Welcome to HOW TO GUIDE CREATING RECRUIT/FILL REQUEST FOR PERSONNEL ACTION (RPA) AGENDA PART I - GAINING ACCESS TO DCPDS PART II - DON USA STAFFING USER REQUEST FORM PART III - COMPLETING REQUIRED DOCUMENTS PART IV - CREATING THE RPA PART V - RPA PROCESS PART VI - REVIEW PART I CREATING YOUR DEFENSE CIVILIAN PERSONNEL DATA SYSTEM (DCPDS) ACCOUNT You must submit CIVILIAN HUMAN RESOURCES SYSTEM ACCESS REQUEST FORM to Mr. Jason Magno ( [email protected]) or Mr. Joe Nakachi (J [email protected]) You must have a completed PII training, Cyber Awareness training, have a valid CAC, and current government email address before your request is processed. CIVILIAN HUMAN RESOURCES SYSTEM ACCESS REQUEST FORM PERSONAL DATA PRIVACY ACT OF 1974 Public Law 99-474 (Counterfeit Access Device and Computer Fraud and Abuse Act of 1984) and Public Laws 93-579 (Privacy Act of 1974), authorizes
collection of this information. The information will be used to verify that you are an authorized user of a Government automated information system (AIS) and/ or to verify your level of Government security clearance. Although disclosure of the information is voluntary, failure to provide the information may impede or prevent the processing of your requested User Account. Disclosure of records or the information contained therein may be specifically disclosed outside the DoD according to the "Blanket Routine Uses" set forth at the beginning of the DISA compilation of systems of records, published annually in the Federal Register, and the disclosures generally permitted under 5 U.S.C.552a(b) of the Privacy Act. ***This form must be accurate and complete prior to any digital signatures being applied.*** Description for Use: Form used to request access to the Defense Civilian Personnel Data System (DCPDS), HRLink, electronic Official Personnel Folder (eOPF) . SYSTEM TO BE ACCESSED: USER LEVEL: DCPDS HRLink eOPF (OCHR Corporate ONLY) Citrix (OCHR Corporate ONLY) OCHR Major Activity/ Corporate HRO Command
Claimant Delete/End/Effective Date REASON FOR SUBMISSION: Resubmission/Modify Replaces: Add EOD: Reason(Delete/Resubmission): Section 1 This section to be completed by Requester/Supervisor Check the applicable status (* note that Military and Govt Contractor Full Name (Last, First, MI): No Nicknames, Include Military title users will be contacted to provide additional required information if applicable: (i.e. full SSN and DOB) for access): Civilian Employee LN Employee Gov't Contractor * Other, Specify: Military * UIC: Position Title:
Major Claimant (e.g. Organization NV70): Code: Activity Name: Email Address: Location/Building Number: Phone (Including Area Code): DSN: Work Mailing Address: Fax: DSN: I assume the responsibility for the data and system to which I am granted access. I will not exceed my authorized access. I understand my obligation to protect all passwords for the applications to which I am granted access. (Requester's Signature) I certify this user requires access as requested in the performance of his/her job function. By signing, I verify that the employee has completed IA and PII required training; and has an active/completed investigation at the Tier 1(NACI), Tier 3(ANACI) or higher level. (Supervisors Signature) Section 2 DCPDS DCPDS ACCESS: (Please check all the following options that apply to this user) NOTE: User cannot be Reviewer and Requesting/Authorizing Official Initiates/Creates RPAs
LN Module US Module Signs RPAs as Authorizing Official Approves RPAs as Appointing Official Signs RPAs as Requesting Official User is a Supervisor/Manager Reviews RPAs only (Fiscal) Self Service Hierarchy Manager (Position Hierarchy Maintenance Tool) *** DCHR Approval Required, Complete Section 6*** DoD Secure Appraisal Administrator - User views records in: Access should be limited to the following SOID/UIC/ORG Examples: MJ00187/ALL, MJ0018720% User will belong to the following Group Boxes: User requires access to the following personnel records: No Restrictions User views all records in the Navy database CBC - User views all records for DON/Benefits Major Claimant User views all records in the following Major Claimant(s): OPSCTR User views all records in the following OPSCTR(s): HRO User views all records in the following SOID(s): Activity/UIC Access User views all records in the following organization(s):
Access should be limited to the following SOID/UIC/ORG Examples: MJ00187/ALL, MJ0018720% Continued on Back Page Civilian Human Resources System Access Request Form 10/2016 CIVILIAN HUMAN RESOURCES SYSTEM ACCESS REQUEST FORM PERSONAL DATA PRIVACY ACT OF 1974 Section 3 HRLink HRLink ACCESS: (Please check all the following options that apply to this user) Personnel Reports (w/PII access) Dashboard and Metrics only (statistical numbers) User requires access to the following personnel records No Restrictions User views all records in the Navy database CBC - User views all records for DON/Benefits Major Claimant User views all records in the following Major Claimant(s): OPSCTR User views all records in the following OPSCTR(s): HRO User views all records in the following SOID(s): Activity/UIC Access User views all records in the following UIC(s):
Access should be limited to the following UIC Examples: 00187, 30531 Section 4 eOPF (OCHR Corporate ONLY) eOPF ACCESS: (Please select the options that apply to this user) HR Specialist Group - view and print documents in own eOPF and other employees' eOPFs DOC_MGMT Group - member of HR Specialist Group with a license to add by importing, annotating, and re-indexing documents in other employees' eOPFs Transfer Group - members of HR Specialist Group who can transfer employee eOPFs to outside agencies Purge Administrator - member of HR Specialist Group who can purge deleted documents from other employees' eOPFs Password Administrator - can reset passwords and unlock user accounts Administrator - has user admin, application admin, and system admin functionality Super Administrator manages POI access and security Section 5 This section to be completed by servicing HRD (if applicable) Section 6 This(HRD section to be completed Approver's Signature)by DCHR (if applicable) Section 7
(DCHR Approvers Signature) This section to be completed by OCHR Corporate (if applicable) Section 8 Section 9 DCPDS USER NAME: (OCHR Approvers Signature) Additional Information For OCHR Corporate use only CITRIX/HRLINK USER NAME: Virtual Position No.: Civilian Human Resources System Access Request Form 10/2016 PART II DON USA STAFFING USER REQUEST FORM for HIRING MANAGER You must submit DON USA STAFFING HIRING MANAGER USER REQUEST FORM to [email protected] and copy your staffing specialist/assistant. I Choose you!
DON USA STAFFING BUSINESS PROCESS GUIDE HIRING MANAGER USER APPENDIX B USER ACCOUNT REQUEST FORM This form should be completed and sent to the Recruitment Tools and Processes Division (RTPD) POC for [email protected] New Account Update Account A. REQUESTED ACTION: B. USER ACCOUNT INFORMATION: If request is to Update Account, clearly specify area(s) to be updated 1. Full Name (Last, First, Middle Initial) 2. Official Position Title, Pay Plan and Series 3. Work Email Address 4.
Work Mailing Address (including zip code) 5. Work telephone number (including area code) C. 1. USER TYPE: Please select the user type(s) needed. Human Resources User (Operations Center Personnel) Hiring Manager User (Command or HRO Personnel) Onboarding User (HRO Personnel) Reports Only User (Operations Center Personnel) D. PROFILE: Complete this section only if you requested Hiring Manager User, Human Resources User or Onboarding User 1. If you Selected Human Resources User, please check the appropriate permission profile: DON EIC Representative (Ops Center personnel with authority to review applicant information for inquiries in USA Staffing.) DON OCHR Ops Center User (Ops Center personnel with authority to post JOAs, issue certs, etc) DON OCHR Onboarding User (Ops Center personnel with authority to conduct onboarding functions in USA Staffing) HR View Only (Ops Center personnel with authority to review recruitments and onboarding functions in USA
Staffing) 2. If you Selected Hiring Manager User, please check the appropriate permission profile: DON Hiring Manager User (Authority to approve recruitments, and make selection decisions) DON Hiring Manager Assistant (HRO, Command Liaison and Administrative personnel with the authority to review and print documents for Hiring Managers.) 3. If you Selected Onboarding User, please check the appropriate permission profile: DON HRO Onboarding User (HRO personnel with authority to conduct onboarding functions in USA Staffing) 17 October 2016 OCHR RTPD Appendix B: Page 1 of 3 DON USA STAFFING BUSINESS PROCESS GUIDE HIRING MANAGER USER E. OFFICE: Complete this section only if you requested Human Resources User or Reports Only 1. Please select the offices you will need access to: OCHR Silverdale Ops Center OCHR San Diego Ops Center OCHR Stennis Ops Center OCHR Philadelphia Ops Center OCHR Norfolk Ops Center OCHR HQ Program Office Navy Systems Management Activity Human Resources Career Program (HRCP)
Senior Executive Service (SES) Overseas Atlantic Overseas Pacific DCIPS/NCIS 2. If you are selecting multiple offices, please select the office that will be your primary (default) office? OCHR Silverdale Ops Center OCHR San Diego Ops Center OCHR Stennis Ops Center OCHR Philadelphia Ops Center OCHR Norfolk Ops Center OCHR HQ Program Office Navy Systems Management Activity Human Resources Career Program (HRCP)
Senior Executive Service (SES) Overseas Atlantic Overseas Pacific DCIPS/NCIS F. COMMAND: Complete this section only if you requested Hiring Manager User or HRO Onboarding User 1. Please list the UICs for the Commands you are assigned to: 67400 G. USER CERTIFICATION: I hereby certify that I understand that by signing this USA Staffing User Account Request Form, I am solely responsible for the use and protection of the user ID and password. I also understand that I am not authorized to share my user ID and password with any other individuals. I will utilize all tools and applications in accordance with the USA Staffing Rules of Behavior and Security Policy, as well as all applicable U.S. laws and DOD/DON regulations. _ Printed Name Date Signature H. SUPERVISORY APPROVAL: I certify that the above named individual meets the requirements for access and account management privileges. Furthermore, I certify that the named user requires account/access as indicated above in order to perform assigned duties. _ Printed Name Date Signature _ Title Phone Number
I. RTPD APPROVAL: I certify that the above named individual meets the requirements for access and account management privileges. Furthermore, I certify that the named user requires account/access as indicated above in order to perform assigned duties. _ Printed Name 17 October 2016 OCHR RTPD Signature Date Appendix B: Page 2 of 3 PART III The Foundation COMPLETING REQUIRED DOCUMENTS LIST OF DOCUMENTS DoN Recruit/Fill This form is required for recruitment action requests. On this form you will indicate necessary information for your recruitment action request. Such as Selecting Official, Alternate Selecting Official, Area of Consideration of Candidate, etc.
OF-8 Position Description - A position description or "PD" is a statement of the major duties, responsibilities, and supervisory relationships of a position. In its simplest form, a PD indicates the work to be performed by the position. The purpose of a PD is to document the major duties and responsibilities of a position, not to spell out in detail every possible activity during the work day. Certification of Accuracy and Currency of Position Description You would need to review the PD and if the PD is accurate and current proceed with your recruitment request. If not contact CHRO Classification Section on requirements for a Position Review. Other Forms required depending on requirements of the position OF-178 Certificate of Medical Examination This form is required if the position to be filled requires a preemployment physical (i.e. Emergency Essential positions, FWS positions, etc.) DoN Civilian Acquisition Assignment Coding Sheet All DON acquisition positions must include an accurate Coding Sheet. DON RECRUIT/FILL REQUEST CHECKLIST Please provide this information on the Request for Personnel Action (RPA) along with a complete PD. This information is essential to proceed with your recruit. Drop down menus in many fields have been added to assist you in your selections. Double-click on a pre-filled item to open the menu. If you need assistance, please contact your HRO Advisor. POSITION TO BE FILLED * Denotes Required Fields Title, PP/Ser/Gr: PD #:
RPA # Grade Level(s) to Recruit For (Limit 2): Requested Announcement Length: # of Vacancies: Previous RPA #: Parent RPA# (for additional selections) HIRING MANAGER INFORMATION * Denotes Required Fields Hiring Manager (Requestor) * Comment On & Return J OA? Select From & Return Cert? View Only? Alt Hiring Manager Comment On & Return J OA? Select From & Return Cert? View Only?
Hiring Manager PD Seq # (Hierarchy) Hiring Manager USA Staffing Account? Select item POINT OF CONTACT INFORMATION Name Email Phone USA Staffing Comment On & Return J OA? Select From & Return Cert? View Only? Alt Selecting Official Comment On & Return J OA? Select From &
Return Cert? View Only? SME(Optional) Comment On & Return J OA? Select From & Return Cert? View Only? Comment On & Return J OA? Select From & Return Cert? View Only? Comment On & Return J OA? Select From & Return Cert? View Only?
Comment On & Return J OA? Select From & Return Cert? View Only? Selecting Official (if other than HM) Frederique Cesson Hiring Manager Assistant (ex: HRO, Admin POC) Hiring Manager Assistant (ex: HRO, Admin POC) Hiring Manager Assistant (ex: HRO, Admin POC) Onboarding Process Owner Alt Onboarding Process Owner RECRUITMENT INFORMATION: All Fields are Required Full Performance Level (FPL) In-sourcing Position Select Item Organizational Code
Obligated Position Select Item UIC Financial Disclosure Select Item Major Claimant Base Closure Select Item Payroll Code (Cost Center) BRAC Identifier Payroll Office ID Position Physical Required Select Item Geolocation Code
Security Clearance Select Item Duty Location Interim Security Clearance would be granted (If applicable) Select Item BUS Code Number of Hours per Week Select Item BIN/BIC Nuclear Deterrent Mission Select Item Select Item Work Schedule Select Item Duration of Appt/Action
Select Item Appointment Type Select Item Telework Select Item Drug Testing Position Select Item Furlough Indicator Select Item New Beginnings Performance Plan/DPMAP Select Item Overtime/Shift/Weekend/Holiday Work/Rotating Shifts Select item If yes, what type?
Certification or Licensing Req Select Item If yes, what type? Credentialing Required Select Item If yes, what type? Select Item Other Requirements: Select Item If yes, select appropriate level: Select Item Emergency Essential/Key? Select Item Special Position Mobility Agreement Required Considerations Financial Management Certification Cybersecurity Codes
Other Recruitment Information Age Restricted Positions: Special Salary/Premium Pay Select item If yes, Table # DAWIA Program Select Item DAWIA Level State Criminal History Repository Check Select Item DAWIA Key Leadership Position (KLP)? PCS Authorized Select Item Recruitment Incentive
Select Item USA Hire assessment requested Select Item Relocation Incentive Select Item TDY Requirement Select Item Vice (Employee Name): Select Item Select Item **Information about other recruitment incentives and flexibilities are not needed at this time but may be negotiated upon selection** Age restricted positions? Select Item If yes, select type: Select Item Age essential determination received:
Select Item Approved for Special Retirement Coverage Select Item Law Enforcement Officer Position Select Item Firefighter Schedule Select Item RECRUITMENT SOURCES: Identify those recruitment sources you would like to utilize to fill your vacancy. Eligibilities 30% or More Disabled Veterans Excepted Service Overseas Family Member Administrative Officer of the Courts Expedited Hire Authority (EHA) - Acquisition Appointment of Certain Military Spouses E.O. 13473 Expedited Hire Authority (EHA) - Medical
Certain Former Overseas Employees E.O. 12721 Foreign Service Current Permanent Competitive Service UIC or BSO: Government Accountability Office (GAO) Current Permanent Competitive Service Department of Defense Interchange Eligibles (e.g.: NAFI) Current Permanent Competitive Service Department of the Navy Local Hire (Overseas) Current Permanent Competitive Service Federal National Service (Peace Corps/VISTA) Current Permanent Comp/Excep Service Federal Panama Canal Commission Current Permanent Comp/Excep Service Department of Defense Current Permanent Comp/Excep Service Department of the Navy Pathways Internship Cyber Security - Direct Hire Authority (DHA)
People with Disabilities, Schedule A DCIPS/NCIS Recent Graduate Reinstatement Eligibles DCIPS/NCIS Current Student U.S. Postal Career Service Employees Delegated Examining (DE) U.S. Citizen Veterans Employment Opportunities Act (VEOA) Direct Hire Authority (DHA) U.S. Citizen Veterans' Recruitment Appointment (VRA) Pathways Recent Graduates DSSA (Distinguished Scholastic Ach Appt Demo) Name Request: Limit to commute area of: OVERSEAS VACANCIES: Country: Tour Information
Tour Length: Overseas Entitlements/Allowances: ADDITIONAL COMMENT/NOTES: Please enter any additional comments or instructions for your recruitment (e.g.: DE justification, PPP information, RPL Information) Completed by (name): Last Updated (date): 29 June 2017 Phone: Email: EE TDPS OFFICIAL POSITION DESCRIPTION (Please Read Instructions on the Back) 3. Service 2. Reason for Submission Redescription Reestablishment 4. Employing Office Location 1234
5. Duty Station Okinawa, Japan Hdqtrs New 1. Agency Position No. 6. OPM Certification No. MCIPAC/MCB Butler Field 7. Fair Labor Standards Act Exempt 8. Financial Statements Required Executive Personnel Nonexempt and Other Explanation Employment Financial Disclosure Interest (Show any positions replaced) SAMPLE PD for training
11. Position Is 10. Position Status Supervisory Competitive Sensitive 13. Competitive Level Code 14. Agency Use 3--Critical BUS: 8888 Managerial Excepted (Specify in Remarks) Neither SES (Gen.) SES (CR) No Yes
Financial 12. Sensitivity 1--Non- 9. Subject to IA Action 2--Noncritical 4-- Special Sensitive Sensitive 15. Classified/Graded by Official Title of Position a. Office of Personnel Management b. Department, Agency or Establishment c. Second Level Review d. First Level EMERGENCY MANAGEMENT OFFICER Review e. Recommended by
EMERGENCY MANAGEMENT OFFICER Supervisor or Initiating Office 16. Organizational Title of Position (if different from official title) Pay Plan Occupational Code Grade Initials Date GS 0301 13 AK 03/03/2017 GS 0301 13
SW 02/26/2017 17. Name of Employee (if vacant, specify) MCIPAC DEPUTY A/CS G-3/5 18. Department, Agency, or Establishment c. Third Subdivision U.S. Marine Corps a. First Subdivision d. Fourth Subdivision Marine Corps Installations Pacific (MCIPAC)/MCB Butler b. Second Subdivision e. Fifth Subdivision G-3/5 Division 19. Employee Review-This is an accurate description of the major duties and responsibilities of my position. 20. Signature of Employee (optional) Supervisory Certification. I certify that this is an accurate statement of the major duties and responsibilities of this
position and its organizational relationships, and that the position is necessary to carry out Government functions for which I am responsible. This certification is made with the knowledge that a. Typed Name and Title of Immediate Supervisor Shirley A. Williams AC/S G-3/5 Division Date Signature Date Digitally signed by WILLIAMS.SHIRLEY.ANN.1058062550 NN.1058062550 cn=WILLIAMS.SHIRLEY.ANN.1058062550 21. b. Typed Name and Title of Higher-Level Supervisor or Manager (optional) SAMPLE Signature
WILLIAMS.SHIRLEY.A this information is to be used for statutory purposes relating to appointment and payment of public funds, and that false or misleading statements may constitute violations of such statutes or their implementing regulations. ou=USMC, 02/26/2017 D ate: 2017.03.17 09:47:17 +09'00' Classification/Job Grading Certification. I certify that this position has been classified/graded as required by Title 5, U.S. Code, in conformance with standards published by the U.S. Office of Personnel Management or, if no published standards apply direct- ly, consistently with the most applicable published standards. Typed Name and Title of Official Taking Action Asayo Kuniyoshi HR Specialist Signature KUNIYOSHI.ASAYO.1 292744290 Digitally signed by KUNIYOSHI.ASAYO.1292744290
DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=OTHER, cn=KUNIYOSHI.ASAYO.1292744290 23. Position Review Initials Date: 2017.03.17 09:45:05 +09'00' Date Date 03/03/2017 Initials Date 22. Position Classification Standards Used in Classifying/Grading Position OPM PCF Misc Admin and Program Series, GS-0301 TS-34 January 1979; Admin Analysis Grade Evaluation Guide TS-98 August 1990 Information for Employees. The standards, and information on their application, are available in the personnel office. The classification of the position may be reviewed and corrected by the agency or the U.S. Office of Personnel Management. Information on classification/ job grading appeals, and complaints on exemption from FLSA, is
available from the personnel office or the U.S. Office of Personnel Management. Initials Date Initials Date Initials a. Employee (optional) b. Supervisor c. Classifier 24. Remarks 25. Description of Major Duties and Responsibilities (See Attached) NSN 7540-00-634-4265 Previous Edition Usable 5008-106 OF 8 (Rev. 1-85) U.S. Office of Personnel Management
FPM Chapter 295 Date Emergency Management Officer GS-0301-13 I. INTRODUCTION II. MAJOR DUTIES III. FACTORS SAMPLE FACTOR 1 - KNOWLEDGE REQUIRED BY THE POSITION FACTOR 2 - SUPERVISORY CONTROLS FACTOR 3 - GUIDELINES FACTOR 4 - COMPLEXITY FACTOR 5 - SCOPE AND EFFECT FACTOR 6 - PERSONAL CONTACTS FACTOR 7 - PURPOSE OF CONTACTS FACTOR 8 - PHYSICAL DEMANDS FACTOR 9 - WORK ENVIRONMENT Other Requirements: The incumbent must successfully complete a background security investigation and be able to obtain and maintain a Top Secret Security Clearance. This position must be willing and able to travel on military and commercial aircraft. Normal duties will require the employee to drive a privately owned motor vehicle. An appropriate SOFA drivers license is required for the position. This position is an Emergency Essential position. This position is a Testing Drug Position (TDP). The incumbent will be required to pass a pre-employment physical examination prior to
occupying the position. The incumbent is required to file an annual financial statement (OGE-450). 1 CERTIFICATION OF ACCURACY AND CURRENCY OF POSITION DESCRIPTION 1. PD Number: 2. Position Title, Pay Plan, Series and Grade: 3. Organization: 4. Name of Incumbent/Vice: 5. Outcome of Review (check applicable one): PD is current and accurate PD requires amendment (submit amendment) PD must be rewritten (submit position review request) lina.kuniyoshi.ja 2016-06-14 06:39:16 -------------------------------------------- 6. 1st Level
Supervisor: Name: Title and Grade/Rank: 7. 2nd Level Supervisor: Name: Signature of 1st Level Title and Supervisor Grade/Rank: Date To be given to the individual examined with a pre-addressed envelope marked Confidential - Medical. CERTIFICATE OF MEDICAL EXAMINATION U.S. OFFICE OF PERSONNEL MANAGEMENT Form Approved OMB No. 3206 - 0250 Privacy Act Statement Solicitation of this information is authorized by Section 552a of Title 5, United States Code, regarding records maintained on individuals; Section 3301 of Title 5, United States Code, regarding determination as to an individual's fitness for employment with regard to age, health, character, knowledge and ability; and Section 3312 of Title 5 United States Code, regarding waiver of physical qualifications for preference eligibles. This form is used to collect medical information about individuals who are incumbents of positions in the Federal Government which require physical fitness testing and medical examinations, or individuals who have been selected for such a position contingent upon successful
completion of physical fitness testing and medical examinations as a condition of their employment. The primary use of this information will be to determine the nature of a medical or physical condition that may affect safe and efficient performance of the work described. Additional potential routine uses of this information include using it to ensure fair and consistent treatment of employees and job applicants, to adjudicate requests to pass over preference eligibles, or to adjudicate claims of discrimination under the Rehabilitation Act of 1973, as amended. Completion of this form is voluntary; however, failure to complete the form may result in no further consideration of an applicant, or a determination that an employee is no longer qualified for his or her position. In addition, incomplete, misleading, or untruthful information provided on the form may result in delays in processing the form for employment, termination of employment, or criminal sanction. Public Burden Statement We estimate an average of two to three hours per response to complete, including the time for reviewing instructions, getting needed information, and reviewing the completed form. Send comments regarding our estimate or any other aspect of this form, including suggestions for reducing completion time, to the U.S. Office of Personnel Management (OPM), Employee Services, Recruitment and Hiring, Hiring Policy, Medical Policy and Programs Division, Attn: OMB Number (3206-0250), 1900 E Street, NW, Washington, D.C. 20415. The OMB number, 32060250, is currently valid. OPM may not collect this information, and you are not required to respond, unless this number is displayed. Instructions There are five parts in this form: Part A - To be completed by applicant or employee. Signature of the applicant or employee certifies that the information provided is complete and accurate; and that the applicant or employee consents to the release of the examination results to the employing agency. Part B - To be completed by the appointing officer before the medical examination: identifies the purpose of the examination; the position title, series and grade; generally describes the position; and shows the specific functional requirements and environmental factors that the work requires. Part C - To be completed and signed by the examining physician, and returned to the employing agency in the pre-paid/ pre-addressed Confidential-Medical envelope provided. Part D - To be completed by the agency medical officer who reviews the examination results and recommends action. Part E - To be completed by the agency human resources officer in order to document the personnel action that is
rendered. U.S. Office of Personnel Management Section 3301 of Title 5 United States Code Title 5 CFR 339 For Local Reproduction Only Applicant/ Employee: Optional Form 178 December 2014 Formerly SF 78 Pagenot 16 of 8 Previous editions useable To be given to the individual examined with a pre-addressed envelope marked Confidential - Medical. CERTIFICATE OF MEDICAL EXAMINATION U.S. OFFICE OF PERSONNEL MANAGEMENT Form Approved OMB No. 3206 - 0250 Part B. TO BE COMPLETED BEFORE EXAMINATION BY APPOINTING OFFICER 1. Purpose of examination
2. Position Title, Series, and Grade Pre-placement Other (Specify) 3. Brief description of what the position requires the employee to do. U.S. Office of Personnel Management Section 3301 of Title 5 United States Code Title 5 CFR 339 For Local Reproduction Only Applicant/ Employee: Optional Form 178 December 2014 Formerly SF 78 Pagenot 17 of 8 Previous editions useable To be given to the individual examined with a pre-addressed envelope marked Confidential - Medical. Form Approved
OMB No. 3206 - 0250 CERTIFICATE OF MEDICAL EXAMINATION U.S. OFFICE OF PERSONNEL MANAGEMENT Part B. CONTINUED - TO BE COMPLETED BEFORE EXAMINATION BY APPOINTING OFFICER 4. Check the box for each functional requirement in section 4a and each environmental factor in section 4b essential to the duties of this position. List any additional essential factors in the blank spaces. Also, if the position involves law enforcement, air traffic control, or fire fighting, attach the specific medical standards for the information of the examining physician. 4a. Functional Requirements Heavy lifting, 45 pounds and over Repeated bending ( hours) required Moderate lifting, 15-44 pounds Climbing, legs only ( hours) Both eyes Depth perception Light lifting, under 15 pounds Climbing, use of legs and arms
Ability to distinguish basic colors Heavy carrying, 45 pounds and over Both legs required Ability to distinguish shades of colors Moderate carrying, 15-44 pounds Operation of crane, truck, tractor, or motor Hearing (aid permitted) Light carrying, under 15 pounds vehicle Straight pulling ( Ability for rapid mental and muscular hours) (specify) Specific hearing requirements coordination simultaneously
Pulling hand over hand ( Pushing ( Hearing without aid hours) hours) Reaching above shoulder Ability to use and desirability of using firearms Other (specify) Near vision correctable at 13 to 16 to Jaeger 1 to 4 Use of fingers Far vision correctable in one eye to 20/20 Both hands required Walking ( (specify) Standing (
and to 20/40 in the other hours) Specific visual requirement hours) Crawling ( hours) Kneeling ( hours) 4b. Environmental Factors Outside Electrical energy Working alone Outside and inside Slippery or uneven walking surfaces Protracted or irregular hours of work Excessive heat Working around machinery with moving parts Other (specify)
Excessive cold Working around moving objects or vehicles Excessive humidity Working on ladders or scaffolding Excessive dampness or chilling Working below ground Dry atmospheric conditions Unusual fatigue factors (specify) Excessive noise, intermittent Constant noise water Working with hands in Dust Explosives Silica, asbestos, etc. Vibration
Fumes, smoke, or gases Working closely with others Solvents (degreasing agents) Grease and oils U.S. Office Personnel Management Radiantofenergy Section 3301 of Title 5 United States Code Title 5 CFR 339 For Local Reproduction Only Applicant/ Employee: Optional Form 178 December 2014 Formerly SF 78 Pagenot 18 of 8 Previous editions useable Department of the Navy (DON) Civilian Acquisition Assignment Coding Sheet Instructions: All DON acquisition positions must include an accurate Coding Sheet. Please find detailed guidance for
designating DON acquisition positions in the DON DAWIA Operating Guide: https://acquisition.navy.m il/rda/home/acquisition_workforce/strategy_policy Acquisition position supervisors at each command are required to complete and sign this Coding Sheet, attach it to the Position Description (PD) and submit the PD with a Request for Personnel Action (RPA, form SF-52 to their human resources office for coding into the Defense Civilian Personnel Data System (DCPDS). Acquisition position supervisors at each command must update Coding Sheets and provide them to their human resources office when changes to the position occur that affect the acquisition coding. HR personnel at the Human Resource Service Center (HRSC) shall ensure that the acquisition information provided by the supervisor is accurately input into DCPDs. PD Number: Organization & Org Code: _ Position Title: Grade:: Pay Plan _-Series- _ SECTION 1. ACQUISITION POSITION CATEGORY A Program Management C Contracting* (All 1102 series and Contracting Professional Development Program positions must be C)
D Industrial/Contract Property Management (All 1103 series positions must be D) E Purchasing (All 1105 series positions must be E) F Facilities Engineering H Production, Quality and Manufacturing I SPRDE-Science and Technology Manager* K Business-Financial Management L Life Cycle Logistics P Business-Cost Estimator * R Information Technology S SPRDE-Systems Engineering* T Test and Evaluation* W SPRDE Program Systems Engineer* *Requires bachelors degree. in specific disciplines. Requires semester hours SECTION 2. ACQUISITION POSITION TYPE CRITICAL ACQUISITION POSITIONS (CAPs)/KEY LEADERSHIP POSITIONS (KLPs) 1 CAPNot Division Head 2 CAPDivision Head* 3 Not CAPDevelopment** 4 Not CAP or Developmental 6 KLP *A Division Head is the official with responsibility for managing an acquisition organization or major subordinate unit, the mission of which is to support or administer acquisition functions.
** Positions in the DON Contracting Professional Development Program must = 3. DON CIVILIAN ACQUISITION ASSIGNMENT CODING SHEET (CONTINUED) SECTION 3. ACQUISITION CERTIFICATION LEVEL REQUIRED FOR THE POSITION 1 Level I (Entry) 2 Level II (Intermediate) 3 Level III (Advanced)* *CAPs and KLPs (Section 2 = 1, 2, or 6) must be Level III SECTION 4. ACQUISITION JOB SPECIALTY 1This Section applies only to positions in Program Management. Check only if Section 1 = A, and the career path is in International Acquisition. Otherwise leave blank. I International Acquisition SECTION 5. ACQUISITION PROGRAM INDICATOR 1 Major Defense Acquisition Program (ACAT I) 2 Significant Non-Major Defense Acquisition Program (ACAT II) 3 ACAT I/II (supports both ACAT I/II Programs) 4 ACAT III or IV 9 N/A (none of the above) SECTION 6. SPECIAL ASSIGNMENT This Section applies only to KLPs. Check one of the following if Section 2=6. Otherwise, leave blank. A Program Executive Officer (PEO), Executive Dir PEO, Direct Reporting Program Manager (DRPM) B Program Manager (PM), where the PM reports directly to a PEO C Deputy PM, where the PM reports directly to a PEO D Senior Contracting Official L Deputy PEO, Deputy DRPM N Program Lead Systems Engineer/Chief Engineer P Program Lead Cost Estimator Q Program Lead Business Financial Manager S Other T Program Lead Contracting Officer
U Program Lead Logistician (Product Support Manager) V Program Lead Test and Evaluation W Program Lead Production, Quality, & Manufacturing X Program Lead Information Technology SECTION 7. This Section applies only to CAPs and KLPs. Fill in only if Section 2=1, 2, or 6. a. Date Tenure Agreement Ends (mm/dd/yyyy): _* *Employees in CAPs and KLPs must sign a 3-year tenure agreement with the following exception: Direct Reporting Program Managers (DRPMs), Deputy DRPMs, and ACAT I Program Managers (PMs) and Deputy PMs have a commitment aligned with the major milestone closest to 4 years or as tailored by ASN(RDA). b. Date Assignment Review (mm/dd/yyyy): * * This reflects the date the employee is due to be reviewed for possible rotation which is 5 years from the date assigned to the position. APPROVING OFFICIAL SIGNATURE: POINT OF CONTACT (NAME, EMAIL, PHONE): DATE: Information required on RPA notepad for a Recruit/Fill request: Selecting Official: Name, email address, and phone number Position Hierarchy information 1st level supervisor: Name, email address, phone number, BIC, position title (Pay Plan-Series-Grade, and position description number if civilian supervisor) PH: First Name Last Name, PD#/Sequence# (i.e. PH: Joe Schmuckatelli, 12345A/876345) 2nd level supervisor: Name, email address, phone number, BIC, position title (Pay Plan-Series-Grade,
and position description number if civilian supervisor) Nature of action: Recruit/Fill Vice: ############### Vacant Since/Expected Vacancy Date: ##/##/#### BIC: M674000#### Position Title: ################### Pay Plan-Series-Grade: GS-####-## Position description (PD) number: #### PEN: ##### BEA: ## BESA: ## UIC: 67400 DCPDS Organization Code (Table 30): ### BUS CODE (Bargaining Unit Status): #### GEO Local Duty Station Code: JA1065000 Camp: Camp Foster Cost Center Code: ###### FIP: ###### ## ## ## #### #### Funding Type: Direct This remark is for announcements open only to local commuting area: Recruit local area Okinawa only. This remark is required if Recruit/Fill RPA is for an overseas tour extension request: Advance recruitment for Mr./Mrs. ###### overseas tour extension. His/Her overseas tour expires on 1/30/2014. Overseas allowances may be authorized in accordance with Department of State Standardized
Regulation (DSSR), DoDI 1400.25, and applicable Department of the Navy policies. Relocation cost and LQA may be authorized. LQA is not authorized (for positions GS-08 and below). The fund manager must state whether sufficient funding is available to support this RPA by electronically approving the RPA or attaching the RPA with hand-written signature. Fund manager: Name & date Individually Complete the DoN Recruit Form based on the information provided PART IV Time to Build CREATING THE RPA The URL to DCPDS Portal: https://compo.dcpds.cpms.osd.mil/ Gathering the documents Helpful Hints 1. 2. Complete RPA Notepad in a word document for easy cut/paste into DCPDS Compare the information on the RPA Notepad to the PD, DoN Recruit Form, and required documents to ensure accuracy and consistency NOTE: All documents would need to match (i.e. BUS code, Cost Center Code, Organization Code, etc.).
In groups Find the errors Once all the information (notepad contents and documents) are ready, access DCPDS website: https://compo.dcpds.cpms.osd.mil/ Click
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Type file name and file description (e.g. PD certification, Current PD, Org Chart, etc.) Select
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US Staffing/CHRO -Review Documents -Enter into local RPA Tracker OCHR San Diego or OCHR Stennis - NOTE: RPAs are entered into CHRO RPA Tracker when we receive them. The Weekly RPA spreadsheet will only reflect those we have received. THANK YOU!!! QUESTIONS