Position identification
Agency/Organization Location, position number, official title, PP-SER-GR and working title, followed by a large Comments box.
GSA5028
General Schedule Supervisory Guide - Position Evaluation Summary
- Agency
- GSA
- Revision
- Rev. 11/2017
- Fillable fields
- 33
- Pages
- 1
- Official source
- GSA form page
- Checked
- October 20, 2026
GSA Form 5028: General Schedule Supervisory Guide - Position Evaluation Summary
GSA Form 5028, General Schedule Supervisory Guide - Position Evaluation Summary, is a one-page General Services Administration form, edition 11/2017. Its footer reads GENERAL SERVICES ADMINISTRATION, and the Agency/Organization Location box is pre-printed with General Services Administration. GSA hosts it in its forms library.
The form identifies a position by position number, official title, PP-SER-GR and working title, then lists six evaluation factors: Program Scope and Effect, Organizational Setting, Supervisory and Managerial Authority Exercised, Personal Contacts (Nature Of and Purpose Of), Difficulty of Typical Work Directed, and Other Conditions with Special Situations. Each factor has columns for the factor level, the points assigned and explanatory comments. A summary block holds the total points, the point range and the grade level determination, with signature and date lines for a human resources specialist or classifier.
The form prints no instructions, OMB number or filing address. You can fill it out free in your browser on this page and download the result without an account.
What's on GSA Form 5028
Factors 1 to 3
Program Scope and Effect, Organizational Setting, and Supervisory and Managerial Authority Exercised.
Factor 4: Personal Contacts
Two rows, Nature Of and Purpose Of, each with its own factor level, points assigned and explanatory comments.
Factors 5 and 6
Difficulty of Typical Work Directed, and Other Conditions, which also names Special Situations.
Summary block
Total Points, Point Range and Grade Level Determination.
Signature and date
Signature and date lines for the human resources specialist or classifier, beside the summary block.
How to complete GSA Form 5028
- 1
Identify the position
Enter the position number, official title, PP-SER-GR and working title. The agency box already reads General Services Administration.
- 2
Record each factor
For each of the six evaluation factors, enter the factor level and the points assigned. Personal Contacts has separate rows for Nature Of and Purpose Of.
- 3
Add explanatory comments
Use the Explanatory Comments column beside each factor, and the Comments box under the position details.
- 4
Complete the summary
Enter the total points, the point range and the grade level determination in the summary block.
- 5
Sign and date
The human resources specialist or classifier signs and dates the form in the summary block.
The form prints no instructions. These steps follow the order of its boxes.
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Routing, edition and authority
Where it goes
The form prints no filing address or routing. Its only signature line is for the human resources specialist or classifier.
Edition
The footer prints GSA 5028 11/2017. GSA's page lists 11/2017 as the current revision date.
Authority and OMB number
GSA's page leaves the Authority or Regulation field blank, and the form prints no OMB number or Privacy Act statement.
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Who uses GSA Form 5028?
The form prints no instructions and names one signer. These items describe what the page itself shows.
Official sources and the blank
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Questions about Form GSA5028
Who issues GSA Form 5028?
The form's footer reads GENERAL SERVICES ADMINISTRATION, and its agency box is pre-printed with General Services Administration. GSA hosts it in its forms library.
What evaluation factors does GSA Form 5028 list?
Six: Program Scope and Effect, Organizational Setting, Supervisory and Managerial Authority Exercised, Personal Contacts (Nature Of and Purpose Of), Difficulty of Typical Work Directed, and Other Conditions with Special Situations.
Who signs GSA Form 5028?
The form has one signature and date line, labeled HUMAN RESOURCES SPECIALIST/CLASSIFIER, in the summary block.
Does the form explain how to assign levels or points?
No. The form prints only the boxes and column headings. It gives no level definitions, point values or instructions.
How is GSA Form 5028 different from GSA Form 5024?
Both are one-page GSA position evaluation summaries with the same position boxes and summary block. GSA Form 5024 is for the Factor Evaluation System and lists nine factors, from Knowledge Required by the Position to Work Environment.