GSA3453

Application/Permit for Use of Space in Public Buildings and Grounds

Agency
GSA
Revision
Rev. 1/2016
Fillable fields
49
Pages
2
Official source
GSA form page
Checked
October 20, 2026
Fill GSA3453 online
Page 1 of form GSA3453

GSA Form 3453: Application/Permit for Use of Space in Public Buildings and Grounds

GSA Form 3453, Application/Permit for Use of Space in Public Buildings and Grounds, is a General Services Administration form, OMB Control Number 3090-0044, Expiration Date 6/30/2028. The footer reads GENERAL SERVICES ADMINISTRATION and GSA 3453 (REV. 1/2016), and GSA hosts it in its forms library.

The instructions say the form allows the Applicant to request the use of federally owned property in accordance with 40 U.S.C. § 581(h) and Federal Management Regulation 41 C.F.R. part 102-74, subpart D, and that if approved, the form will serve as the permit for that use. They say to submit the form to the federal property manager responsible for the property.

Part I is the application, Part II is the permit, to be completed by GSA only, and Part III lists the conditions the Applicant agrees to. GSA estimates an average of 20 minutes per response. 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 3453: Application/Permit for Use of Space in Public Buildings and Grounds, as printed by GSA

What's on GSA Form 3453

Header and instructions

The OMB control number and expiration date, the burden statement, the instructions and a note on farmers markets.

Part I: people involved

Blocks for the applicant, the sponsor, promoter or conductor of the proposed activity, and the person supervising and responsible for it.

Part I: the proposed activity

A description of the activity, the proposed building and area, the dates and hours, and the approximate number of persons to be engaged in it, if known.

Part I: solicitation and certification

Three statements for applicants who will solicit funds, and the certification that the information is true and correct, with the applicant's signature and date.

Part II: permit

Completed by GSA only: the designated building and area, the actual dates and hours approved, and the approving official's signature, name and date.

Part III: conditions

Terms the Applicant agrees to by submitting the form, space for special terms and conditions, a second applicant signature, and appeal and contact details.

How to complete GSA Form 3453

  1. 1

    Describe the activity

    The instructions say the Applicant must accurately describe the proposed use. Enter the description, building, area, dates, hours and expected number of people.

  2. 2

    Name the people involved

    Fill in the applicant, the sponsor, promoter or conductor, and the person responsible for supervising the activity.

  3. 3

    Add the documents the form names

    Proof of authority if representing an organization, and, per Part III, a copy, sample or accurate description of any materials proposed for distribution at the event.

  4. 4

    Check a solicitation statement if it applies

    Applicants proposing to solicit funds check one of the three statements, then sign and date the certification.

  5. 5

    Read and sign Part III

    The back page lists the conditions, including clean-up, trash, extra services and indemnification of the United States, followed by a signature line.

  6. 6

    Submit it to the property manager

    The instructions say to submit the form to the federal property manager responsible for the property. If approved, GSA completes Part II and the form serves as the permit.

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Submission, appeals and costs

Where it goes

The instructions say to submit the form to the federal property manager responsible for the property. Comments on the burden estimate go to the Office of Facilities Management (PM), GSA Public Buildings Service, Washington, DC 20405.

Appeal

The form says if the request is denied or an issued permit is canceled, the Applicant may appeal within 5 calendar days of the notification of disapproval or cancellation to the GSA Regional Administrator or his/her designee.

Costs and services

Unless otherwise agreed in writing by GSA, the form says the Applicant assumes all responsibility for, and costs of, clean-up, trash containers and disposal, and any additional security, electrical, water or related services.

Records

The form says GSA will retain a copy of the permit for three (3) years from the date of issuance, and will neither store nor assume any responsibility for any materials used for an event.

Contact

For more information, the form lists GSA's Office of Facilities Management (PM), 1800 F Street, NW, Washington, DC 20405.

Related forms

Who fills out GSA Form 3453?

  • The applicant

    The person requesting use of federally owned property gives a name, phone, email and mailing address, describes the proposed activity, and signs the certification in Part I and the conditions in Part III.

  • People representing an organization

    The form says if the applicant purports to represent an organization, a letter or other documentation that the applicant has authority to represent that organization is required to be submitted with this form.

  • Sponsors and supervisors of the activity

    Part I names the sponsor, promoter or conductor of the proposed activity and the person responsible for supervising it, each with a mailing address and telephone number.

  • Applicants soliciting funds

    The form says applicants proposing to engage in the solicitation of funds check one of three statements about a religious group or tax-exempt status under 26 U.S.C. 501(c)(3), (c)(4), or (c)(5).

  • The GSA approving official

    Part II, the permit, is to be completed by GSA only. It records the approved building, area, dates and hours, and is signed by the GSA approving official.

The form splits the work between the Applicant and GSA.

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Questions about Form GSA3453

Who issues GSA Form 3453?

It is a General Services Administration form, OMB Control Number 3090-0044, Expiration Date 6/30/2028. GSA's page lists 40 USC § 581(h) and FMR (41 CFR) 102-74, subpart D as the authority.

Where do I send GSA Form 3453?

The instructions say to submit the form to the federal property manager responsible for the property.

What does the form say about farmers markets?

It says that for a farmers market, the Applicant must confer with the Federal property manager and regional counsel to determine whether a permit (GSA 3453), a license (GSA 1582) or an outlease is the appropriate vehicle.

Can a denied request be appealed?

The form says the Applicant may appeal within 5 calendar days of the notification of disapproval or cancellation to the GSA Regional Administrator or his/her designee.

Who pays for clean-up and extra services?

Unless otherwise agreed to in writing by GSA, the form says the Applicant assumes the costs of clean-up, trash and any additional security, electrical and water or related services. Portable restrooms may be authorized at the Applicant's sole cost and expense.

How long does GSA Form 3453 take?

The burden statement estimates an average of 20 minutes per response, including the time for reviewing instructions and completing the form.