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Date (month and year), the OMB control number and expiration date, the Paperwork Reduction Act statement, and the TO and FROM blocks.
GSA3040
State Agency Monthly Donation Report of Surplus Personal Property
GSA Form 3040, State Agency Monthly Donation Report of Surplus Personal Property, is a two-page General Services Administration form, GSA 3040 (REV. 11/2015), with OMB Control Number 3090-0112 and an expiration date of 5/31/2028. GSA's page lists Public Law 94-519 as its authority, and GSA hosts the form in its forms library.
The reporting State agency gives its name in the FROM block and the month and year in the DATE block, then reports acquisition costs, omitting cents, for its beginning inventory, property received, property donated to public agencies and to nonprofit institutions or organizations, other distribution and ending inventory. The back adds the method of distribution, distribution to State and local public agencies, remarks, and the typed name, title and signature of the approving official.
GSA estimates 90 minutes to read the instructions, gather the facts and answer the questions. You can fill it out free in your browser on this page and download the result without an account.

Date (month and year), the OMB control number and expiration date, the Paperwork Reduction Act statement, and the TO and FROM blocks.
Beginning inventory, then property received from Federal agencies, from other State agencies, from overseas and other receipts, with a total.

Public agencies: conservation, economic development, education, parks and recreation, public health, public safety, two or more of the above and other. Nonprofit institutions or organizations: education and public health. Totals and a grand total.
Transfer to other State agencies, return to Federal agency, sold, abandoned or destroyed, other adjustments, a total, and the ending inventory.
A second section lettered E, Method of Distribution: from State agency facility or direct from holding agency. Then F, Distribution to Public Agencies: State and local. Each has a total.
Remarks, continued on a separate sheet if necessary, and the approving official's typed name and title, signature and date.
Amounts are acquisition cost, with cents omitted, in subtotal and total columns.
Enter the month and year in the DATE block, the TO block, and the name of the reporting State agency in the FROM block.
Give the acquisition cost in the Total column, omitting cents.
Enter a subtotal for each source in lines 1 to 4 and the total in line 5.
Enter each public agency and nonprofit category, the total of part 1, the total of part 2 and the grand total of parts 1 and 2.
Report other distribution, the ending inventory, the method of distribution and distribution to State and local public agencies, each with its total.
Add remarks, continuing on a separate sheet if necessary. The approving official types a name and title, signs and dates.
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
The form has a TO block but prints no recipient address.
The Paperwork Reduction Act statement says to send only comments relating to the time estimate to U.S. General Services Administration, Regulatory Secretariat Division (MVCB), 1800 F Street, NW, Washington, DC 20405.
GSA estimates 90 minutes to read the instructions, gather the facts and answer the questions.
OMB Control Number 3090-0112, Expiration Date 5/31/2028. The statement says you do not need to answer the questions unless a valid OMB control number is displayed.
The footer reads GSA 3040 (REV. 11/2015). GSA's page gives a current revision date of 11/2015 and lists Public Law 94-519 as the authority.
The FROM block says to give the name of the reporting State agency.
The back ends with the typed name and title of the approving official, the signature of the approving official and the date.
The front has a TO block. The form prints no name or address for the recipient.
Section C reports property donated to public agencies, by purpose, and to nonprofit institutions or organizations for education or public health.
The form names the reporting State agency and an approving official.
The agency’s own page for Form GSA3040.
The official blank form, to print or fill by hand.
No tool matches that search.
The footer reads GENERAL SERVICES ADMINISTRATION and GSA 3040 (REV. 11/2015), under OMB Control Number 3090-0112. GSA hosts it in its forms library, and its page lists Public Law 94-519 as the authority.
The FROM block asks for the name of the reporting State agency, and the back is signed by an approving official with a typed name and title.
No. The Acquisition Cost columns are headed Omit cents.
The title calls it a monthly report, and the DATE block asks for the month and year.
To U.S. General Services Administration, Regulatory Secretariat Division (MVCB), 1800 F Street, NW, Washington, DC 20405. The statement says to send only comments relating to the time estimate there.
GSA estimates 90 minutes to read the instructions, gather the facts and answer the questions.