GSA3440
Performance Plan and Appraisal Record - Non-Supervisory Employees
GSA Form 3440, Performance Plan and Appraisal Record for Non-Supervisory Employees, is a General Services Administration form. The footer reads GENERAL SERVICES ADMINISTRATION, GSA 3440 (REV. 5/2026) and PREVIOUS EDITION NOT USABLE. GSA's page lists HRM 9430.2 as the authority, and GSA hosts the form in its forms library.
The form is the record a supervisor and a non-supervisory employee use under GSA's Employee Performance Plan and Appraisal System (EPPAS). It holds the performance plan and its critical elements, the mid-year review, a rating for each element and the summary rating, with signatures from the supervisor or rating official, the employee and, for a Level 5 or Level 1 summary rating, a reviewing official.
The form has nine parts, from administrative data to an employee performance planning worksheet, with a Privacy Act statement on page 3. You can fill it out free in your browser on this page and download the result without an account.
Employee name, employee identification number, rating period, organization, office symbol, pay plan, series and grade and position title, then the certification that the position description has been reviewed.
How plans are issued, changed and rated, and the three performance levels: Level 5 (Outstanding), Level 3 (Fully Successful) and Level 1 (Unacceptable), plus Unrateable.
Six blocks, each with an element title, a weight in percent, a rating and comments. The form says to attach additional pages as necessary.
Comments on overall performance, and professional growth needs and avenues to meet those needs.
Signatures for the plan and the mid-year progress review, then the type of rating issued, the summary rating and signatures from the supervisor, a reviewing official where needed, and the employee.
Six element worksheets with title, weight, description, derived from, general and specific measures, and performance standards and feedback sources.
Enter the administrative data and the rating period, and record who reviewed the position description and when.
The form says non-supervisory plans have at least three, but no more than six critical elements, include the Organizational Goal(s) element, and that the percentages total 100%.
Supervisor and employee sign Part VII when the plan is issued and again at the mid-year progress review, which the form says is required under EPPAS.
The form says within 45 days of the end of the rating period, evaluate the plan and assign a rating to each critical element, with comments in Part V and training needs in Part VI.
Part VIII gives the rules: Level 5 for 70% or more of the critical element weights with none below Level 3, Level 1 if one or more elements are rated Level 1, and Unrateable under 90 days on a signed plan.
The supervisor and employee sign Part VIII, a reviewing official signs for Level 5 or Level 1, and the form says a copy, including the performance plan, MUST be provided to the employee.
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
The form prints no filing address. The Privacy Act statement says records are processed and maintained by the employee's supervisor and the Consolidated Processing Center.
The form says employees must perform under a documented performance plan for a minimum of 90 days before they can be rated.
The form says employees are not rated on elements they have not been given an opportunity to perform, and the weight of an unrated element is equally distributed to the remaining rated elements.
The form says disclosure of the employee ID number is mandatory to determine or verify eligibility for benefits such as tenure credit for reduction-in-force purposes, pay increases, within-grade increases and quality-step increases.
The footer reads GSA 3440 (REV. 5/2026) and PREVIOUS EDITION NOT USABLE. GSA's page lists a current revision date of 05/2026 and HRM 9430.2. The form prints no OMB number.
GSA3440S
159 fields, 9 pages
GSA3683
10 fields, 1 page
GSA3683A
10 fields, 1 page
GSA3683N
10 fields, 1 page
GSA3413
77 fields, 1 page
OF8
110 fields, 2 pages
This is an internal GSA personnel form. Part III and the signature blocks name these roles.
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The footer reads GENERAL SERVICES ADMINISTRATION and GSA 3440 (REV. 5/2026). GSA's page lists HRM 9430.2 as the authority, and GSA hosts the form in its forms library.
The supervisor or rating official and the non-supervisory employee, who both sign Parts VII and VIII. A reviewing official also signs when the summary rating is at Level 5 or Level 1.
The form says non-supervisory plans must have at least three, but no more than six critical elements, must include the Organizational Goal(s) element, and the percentages assigned must equal 100%.
Level 5, Outstanding; Level 3, Fully Successful; and Level 1, Unacceptable. An Unrateable summary is issued when an employee has not served 90 days on a signed performance plan for any element during the rating period.
No. Each employee signature block says the signature does not constitute agreement or disagreement with the plan, review or rating, but merely verifies the employee has received the information.
GSA hosts a separate GSA Form 3440S, Performance Plan and Appraisal Record for Management and Supervisory Employees who are not in the Senior Executive Service (SES).
