Items 1 to 3: employee
Name, Social Security number and payplan.
GSA553A
Salary Cost Transfer Worksheet
- Agency
- GSA
- Revision
- Rev. 11/1987
- Fillable fields
- 276
- Pages
- 1
- Official source
- GSA form page
- Checked
- October 20, 2026
GSA Form 553-A: Salary Cost Transfer Worksheet
GSA Form 553-A, Salary Cost Transfer Worksheet, is a one-page General Services Administration form dated 11-87 in its footer. GSA hosts it in its forms library, and its page lists no authority or regulation.
The worksheet covers one employee: items 1 to 3 ask for the name, Social Security number and payplan. The table below has one row per pay period ending, with base pay and premium pay, each marked O/C (11), and columns under Employee Benefits Object Class (12): CSRS retirement, HB1, GLI, FICA Medicare, OASDI FERS, FERS retirement, TSP (1%), TSP match, TSP fiduciary and misc COLA award.
A Total Cost by Cost Element row prints the codes 020 to 023 and 041 to 045 under the benefit columns, and a Remarks space closes the form. You can fill it out free in your browser on this page and download the result without an account.
What's on GSA Form 553-A
Columns 4 to 6: pay period and pay
Pay period ending, base pay O/C (11) and premium pay O/C (11).
Columns 7 to 12: retirement and benefits
CSRS retirement, HB1, GLI, FICA Medicare, OASDI FERS and FERS retirement, under Employee Benefits Object Class (12).
Columns 13 to 16: TSP and other
TSP (1%), TSP match, TSP fiduciary, and misc COLA award.
Total cost by cost element
A totals row printing 020 under CSRS retirement, 021 HB1, 022 GLI, 023 FICA Medicare, 041 OASDI FERS, 042 FERS retirement, 043 TSP (1%), 044 TSP match and 045 TSP fiduciary.
Remarks
An open space at the bottom of the form.
The items are numbered 1 to 16.
How to complete GSA Form 553-A
- 1
Identify the employee
Enter the name, Social Security number and payplan in items 1 to 3.
- 2
Add each pay period
Enter the pay period ending date in column 4, one row per pay period.
- 3
Enter pay amounts
Enter base pay in column 5 and premium pay in column 6.
- 4
Enter benefit amounts
Fill in columns 7 to 16, from CSRS retirement to misc COLA award, for each pay period.
- 5
Total and add remarks
Complete the Total Cost by Cost Element row and use Remarks for anything else.
Why fill Form GSA553A on indox
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Routing and what the form says
Where it goes
The PDF gives no filing address or routing, and prints no signature or approval line.
Authority
GSA's page lists no authority or regulation for this form.
Related form
GSA Form 553, Authorization and Request to Transfer Salary Costs Between Funds, shares the form number and the 11-87 date. Neither PDF prints instructions linking the two.
Notices
The PDF prints no Privacy Act notice, OMB number or burden estimate, although it asks for a Social Security number.
Related forms
Who fills out GSA Form 553-A?
The form does not say who completes it. It describes one employee's salary costs by pay period.
Official sources and the blank
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Questions about Form GSA553A
Who issues GSA Form 553-A?
It is printed as a General Services Administration form, dated 11-87 in its footer. GSA's page lists no authority or regulation.
Who fills out GSA Form 553-A?
The form does not say. It prints no instructions and no signature, approval or date line.
Which costs does the worksheet list?
Base pay and premium pay, then CSRS retirement, HB1, GLI, FICA Medicare, OASDI FERS, FERS retirement, TSP (1%), TSP match, TSP fiduciary and misc COLA award, for each pay period ending.
What are the numbers 020 to 045?
The form prints them in the Total Cost by Cost Element row under the benefit columns, from 020 under CSRS retirement to 045 under TSP fiduciary. It does not explain them.
How does it relate to GSA Form 553?
GSA Form 553, Authorization and Request to Transfer Salary Costs Between Funds, carries the same form number and the same 11-87 date. Neither PDF prints instructions that link the two.