not concur in the recommended change, with an explanation.

Does GSA Form 2967 come with instructions?

No. The PDF is one page of blocks with no instructions. Block 11 notes it applies to the FS Schedule only, and block 6a notes the stock number is entered if available.

GSA Form 2967: Request for Specification and/or Purchase Description Action