Items 1 to 6: the report
Date, survey number with boxes for a central office or regional board or the GSA Board, accountable organizational unit, address and office symbol, reason for survey action (theft, damage, etc.) and location of property.
GSA526
Report of Property for Survey
GSA Form 526, Report of Property for Survey, is a General Services Administration form, Rev. 3/1990, listed in GSA's forms library. GSA's page names OAD P 7800.3A as its authority.
It is an internal GSA property form. The front identifies the property, the reason for survey action (theft, damage, etc.) and its values, then carries a statement by the property custodian, a verification by the accountable officer, and signatures by property management and the head of the acquisition and control unit. The back records the findings and actions of the central office or regional board of survey and, when applicable, the GSA Board of Survey, followed by certificates of accomplishment.
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Date, survey number with boxes for a central office or regional board or the GSA Board, accountable organizational unit, address and office symbol, reason for survey action (theft, damage, etc.) and location of property.
Item description, national stock number or serial number and quantity, then year purchased and total capital and book value for capitalized items, year purchased and total acquisition value for non-capitalized items, total estimated fair market value and other costs.
The property custodian's certified statement, the accountable officer's verification with the investigative office's findings, and the property management officer and head of acquisition and control unit.
Findings and checkboxes to approve removal from records, relieve the custodian or the employee using the property of liability, recommend reimbursement or disciplinary action, or forward the survey to the GSA Board for final action.
When applicable, the GSA Board's findings, the same actions (1) to (5) and its members' signatures.
Certificates that the property was expended from the accounting records, any sum billed, the General Accounting Office advised where required, and the property removed from the named inventory records.
Two pages: the report on the front and the board actions on the back.
Enter the date, the survey number and board type, the accountable organizational unit with its address and office symbol, the reason for survey action and the location of the property.
Describe each item with its national stock number or serial number and quantity, fill in the capitalized or non-capitalized value columns and other costs, and complete the totals row.
The property custodian certifies in item 13 that the attached or following statements are true and complete, then signs with office symbol, date and telephone number.
In item 14 the accountable officer marks whether there is an indication of theft, fraud, mismanagement, or other wrongful accounts, and whether investigative findings are negative, pending further investigation or attached.
The central office or regional property management officer signs item 15, and the head of acquisition and control unit signs item 16, each with office symbol, date and telephone number.
The board records its findings and actions in item 17, the GSA Board in item 18 when applicable, and the records action is certified in item 19.
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A central office or regional board of survey records findings and actions in item 17, and may forward the survey to the GSA Board for final action, when applicable.
Approve removal of the items from the financial and/or inventory records, relieve the property custodian or the employee using the property of liability, recommend reimbursement from a named person, or recommend disciplinary action.
The disciplinary action box refers to the Penalty Guide (OAD P 5410.1, chapter 3, part 8).
Item 19 certifies removal from the Property Inventory Management System (PIMS), the Equipment Depreciation Inventory Control System (EDICS) or the Automated Information Equipment Inventory System, and cites 28 STAT. 24 (Title 31 U.S. Code, Section 3531) for advising the General Accounting Office.
The PDF prints no filing address. GSA's page lists OAD P 7800.3A as the authority.
Certifies in item 13 that the attached or following statements are true and complete, giving as much information (names, dates, etc.) as is available, with office symbol, date and telephone number.
Verifies in item 14 that the statements are true and complete, marks whether there is or is not an indication of theft, fraud, mismanagement, or other wrongful accounts, and records the investigative office's findings.
The central office or regional property management officer signs item 15, and the head of acquisition and control unit (Operating or A1 Equipment) signs item 16.
Members of the central office or regional board of survey sign item 17C. When applicable, members of the GSA Board of Survey sign item 18C. Each board lists a chairperson and members.
The certificates of accomplishment in item 19 are signed and dated with a title and office symbol once the records action is done.
The form is completed inside GSA by the roles in its signature blocks.
The agency’s own page for Form GSA526.
The official blank form, to print or fill by hand.
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The form is printed as a General Services Administration form, GSA 526 (REV. 3/1990). GSA's page names OAD P 7800.3A as its authority, and GSA hosts it in its forms library.
Item 5 asks for the reason for survey action and gives theft and damage as examples.
The form's checkboxes cover approving removal of the items from the financial and/or inventory records, relieving the property custodian or the employee using the property of liability, recommending reimbursement, and recommending disciplinary action.
Item 17B(6) lets the central office or regional board forward the survey to the GSA Board for final action, when applicable. Item 18 then records the GSA Board's findings, actions and signatures.
That the statements in the report and attachments are true and complete, whether there is or is not an indication of theft, fraud, mismanagement, or other wrongful accounts, and whether investigative findings are negative, pending or attached.
The Property Inventory Management System (PIMS), the Equipment Depreciation Inventory Control System (EDICS) and the Automated Information Equipment Inventory System.