GSA3671

Individual Contract Report for Contracts Exceeding $182,000 for the Purchase of Supplies and Equipment Non-Appropriated Funds

Agency
GSA
Revision
Rev. 3/2000
Fillable fields
15
Pages
1
Official source
GSA form page
Checked
October 20, 2026
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Page 1 of form GSA3671

GSA Form 3671: Individual Contract Report for Contracts Exceeding $182,000

GSA Form 3671, Individual Contract Report for Contracts Exceeding $182,000 for the Purchase of Supplies and Equipment (Nonappropriated Funds), is a one-page GSA form. The footer reads GENERAL SERVICES ADMINISTRATION and GSA Form 3671 (3/2000), the header prints Interagency Report Control Number 0261-GSA-QU, and GSA hosts it in its forms library.

The form is a coded report on one contract action. It has ten numbered data elements, each with its number of positions and its own coding instructions: reporting agency, contract number, modification number, order number, date of the action, dollars obligated or deobligated, principal product, preference action, synopsis before award and country of manufacturer. The contracting officer or representative signs it and adds a name, telephone number and date submitted.

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 3671: Individual Contract Report for Contracts Exceeding $182,000, as printed by GSA

What's on GSA Form 3671

Elements 1 to 4: agency, contract and order

Reporting agency (4 positions), contract number (15), modification number (4) and contracting office order number (15).

Element 5: date of this action

The effective date a mutually binding agreement was reached, in 6 positions, as year and month digits.

Elements 6a and 6b: dollars

Total dollars obligated or deobligated in 8 digits, and a type of obligation code: 1 for obligated or 2 for deobligated.

Elements 7 and 8: product and preference

A principal product code from the FPDS Product and Service Codes Manual, and a one-position preference action code, such as Small Business (SB) set-aside, 8(a) Contract Award or No preference.

Elements 9 and 10: synopsis and country

Whether the procurement was synopsized before award, coded 1, 2 or 3, and the country where the product was manufactured.

Signature block

Signature and printed name of the contracting officer or representative, telephone area code and number, and date submitted.

Each data element lists its number of positions, followed by its coding instructions.

How to complete GSA Form 3671

  1. 1

    Enter the agency code

    For element 1, the form says to enter the appropriate code from FIPS Publication 95.

  2. 2

    Type the contract number without dashes

    The form says not to include any dashes or blank spaces. Its example: N00023-80-C1234 is entered as N0002380C1234.

  3. 3

    Use the date of the agreement

    Element 5 is the effective date a mutually binding agreement was reached, not the date the report is made, written as year and month, for example 200012 for December 2000.

  4. 4

    Write the dollars as 8 digits

    The form says to use no commas or other punctuation and that the value must contain 8 digits. Its example: an award of $950,725 is entered as 00000951.

  5. 5

    Choose the codes

    For element 7, the form says to use the code for the largest dollar value if the contract covers multiple items. Elements 8 and 9 each take one code from the list printed beside them.

  6. 6

    Sign and add contact details

    The contracting officer or representative signs, prints a name, and adds a telephone number and the date submitted.

These steps follow the coding instructions printed beside each element.

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Where it goes and what the form says

Where it goes

The PDF prints no address or recipient. It ends with the signature block and a Date Submitted box.

Report control number

The header prints Interagency Report Control Number 0261-GSA-QU.

Code lists the form names

FIPS Publication 95 for the reporting agency, the FPDS Product and Service Codes Manual, Section 1, Part C, Supplies and Equipment, for the principal product, and FIPS 10 for a foreign country of manufacture.

Country of manufacturer

The form says to enter US if the product is manufactured in the U.S.A., District of Columbia, or US outlying areas.

What the PDF does not print

The PDF prints no Privacy Act statement, no burden statement and no separate instructions page. The coding instructions beside each element are the only guidance.

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Who fills out GSA Form 3671?

  • The contracting officer or representative

    The signature block at the bottom is for the contracting officer or representative, with their printed name, telephone number with area code, and the date submitted.

  • The reporting agency

    Element 1 identifies the agency making the report by its code from Federal Information Processing Standard (FIPS) Publication 95.

  • The contracting office

    Element 3 is the number the contracting office uses when reporting modifications to contracts or agency orders, and element 4 is the unique number assigned to identify orders, calls and serial orders placed against indefinite delivery contracts or basic ordering agreements.

  • Contracts the title covers

    The form's title limits it to contracts exceeding $182,000 for the purchase of supplies and equipment with nonappropriated funds. It has no block for a contractor or vendor to sign.

The form is a one-page report with a single signature block. These are the people and offices it names.

Official sources and the blank

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Questions about Form GSA3671

Who issues GSA Form 3671?

The footer reads GENERAL SERVICES ADMINISTRATION and GSA Form 3671 (3/2000), and the header prints Interagency Report Control Number 0261-GSA-QU. GSA hosts the form in its forms library.

Who signs GSA Form 3671?

The signature block is for the contracting officer or representative, who also prints a name and adds a telephone number and the date submitted.

Which date goes in element 5?

The form says to enter the effective date a mutually binding agreement was reached, NOT the date the report is being made, using digits for the year and month, for example 200012 for December 2000.

How are dollar amounts entered?

The label of element 6a reads Round to thousands or dollars, and the form says to use no commas or other punctuation and that the value must contain 8 digits. The form's example is an award of $950,725 entered as 00000951. Element 6b then shows 1 for obligated or 2 for deobligated.

What if the contract covers several products?

For element 7, the form says that if the contract is for multiple items, enter the code that represents the largest dollar value.

What are the synopsis codes in element 9?

The form says 1 if the procurement was synopsized prior to award, 2 if it was not because of an unusual or compelling emergency, and 3 if it was not synopsized for any other reason.

Where is GSA Form 3671 sent?

The PDF prints no address or recipient. It has a Date Submitted box but does not say where the report is submitted.