GSA873_16
Annual Attendance Record - 2016
GSA Form 873, Annual Attendance Record - 2016, is a General Services Administration form, GSA 873 (REV. 12/2015), which its footer says is also known as OF 873. GSA hosts it in its forms library.
The form says it is an optional form for timekeepers to use in recording daily and bi-weekly pay and leave activity, and that it is a record of what SHOULD BE recorded into the official payroll system. It says the bi-weekly Earnings and Leave Statement, the Supervisor's Time and Attendance Report and the Premium Pay Report reflect what IS in the official payroll system, and that those reports should agree with the data on this form.
The front holds one row for each 2016 pay period, from code 2 (1/10 - 1/23) to code 26 (12/11 - 12/24), then code 1 (12/25 - 1/7), with a box for each day, annual and sick leave columns and an Employee block. The back has columns for other types of leave categories. The front is marked "Sensitive, but Unclassified". You can fill it out free in your browser on this page and download the result without an account.
The legend lists A = Annual Leave, S = Sick Leave, E = Excused, W = Absent Without Leave, CE = Compensation Time Earned, CU = Compensation Time Used, OT = Overtime, M = Military Leave, R = Restored Leave, D = Award Leave, L = Leave Without Pay and C, printed as Continuation of Pay for Traumatic. H marks a holiday and a black square marks the last day of a month.
For leave categories 4, 6 and 8, it shows 4, 6 and 8 hours of annual leave and 4 hours of sick leave per pay period, or 104, 160 and 208 annual hours and 104 sick hours per leave year. The 6 hours for category 6 carry the note *10 hours pay period ending 12/24.
One row per pay period, from code 2 (1/10 - 1/23) to code 26 (12/11 - 12/24), then code 1 (12/25 - 1/7), with a box for each day from Sunday to Saturday over two weeks. Holidays come printed as H.
Each side starts with a carry-over and opening balance, then records leave earned and used this pay period, used to date and the balance.
Address, name, telephone number, leave category code, block number, service computation date and entered on or transmittal date, plus a Tour of Duty box in the top corner.
The back repeats the pay periods under untitled columns. The form gives Shared (Donated), Restored, Award, Family Friendly (Sick or Medical), Military, Compensatory Leave and Credit Hours as examples of leave categories, and Environmental Differential Pay, Sunday Premium, Night Differential and Overtime as premium pay hours.
The front is one grid for the 2016 leave year. The back adds columns for other leave categories.
Fill in the Employee block at the bottom: name, address, telephone number, leave category code, block number, service computation date and entered on or transmittal date. The Tour of Duty box sits in the top corner.
Enter codes in the day boxes for each pay period. The legend lists suggested codes such as A for Annual Leave and S for Sick Leave, and holidays are already printed as H.
In the annual and sick leave columns, start from the carry-over and opening balance, then enter the hours earned and used this pay period, the hours used to date and the balance.
The form says the untitled columns may be used to maintain usage and balances for any leave and premium pay categories that may apply for an individual employee.
The form says the bi-weekly Earnings and Leave Statement, the Supervisor's Time and Attendance Report and the Premium Pay Report should agree with the data on this form.
The PDF has no line-by-line instructions. These steps follow the blocks it prints.
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
The PDF gives no filing address or recipient. It describes itself as a record of what should be recorded into the official payroll system.
The footer reads GSA 873 (REV. 12/2015) and PREVIOUS EDITION IS NOT USABLE. GSA's page lists a current revision date of 12/2015.
The footer prints "(Also known as OF 873)" under GSA 873 (REV. 12/2015).
The front of the form is marked "Sensitive, but Unclassified".
The PDF prints no signature line, OMB number, burden estimate or Privacy Act statement, and GSA's page lists no authority or regulation.
OF873_16
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SF1150
134 fields, 1 page
The form describes itself as a timekeeper's record. It prints no signature line, filing address or OMB number.
No tool matches that search.
The form says it is an optional form for timekeepers to use in recording daily and bi-weekly pay and leave activity.
The form says it is a record of what SHOULD BE recorded into the official payroll system, while the bi-weekly Earnings and Leave Statement, the Supervisor's Time and Attendance Report and the Premium Pay Report reflect what IS in that system and should agree with it.
The Leave Earned table shows 4, 6 and 8 hours of annual leave per pay period for categories 4, 6 and 8, and 4 hours of sick leave in each. Per leave year that is 104, 160 and 208 annual hours and 104 sick hours. The 6 hours for category 6 carry the note *10 hours pay period ending 12/24.
The legend lists A = Annual Leave, S = Sick Leave, E = Excused, W = Absent Without Leave, CE = Compensation Time Earned, CU = Compensation Time Used, OT = Overtime, M = Military Leave, R = Restored Leave, D = Award Leave, L = Leave Without Pay and C, printed as Continuation of Pay for Traumatic. H marks a holiday and a black square marks the last day of a month.
From code 2 (1/10 - 1/23) to code 26 (12/11 - 12/24), then code 1 (12/25 - 1/7).
The footer prints GSA 873 (REV. 12/2015) with the line "(Also known as OF 873)".
The PDF prints no filing address, recipient or signature line. It says it is for timekeepers to use in recording pay and leave activity.
GSA's forms library also lists GSA Form 873A, Annual Attendance Record (Part Time Employees) - 2016.