OUT heading
A large OUT printed at the top edge, and again upside down at the bottom edge.
OF23
Chargeout Record
Optional Form 23 (OF 23), Chargeout Record, is a one-page sheet headed OUT for logging records that are charged out. Its footer cites GSA Circular No. 259, and GSA hosts it in its forms library. The edition printed on the form is FEB 1962, which matches the current revision date of 02/1962 on GSA's page.
Each row has three columns: Identification of Record (Number, Title and/or Subject, Date of File or Document), Charged To (Person & Office) and Date Charged Out. The lower half repeats the same columns printed upside down, with a second OUT heading at the bottom edge. The title band also prints the stock number NSN: 7540-00-823-8130.
The form prints no instructions, signature line or routing. You can fill it out free in your browser on this page and download the result without an account.
A large OUT printed at the top edge, and again upside down at the bottom edge.
The record's number, title and/or subject, and the date of the file or document.
The person and office the record is charged to.
The date the record was charged out.
Below the title band, the same three columns repeat printed upside down.
CHARGEOUT RECORD with 5023-101, OPTIONAL FORM 23, FEB 1962, GSA Circular No. 259 and NSN: 7540-00-823-8130.
In the first column, enter the record's number, title and/or subject, and the date of the file or document.
In Charged To, enter the person and the office the record is charged to.
Enter the date in the Date Charged Out column.
Each row holds one chargeout. The lower half offers more rows with the same columns, printed upside down.
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, routing or instructions for where the record is kept.
The footer cites GSA Circular No. 259. GSA's page lists GSA Circular 259 as the authority or regulation.
The footer prints FEB 1962, and the title band prints 5023-101 and NSN: 7540-00-823-8130.
The PDF prints no OMB number, burden estimate or privacy notice.
There is no signature, approval or routing line, and no instruction says which person or office completes the record.
The Charged To column asks for the person a record is charged to.
The same column asks for the office as well, printed as (Person & Office).
The footer prints GSA Circular No. 259, and GSA's page lists GSA Circular 259 as its authority or regulation.
The form prints no instructions, so it does not say who fills it in or keeps it. Its columns name the parties to each chargeout.
The agency’s own page for Form OF23.
The official blank form, to print or fill by hand.
No tool matches that search.
Each row identifies a record by number, title and/or subject and the date of the file or document, names the person and office it is charged to, and gives the date charged out.
The form does not say. It prints no instructions, signature line or routing.
The lower half repeats the same three columns printed upside down, with a second OUT heading at the bottom edge. The form prints no note explaining the layout.
The footer prints FEB 1962. GSA's page lists a current revision date of 02/1962 and cites GSA Circular 259.