Items 1 to 4: office, status and contact
Office symbol, title of requesting office, status of system, and the individual to contact with a telephone number.
GSA3566
Office Automation System Request and Description
GSA Form 3566, Office Automation System Request and Description, is a two-page form with the footer GENERAL SERVICES ADMINISTRATION and GSA FORM 3566 (9-85). GSA's forms page lists a current revision date of 09/1986, while the PDF footer prints 9-85. GSA hosts it in its forms library.
The front asks for the requesting office, the status of the system, a contact, the major applications, a five-year ADP plan activity number, a description of the system, the current equipment, and the deficiencies and limitations of the existing system. The back covers software and hardware requirements, the type of acquisition, the estimated system cost and the signature of the authorizing official, named as the Head of Service/Staff Office or Regional Administrator. It prints no instructions, no OMB number and no privacy statement.
You can fill it out free in your browser on this page and download the result without an account.

Office symbol, title of requesting office, status of system, and the individual to contact with a telephone number.
Major applications, five-year ADP plan activity number, system description (applications, purpose, primary and routine users of the information), current equipment, and deficiencies and limitations.
Word processing, electronic spreadsheet, data base management, graphics, communication (format and speed), programming languages, calendar and project management, plus the operating system in 10B.
Configuration, source (GSA single-vendor contract, waiver to GSA single-vendor contract with the vendor's name, or other), components, planned number of employees and number of workstations.
Type of acquisition (new, replacement, lease renewal or upgrade) and the estimated system cost: annual lease or purchase, then hardware, software, training, maintenance/support, installation and other, each in dollars per period, with a total.
Signature of the authorizing official and the date.
Enter the date of request, office symbol, requesting office, status of system and the contact's name and telephone number in items 1 to 4.
List the major applications and the five-year ADP plan activity number, then describe the system in item 7. The form says to attach additional sheets of paper if necessary.
List the current equipment in item 8. Item 9 asks to explain why the existing system cannot meet the requirements or why it is inefficient in doing so.
Check the software needed and name the operating system in item 10. In 11A, describe or diagram the proposed physical arrangement of hardware, then complete 11B and 11C.
Check the type of acquisition in item 12 and enter each cost line and the total in item 13.
The Head of Service/Staff Office or Regional Administrator signs item 14A and dates item 14B.
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
The form prints no address or routing instructions.
Items 7 and 11A say to attach additional sheets of paper if necessary.
The footer reads GSA FORM 3566 (9-85) on the front and GSA FORM 3566 (9-85) BACK on the back. GSA's page lists a current revision date of 09/1986.
No instructions, OMB number or privacy statement. GSA's page lists no authority or regulation.
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Items 1 and 2 ask for the office symbol and the title of the requesting office, with a date of request at the top.
Item 4A names the individual to contact for further information and item 4B gives a telephone number with area code.
Item 14A is the signature of the authorizing official, which the form names as the Head of Service/Staff Office or Regional Administrator, with the date in 14B.
Item 3, Status of System, has boxes for proposed, operational and approved by OA Steering Committee. The form says nothing more about the committee.
The form prints no instructions. Its blocks and signature line show these roles.
The agency’s own page for Form GSA3566.
The official blank form, to print or fill by hand.
No tool matches that search.
The footer reads GENERAL SERVICES ADMINISTRATION and GSA FORM 3566 (9-85). GSA hosts it in its forms library.
Item 14A is the signature of the authorizing official, which the form names as the Head of Service/Staff Office or Regional Administrator.
Deficiencies and limitations: an explanation of why the existing system cannot meet the requirements or why it is inefficient in doing so.
Item 11B lists GSA single-vendor contract, waiver to GSA single-vendor contract (give vendor's name), and other (specify).
Annual lease or purchase, then hardware, software, training, maintenance/support, installation and other, each as a dollar amount per period, with a total.
GSA's page lists a current revision date of 09/1986. The PDF on that page prints GSA FORM 3566 (9-85). The page gives no reason for the difference.