GSA3683A

Performance Appraisal – Associate (Employee) Self-Assessment Summary - AFGE Bargaining Employees

Agency
GSA
Revision
Rev. 1/2018
Fillable fields
10
Pages
1
Official source
GSA form page
Checked
October 20, 2026
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Page 1 of form GSA3683A

GSA Form 3683A: Associate (Employee) Self-Assessment Summary, AFGE Bargaining Unit

GSA Form 3683A, Performance Appraisal, Associate (Employee) Self-Assessment Summary, is a U.S. General Services Administration form for American Federation of Government Employees (AFGE) Bargaining Unit Employees, as its header says. Its footer reads GENERAL SERVICES ADMINISTRATION, GSA 3683A 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. Its specific guidelines refer to Article 12, Section 3C, of the GSA-AFGE National Agreement. 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 3683A: Associate (Employee) Self-Assessment Summary, AFGE Bargaining Unit, as printed by GSA

What's on GSA Form 3683A

Part I: administrative data

Employee name (Last, First, Middle Initial), office symbol, date, and the performance period from and to in MM/DD/YYYY.

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, with a reference to Article 12, Section 3C, of the GSA-AFGE National Agreement.

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 3683A

  1. 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. 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. 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. 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, in accordance with Article 12, Section 3C, of the GSA-AFGE National Agreement.

  5. 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. 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.

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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.

Bargaining agreement

The specific guidelines refer to Article 12, Section 3C, of the GSA-AFGE National Agreement.

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

Who uses GSA Form 3683A?

  • AFGE bargaining unit employees

    The header names American Federation of Government Employees (AFGE) Bargaining Unit Employees. The form says employees should complete and submit it, and the employee signs and dates it at the bottom.

  • The rating official

    The form goes to the employee's rating official for consideration in completing the annual performance appraisal.

  • One performance period

    Part I asks for the performance period from and to. The form says to base the summary on accomplishments during the performance period.

  • Tied to the performance plan

    The form says to list major accomplishments as they relate to each critical element and the expectations detailed in the performance plan.

  • The GSA-AFGE National Agreement

    The specific guidelines say training, recognition, development areas and training requests may be listed, if desired, in accordance with Article 12, Section 3C, of the GSA-AFGE National Agreement.

Part II of the form names who completes it and who receives it.

Official sources and the blank

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Questions about Form GSA3683A

Who issues GSA Form 3683A?

The form's footer reads GENERAL SERVICES ADMINISTRATION, GSA 3683A 1/2018, and GSA's page lists HRM 9430.2 as its authority or regulation. GSA hosts it in its forms library.

Which employees is GSA Form 3683A for?

The header names American Federation of Government Employees (AFGE) Bargaining Unit Employees. Its specific guidelines refer to Article 12, Section 3C, of the GSA-AFGE National Agreement.

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.