GSA3440S
Performance Plan and Appraisal Record - Management and Supervisory Employees who are NOT in the SES
GSA Form 3440S, Performance Plan and Appraisal Record for Management and Supervisory Employees who are not in the Senior Executive Service (SES), is a General Services Administration form. The footer reads GENERAL SERVICES ADMINISTRATION, GSA 3440S (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 rating official and a manager or supervisor use under GSA's Employee Performance Plan and Appraisal System (EPPAS). The form says the plan for supervisors and managers is divided into two parts: Managing Organizational Objectives and Leadership critical elements. It holds the plan, the mid-year review, a rating for each element and the summary rating.
The form has nine parts, from administrative data to an employee performance planning worksheet, with a Privacy Act statement on page 4. 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 built, issued and rated, the six Leadership critical elements, and the levels: Level 5 (Outstanding), Level 3 (Fully Successful), Level 1 (Unacceptable) and Unrateable.
A total percentage and five element blocks with title, weight, rating and comments, for objectives and initiatives that contribute to the overall success of GSA.
A total percentage and five element blocks with title, weight, rating and comments.
Comments on overall performance, professional growth needs, signatures for the plan and the mid-year review, and the summary rating with its signatures.
Ten 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 managerial and supervisory plans have at least four, but no more than seven critical elements, and that Holding Employees Accountable is required in all of them.
Enter a weight for each element and the total for each section. Part III states the percentage limits, and says Level 3 and Level 5 must be defined for each critical element.
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, rate each critical element. Part VIII gives the rules for Level 5, Level 3, Level 1 and Unrateable summary ratings.
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.
Level 5 for 70% or more of the critical element weights with no element below Level 3; Level 1 if one or more critical elements are rated at Level 1; Unrateable under 90 days on a signed plan.
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 3440S (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.
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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 3440S (REV. 5/2026). GSA's page lists HRM 9430.2 as the authority, and GSA hosts the form in its forms library.
Its title names management and supervisory employees who are not in the Senior Executive Service (SES). GSA hosts GSA Form 3440 separately for non-supervisory employees.
The form lists six: Commitment to the Rule of Law and the Principles of the American Founding, Leading People, Achieving Results, Driving Efficiency, Holding Employees Accountable, and Merit and Competence. It says not all may be appropriate for every manager or supervisor.
The form says managerial and supervisory plans must have at least four, but no more than seven critical elements, and that the Holding Employees Accountable element is required in all of them.
After describing Managing Organizational Objectives, it says the total of the percentages assigned to the critical elements will not exceed 60%. After the Leadership list, it says the critical elements selected must equal at a minimum 40%.
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.
