GSA3661
Purchase Card Application and Maintenance
GSA Form 3661, Purchase Card Application and Maintenance, is a two-page GSA form. The footer reads GENERAL SERVICES ADMINISTRATION and GSA 3661 (REV. 11/2023), and GSA hosts it in its forms library. GSA's page lists OAS 4200.1B as the authority or regulation, and the form's Privacy Act statement says the information is collected for managing the GSA purchase card program.
Section I picks the type of action: a new account, a cancelled account, approving official changes, reconciler changes, or account changes such as a dollar limit, name, address or default code change. The other sections cover the cardholder, privileges and Pegasys default coding, the approving official, an optional accounting transaction reconciler, and the signatures of the requesting official and funds manager. The back holds the delegation of procurement authority for micro-purchase cardholders and instructions for each section, and says the form will be returned if applicable fields are omitted.
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A. New Account, B. Cancel Account, C. Approving Official (AO) Changes (C1 or C2), D. Reconciler Changes (D1 add new, D2 replace current, D3 remove current) and E. Change Account (E1 dollar limit, E2 name, E3 address, E4 default code, E5 convenience checks).
Name, former last name for E2 use only, office symbol, duty station address, GSA telephone number and GSA email address, the training certification, signature and date.
Single purchase limit and monthly purchase limit in dollars, and Pegasys default coding: region, fund code, program code, organization, activity code, sub-object class and project, obtained from the program office.
Name of the new approving official, office symbol, GSA email address, duty station address, GSA telephone number, name of the former approving official if applicable, the certification, signature and date.
Name, office symbol, GSA email address and name of the former reconciler, with boxes to authorize access to the cardholder's Pegasys credit card reconciliation notebook and to turn on daily email notification of new charges.
Signatures, typed names and titles of the requesting official and funds manager, then the delegation of procurement authority for micro-purchase cardholders and instructions for each section.
The instructions say a new account completes Sections II, III, IV and VI, a cancellation Sections II and VI, and reconciler changes Sections II, V and VI. Option C1 completes Sections IV and VI, and C2 Sections II, IV and VI.
The instructions say to use the name as listed in HRLinks, complete the fields, sign and date. The note under Section I says new cardholders and approving officials attach certificates of completion for the required training.
Section III takes the single and monthly purchase limits and the Pegasys default coding, which the instructions say to obtain from the program office.
The approving official completes the fields, signs and dates. A new approving official on all associated cards uses option C1, and on a single card option C2.
The instructions say Section V is completed for reconciler changes, and selected for a new account when the cardholder uses a reconciler to log transactions in Pegasys.
The requesting official signs for every type of action except cancellation of an account. The funds manager signs for Sections 1A, 1E.1 and 1E.4. The form says digital signatures are acceptable.
The instructions on the back list which sections each action needs.
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The PDF prints no address or office to send it to. It says the form will be returned if applicable fields are omitted.
The single purchase limit may not exceed $10,000.00 for supplies and services, with exceptions of $2,000.00 for services subject to the Wage Rate Requirements (Construction) and $2,500.00 for services subject to the Service Contract Labor Standards. The recommended monthly limit is $250,000.00.
Not to exceed $250,000.00 for purchases, and for contract payment not more than the cardholder's warrant limit. The monthly limit is $999,999.00 or the cardholder's warrant limit.
The instructions say an email is acceptable to cancel the purchase card, to remove a reconciler, and for an address change, which can also be processed in U.S. Bank.
The back delegates micro-purchase cardholders to buy authorized supplies and services up to their single purchase limit, under the FAR, the GSAM and other GSA policy. It ends on separation from the agency, assignment to another GSA organization, or cancellation of the account.
The Privacy Act statement cites 5 U.S.C. 552a and says collection is authorized by 41 U.S.C. 252a, 252b, 427, 428, Executive Order 12931 and Section 639 of the Consolidated Appropriations Act (Public Law 108-447).
Each section is completed or signed by a different person, as the form and its instructions describe.
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The footer reads GENERAL SERVICES ADMINISTRATION and GSA 3661 (REV. 11/2023). GSA hosts it in its forms library, and GSA's page lists OAS 4200.1B as the authority or regulation.
The instructions say Sections II, III, IV and VI, and Section V if the cardholder uses a reconciler to log transactions in Pegasys.
The instructions say an email is acceptable to cancel the purchase card, and that the funds manager signature is not required for a cancellation.
For micro-purchase cardholders it may not exceed $10,000.00 for supplies and services, with lower limits of $2,000.00 and $2,500.00 for services under the Wage Rate Requirements (Construction) and the Service Contract Labor Standards.
The cardholder and approving official certify completing the GSA online university training for the purchase card. The cardholder also certifies reading the Pegasys charge card User Guide and attaches the completion certificate.
The form says it terminates upon separation from the agency, upon assignment to another GSA organization, or upon cancellation of the purchase card account.
