Part I: administrative data
Employee name (Last, First, Middle Initial), office symbol, date, and the performance period from and to in MM/DD/YYYY.
GSA3683
Performance Appraisal – Associate (Employee) Self-Assessment Summary
- Agency
- GSA
- Revision
- Rev. 1/2018
- Fillable fields
- 10
- Pages
- 1
- Official source
- GSA form page
- Checked
- October 20, 2026
GSA Form 3683: Performance Appraisal, Associate (Employee) Self-Assessment Summary
GSA Form 3683, Performance Appraisal, Associate (Employee) Self-Assessment Summary, is a U.S. General Services Administration form. Its footer reads GENERAL SERVICES ADMINISTRATION, GSA 3683 (REV. 1/2018), and GSA's page lists HRM 9430.2 as its authority or regulation. GSA hosts it in its forms library.
The form says employees should complete and submit it to their rating official for consideration in completing the annual performance appraisal. It is an internal GSA personnel form, not a form the public files. The summary covers accomplishments from the date the performance plan was communicated or signed to the end of the performance-rating period.
The form has three parts: administrative data, instructions, and accomplishments, followed by the employee's signature and date. You can fill it out free in your browser on this page and download the result without an account.
What's on GSA Form 3683
Part II: instructions
General guidelines on what the summary covers and how to write it, and specific guidelines on listing accomplishments, training, recognition and training requests.
Major accomplishments
In bullet format, the most important accomplishments achieved during the performance period that apply directly to the position.
Other accomplishments
Other accomplishments achieved during the performance period.
Training and developmental needs
Any training or developmental needs or opportunities for the coming year.
Employee signature
The employee's signature and date at the bottom of the page.
The form is one page.
How to complete GSA Form 3683
- 1
Fill in Part I
Enter your name (Last, First, Middle Initial), office symbol and the date, and the performance period from and to in MM/DD/YYYY.
- 2
Summarize each outcome separately
The form says to summarize each outcome and expectation separately and to write the summary in the past tense, based on accomplishments during the performance period.
- 3
List major accomplishments in bullets
List major accomplishments in bullet form as they relate to each critical element and the expectations detailed in the performance plan.
- 4
Add other items if desired
The form says you may also list training and developmental accomplishments, including seminars and/or conferences, any recognition received, recommended areas for future development, and specific training requests.
- 5
Note training needs for next year
Identify any training or developmental needs or opportunities for the coming year. Each box says to attach additional pages as necessary.
- 6
Sign and submit it
Sign and date the form, then submit it to your rating official, as the general guidelines say.
These steps follow the guidelines printed in Part II of the form.
Why fill Form GSA3683 on indox
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
- Fill the form right in your browser, no software to install
- Free to fill and free to download, with no account
- The official blank straight from the GSA, not a copy someone retyped
- Works on a phone, tablet or computer
Routing and what the form says
Where it goes
To the employee's rating official, for consideration in completing the annual performance appraisal. The PDF gives no address.
Period covered
The form says the summary should represent accomplishments from the date the performance plan was communicated/signed to the end of the performance-rating period.
Extra pages
Each of the three accomplishment boxes says to attach additional pages as necessary.
Authority
GSA's page lists HRM 9430.2 as the authority or regulation. The PDF prints no OMB number or Privacy Act notice.
Related forms
GSA3683A
Performance Appraisal – Associate (Employee) Self-Assessment Summary - AFGE Bargaining Employees
10 fields, 1 page
GSA3683N
Performance Appraisal – Associate (Employee) Self-Assessment Summary - NFFE Bargaining Employees
10 fields, 1 page
GSA3440
Performance Plan and Appraisal Record - Non-Supervisory Employees
113 fields, 6 pages
GSA3440S
Performance Plan and Appraisal Record - Management and Supervisory Employees who are NOT in the SES
159 fields, 9 pages
Who uses GSA Form 3683?
Part II of the form names who completes it and who receives it.
Official sources and the blank
Do it all with indox
No tool matches that search.
Questions about Form GSA3683
Who issues GSA Form 3683?
The form's footer reads GENERAL SERVICES ADMINISTRATION, GSA 3683 (REV. 1/2018), and GSA's page lists HRM 9430.2 as its authority or regulation. GSA hosts it in its forms library.
Who receives the self-assessment summary?
The form says employees should submit it to their rating official for consideration in completing the annual performance appraisal.
What period does the summary cover?
The form says it should represent accomplishments from the date the performance plan was communicated/signed to the end of the performance-rating period. Part I records the period in MM/DD/YYYY.
Should accomplishments be written in bullets?
The form asks for major accomplishments in bullet form, as they relate to each critical element and the expectations in the performance plan. It also says to write the summary in the past tense.
Can training requests go on the form?
Yes. The form says you may list training and developmental accomplishments, recognition received, recommended areas for future development and specific training requests, if desired.
What if the boxes are too small?
Each of the three accomplishment boxes says to attach additional pages as necessary.