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Welcome to “HOW TO GUIDE”
CREATING RECRUIT/FILL
REQUEST FOR PERSONNEL ACTION (RPA)
AGENDAPART 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 YOURDEFENSE 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 ([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 FORMPERSONAL 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.
Continued on Back PageCivilian Human Resources System Access Request Form
10/2016
***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:✔ DCPDS HRLink eOPF (OCHR Citrix (OCHR
Corporate ONLY) Corporate ONLY)
USER LEVEL:
OCHR Major HRO ✔ Activity/ Corporate Claimant
CommandREASON FOR SUBMISSION: Delete/End/Effective Date Resubmission/Modify
Add EOD: Replaces: Reason(Delete/Resubmission):Section 1 This section to be completed by Requester/SupervisorFull Name (Last, First, MI): No Nicknames, Include Military title if applicable:
Check the applicable status (* note that Military and Gov’t Contractor users will be contacted to provide additional required information (i.e. full SSN and DOB) for access):
Civilian Employee LN Employee Gov't Contractor *
✔ Military * Other, Specify:
Major Claimant (e.g. NV70):
UIC: Organization Code:
Position Title:
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.
(Supervisor’s Signature)Section 2 DCPDSDCPDS ACCESS: (Please check all the following options that apply to this user)
NOTE: User cannot be Reviewer and Requesting/Authorizing Official
✔ US Module LN Module✔ Initiates/Creates RPAs Signs RPAs as Authorizing Official Approves RPAs as Appointing Official✔ Signs RPAs as Requesting Official Reviews RPAs only (Fiscal)✔ User is a Supervisor/Manager 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/BenefitsMajor 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%
CIVILIAN HUMAN RESOURCES SYSTEM ACCESS REQUEST FORMPERSONAL DATA – PRIVACY ACT OF 1974
Section 3 HRLinkHRLink ACCESS: (Please check all the following options that apply to this user)
User requires access to the following personnel recordsNo Restrictions – User views all records in the Navy database CBC - User views all records for DON/BenefitsMajor 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' eOPFsDOC_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' eOPFsPassword 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)
(HRD Approver's Signature)
Section 8 Additional Information
DCPDS USER NAME:
Virtual Position No.:
CITRIX/HRLINK USER NAME:
Personnel Reports (w/PII access) Dashboard and Metrics only (statistical numbers)
Section 6 This section to be completed by DCHR (if applicable)
(DCHR Approver’s Signature)Section 7 This section to be completed by OCHR Corporate (if applicable)
(OCHR Approver’s Signature)
Section 9 For OCHR Corporate use only
Civilian Human Resources System Access Request Form10/2016
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 GUIDEHIRING MANAGER USER
APPENDIX B – USER ACCOUNT REQUEST FORMThis form should be completed and sent to the Recruitment Tools and Processes Division (RTPD) POC for [email protected].
17 October 2016 – OCHR RTPD
Appendix B: Page 1 of 3
A. REQUESTED ACTION: □ New Account☐ Update Account
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. USER TYPE:1. 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 User1. 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)
DON USA STAFFING BUSINESS PROCESS GUIDE
17 October 2016 – OCHR RTPD Appendix B: Page 2 of 3
HIRING MANAGER USERE. OFFICE: Complete this section only if you requested Human Resources User or Reports Only1. 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 SignatureDate
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 SignatureDate
_ TitlePhone 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 NameSignature Date
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 pre-employment 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.
PD #:
# of Vacancies:
Previous RPA #:
Select Item
Select Item
Select Item
Select Item
Select Item Select Item
Select Item
Select Item
Select Item
Select Item
Select Item Select Item
Select Item Select Item
Select Item Select Item
Select Item
Requested Announcement Length:
USA Staffing
HIRING MANAGER INFORMATION * Denotes Required Fields
Hiring Manager (Requestor) *
POINT OF CONTACT INFORMATION
Hiring Manager PD Seq # (Hierarchy)
Select itemHiring Manager USA Staffing Account?
Alt Hiring Manager
Duty LocationInterim Security Clearance would be granted (If applicable)
Hiring Manager Assistant (ex: HRO, Admin POC)
DON RECRUIT/FILL REQUEST CHECKLIST
Alt Selecting Official
Parent RPA# (for additional selections)
Name Phone
Grade Level(s) to Recruit For (Limit 2):
Geolocation Code
In-sourcing Position
Number of Hours per Week
Duration of Appt/Action
Telework
BIN/BIC Nuclear Deterrent Mission
Alt Onboarding Process Owner
RECRUITMENT INFORMATION: All Fields are Required
Position
Full Performance Level (FPL)
Organizational Code
Major Claimant
Payroll Code (Cost Center)
UIC
BUS Code
Work Schedule
Payroll Office ID
Furlough Indicator
New Beginnings Performance Plan/DPMAP
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.
Appointment Type
Drug Testing Position
POSITION TO BE FILLED * Denotes Required Fields
RPA #
Title, PP/Ser/Gr:
Hiring Manager Assistant (ex: HRO, Admin POC)
Onboarding Process Owner
SME(Optional)
Hiring Manager Assistant (ex: HRO, Admin POC)
Frederique Cesson
Selecting Official (if other than HM)
Obligated Position
Financial Disclosure
Base Closure
BRAC Identifier
Physical Required
Security Clearance
Comment On & Return JOA?
Select From & Return Cert? View Only?
Comment On & Return JOA?
Select From & Return Cert? View Only?
Comment On & Return JOA?
Select From & Return Cert? View Only?
Comment On & Return JOA?
Select From & Return Cert? View Only?
Comment On & Return JOA?
Select From & Return Cert? View Only?
Comment On & Return JOA?
Select From & Return Cert? View Only?
Comment On & Return JOA?
Select From & Return Cert? View Only?
Comment On & Return JOA?
Select From & Return Cert? View Only?
Select item
Select Item
Select Item
Select Item
Select Item Select Item
Select Item
Select item
Select Item Select Item
Select Item Select Item
Select Item Select Item
Select Item Select Item
Select Item
Select Item Select Item
Select Item Select Item
Select Item Select Item
Eligibilities
Last Updated (date): 29 June 2017
Limit to commute area of:
OVERSEAS VACANCIES:
Tour InformationCountry: Tour Length:
Completed by (name):
Other Recruitment Information
Age essential determination received:
Current Permanent Competitive Service Department of Defense
Name Request:
DSSA (Distinguished Scholastic Ach Appt Demo)
Overseas Entitlements/Allowances:
Phone: Email:
Law Enforcement Officer Position
Current Permanent Comp/Excep Service Federal
Current Permanent Competitive Service Department of the Navy
Panama Canal Commission
National Service (Peace Corps/VISTA)
Local Hire (Overseas)
Interchange Eligibles (e.g.: NAFI)
DCIPS/NCIS Current Student
Current Permanent Comp/Excep Service Department of Defense
U.S. Postal Career Service Employees
Reinstatement Eligibles
Pathways Recent Graduates
Pathways Internship
PCS Authorized
Veterans' Recruitment Appointment (VRA)Direct Hire Authority (DHA) – U.S. Citizen
30% or More Disabled Veterans
Current Permanent Comp/Excep Service Department of the Navy
Excepted Service Overseas Family Member
Expedited Hire Authority (EHA) - AcquisitionAdministrative Officer of the Courts
State Criminal History Repository Check DAWIA Key Leadership Position (KLP)?
If yes, select appropriate level:
Emergency Essential/Key?
If yes, Table #
DAWIA Level
TDY Requirement
Firefighter Schedule
RECRUITMENT SOURCES: Identify those recruitment sources you would like to utilize to fill your vacancy.
Age Restricted Positions:
Age restricted positions? If yes, select type:
Vice (Employee Name):
Special Salary/Premium Pay
Recruitment Incentive
Approved for Special Retirement Coverage
Cybersecurity Codes
If yes, what type?
Delegated Examining (DE) –U.S. Citizen
DCIPS/NCIS Recent Graduate
Veterans Employment Opportunities Act (VEOA)
Certain Former Overseas Employees E.O. 12721
Current Permanent Competitive Service UIC or BSO:
Appointment of Certain Military Spouses E.O. 13473
Government Accountability Office (GAO)
Foreign Service
Expedited Hire Authority (EHA) - Medical
Current Permanent Competitive Service Federal
Special Position Considerations
Overtime/Shift/Weekend/Holiday Work/Rotating Shifts
Certification or Licensing Req
Credentialing Required
People with Disabilities, Schedule A
Mobility Agreement Required
Financial Management Certification
DAWIA Program
ADDITIONAL COMMENT/NOTES: Please enter any additional comments or instructions for your recruitment (e.g.: DE justification, PPP information, RPL Information)
If yes, what type?
If yes, what type?
Other Requirements:
**Information about other recruitment incentives and flexibilities are not needed at this time but may be negotiated upon selection**
USA Hire assessment requested Relocation Incentive
Cyber Security - Direct Hire Authority (DHA)
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
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
20. 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.
24. Remarks
POSITION DESCRIPTION (Please Read Instructions on the Back) 1. Agency Position No.1234
2. Reason for Submission
Redescription New
3. Service
HdqtrsField
4. Employing Office LocationOkinawa, Japan
5. Duty Station
MCIPAC/MCB Butler6. OPM Certification No.
Reestablishment Other Explanation
(Show any positions replaced)SAMPLE PD for training
7. Fair Labor Standards Act Exempt
Nonexempt
8. Financial Statements RequiredExecutive Personnel Employment andFinancial Disclosure Financial Interest
9. Subject to IA Action
Yes No
10. Position Status
Competitive
Excepted (Specify in Remarks)
SES (Gen.) SES (CR)
11. Position IsSupervisory
Managerial
Neither
12. Sensitivity1--Non-
3--Critical Sensitive
2--Noncritical 4--
SpecialSensitive
Sensitive
13. Competitive Level Code
14. Agency Use
BUS: 8888
15. Classified/Graded by Official Title of Position Pay Plan Occupational Code Grade Initials Datea. Office of Personnel
Management
b. Department, Agency or Establishment
c. Second Level Review
d. First Level Review
EMERGENCY MANAGEMENT OFFICER GS 0301 13 AK 03/03/2017
e. Recommended by Supervisor or Initiating Office
EMERGENCY MANAGEMENT OFFICER GS 0301 13 SW 02/26/2017
16. Organizational Title of Position (if different from official title)MCIPAC DEPUTY A/CS G-3/5
17. Name of Employee (if vacant, specify)
18. Department, Agency, or Establishment
U.S. Marine Corpsc. Third Subdivision
a. First SubdivisionMarine Corps Installations Pacific (MCIPAC)/MCB Butler
d. Fourth Subdivision
b. Second SubdivisionG-3/5 Division
e. Fifth Subdivision
19. Employee Review-This is an accurate description of the major duties and responsibilities of my position.
Signature of Employee (optional)
a. Typed Name and Title of Immediate SupervisorShirley A. WilliamsAC/S G-3/5 Division
b. Typed Name and Title of Higher-Level Supervisor or Manager (optional)
SignatureWILLIAMS.SHIRLEY.A Digitally signed by WILLIAMS.SHIRLEY.ANN.1058062550
DN: c=US, o=U.S. Government, ou=DoD, ou=PKI,
NN.1058062550ou=USMC, cn=WILLIAMS.SHIRLEY.ANN.1058062550
Date: 2017.03.17 09:47:17 +09'00'
Date
02/26/2017
Signature Date
21. Classification/Job Grading Certification. I certify that this posi- tion 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.
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
Typed Name and Title of Official Taking ActionAsayo KuniyoshiHR Specialist
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.
SignatureKUNIYOSHI.ASAYO.1 Digitally signed by KUNIYOSHI.ASAYO.1292744290
DN: c=US, o=U.S. Government, ou=DoD, ou=PKI,
292744290 ou=OTHER, cn=KUNIYOSHI.ASAYO.1292744290
Date: 2017.03.17 09:45:05 +09'00'
Date
03/03/2017
23. Position Review Initials Date Initials Date Initials Date Initials Date Initials Datea. Employee (optional)
b. Supervisor
c. Classifier
SAMPLE
EE TDPS OFFICIAL
1
Emergency Management OfficerGS-0301-13
I. INTRODUCTION
II. MAJOR DUTIES
III. FACTORS
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).
SAMPLE
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
accuratePD requires amendment (submit amendment)PD must be rewritten (submit position review request)
6. 1st Level
Supervisor: Name:
Title and Grade/Rank:
7. 2nd Level
Supervisor: Name:
Title and Grade/Rank:
Signature of 1st Level Supervisor
Date
lina.kuniyoshi.ja2016-06-14 06:39:16--------------------------------------------
CERTIFICATE OF MEDICAL EXAMINATIONU.S. OFFICE OF PERSONNEL MANAGEMENT
Form ApprovedOMB No. 3206 - 0250
U.S. Office of Personnel Management Section 3301 of Title 5 United States Code Title 5 CFR 339For Local Reproduction Only
Applicant/ Employee:
Optional Form 178December 2014Formerly SF 78
Previous editions not useablePage 16 of 8
To be given to the individual examined with a pre-addressed envelope marked“Confidential - Medical”.
Privacy Act StatementSolicitation 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 StatementWe 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, 3206-0250, is currently valid. OPM may not collect this information, and you are not required to respond, unless this number is displayed.
InstructionsThere 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.
CERTIFICATE OF MEDICAL EXAMINATIONU.S. OFFICE OF PERSONNEL MANAGEMENT
Form ApprovedOMB No. 3206 - 0250
To be given to the individual examined with a pre-addressed envelope marked“Confidential - Medical”.
U.S. Office of Personnel Management Section 3301 of Title 5 United States Code Title 5 CFR 339For Local Reproduction Only
Applicant/ Employee:
Optional Form 178December 2014Formerly SF 78
Previous editions not useablePage 17 of 8
Part B. TO BE COMPLETED BEFORE EXAMINATION BY APPOINTING OFFICER1. Purpose of examination 2. Position Title, Series, and Grade
Pre-placementOther (Specify)
3. Brief description of what the position requires the employee to do.
CERTIFICATE OF MEDICAL EXAMINATIONU.S. OFFICE OF PERSONNEL MANAGEMENT
Form ApprovedOMB No. 3206 - 0250
To be given to the individual examined with a pre-addressed envelope marked“Confidential - Medical”.
U.S. Office of Personnel Management Section 3301 of Title 5 United States Code Title 5 CFR 339For Local Reproduction Only
Applicant/ Employee:
Optional Form 178December 2014Formerly SF 78
Previous editions not useablePage 18 of 8
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) Both eyes
required Moderate lifting, 15-44 pounds Climbing, legs only ( hours) 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 Hearing without aid
Straight pulling ( hours) Ability for rapid mental and muscular Specific hearing requirements (specify)
coordination simultaneously
Pulling hand over hand ( hours) Ability to use and desirability of using
Pushing ( hours) firearms Other (specify)
Reaching above shoulder Near vision correctable at 13” to 16”
to Jaeger 1 to 4Use of fingers
Far vision correctable in one eye to 20/20Both hands required and to 20/40 in the other
Walking ( hours) Specific visual requirement (specify) Standing ( 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 Working with hands in water
Dust Explosives
Silica, asbestos, etc. Vibration
Fumes, smoke, or gases Working closely with
others Solvents (degreasing agents)
Grease and oils
Radiant energy
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.mil/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: Pay Plan _-Series- _ Grade::
SECTION 1. ACQUISITION POSITION CATEGORYA – Program ManagementC – 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 EngineeringH – Production, Quality and ManufacturingI – SPRDE-Science and Technology Manager*K – Business-Financial ManagementL – Life Cycle LogisticsP – Business-Cost Estimator *†R – Information TechnologyS– SPRDE-Systems Engineering*T – Test and Evaluation*†W – SPRDE – Program Systems Engineer*
*Requires bachelor’s degree. † Requires semester hours in specific disciplines.
SECTION 2. ACQUISITION POSITION TYPE —CRITICAL ACQUISITION POSITIONS (CAPs)/KEY LEADERSHIP POSITIONS (KLPs)
1 – CAP—Not Division Head2 – CAP—Division Head*
3 – Not CAP—Development** 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 1—This 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 INDICATOR1 – 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 IV9 – 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 PEOC – Deputy PM, where the PM reports directly to a PEOD – Senior Contracting OfficialL – Deputy PEO, Deputy DRPMN – Program Lead Systems Engineer/Chief EngineerP – Program Lead Cost EstimatorQ – Program Lead Business Financial ManagerS – Other
T – Program Lead Contracting OfficerU – Program Lead Logistician (Product Support Manager)V – Program Lead Test and EvaluationW – Program Lead Production, Quality, & ManufacturingX – 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: DATE:
POINT OF CONTACT (NAME, EMAIL, PHONE):
Information required on RPA notepad for a Recruit/Fill request:
Selecting Official: Name, email address, and phone number Position Hierarchy information1st 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: 67400DCPDS Organization Code (Table 30): ### BUS CODE (Bargaining Unit Status): #### GEO Local Duty Station Code: JA1065000 Camp: Camp FosterCost 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. Complete RPA Notepad in a word document for easy cut/paste into DCPDS
2. 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 <OK>
Click <Smart Card Login>
Select <Non‐email certificate> and click <OK>
Click <HR>
Click <Accept>
Click <DCPDS Navigator Homepage> under Other DCPDS Tools
Open one of the MGR account (For creating RPAs for employee who is under UIC 67400, open the folder of 67400). Note: PER NV_HRO_N9 is for HR Personnel
Open <Request for Personnel Action>
Click <Recruit / Fill>
Wait for few minutes till Java applet starts then another window appears. <Leave this window open> (Note: If the applet does not start after several minutes of waiting, contact 117 to check whether Java is properly installed. This problem often occurs after a routine push of updated software)
Request for Personnel Action Windows appears
Click Notepad
Type the last name of RPA initiator and hit <Enter>
Type the last name of RPA requestor and hit <Enter> . If the requestor does
not have DCPDS account, leave this data field blank.
Click <New>
Paste notepad contents (which was prepared prior to creating RPA) and click <OK>.
Click Attachment
Click Yes
Click <No>
Take note of RPA number (last 6 digits) and click <OK>
Click <OK>
Type “misc” and hit <tab key>
Type file name and file description (e.g. PD certification, Current PD, Org Chart, etc.)
Select <File> and click <OK>
Click <Browse> If “Browse” window does not appear, please note that the window may have been appeared behind the window that you are currently working on.
Click <Browse>
Select file and click <Open>
Click <Submit>
Close the window by hitting X
Click Oracle Application
Click <Yes>
The file is uploaded successfully
Click <New> for additional files
Once uploading is completed, click <Save>
Click <OK>
Click <Print>
Click <OK>
Click <OK>
Click <Save>
Click <Yes>
Click <OK>
Close window by hitting X
Under the view tab, click <Requests>
Click <Find>
Click <View Output>
The download prompt appears in other windows
Click <Save As>
Select Desktop and Save
Click <Open>
Double click
Double click to open
Click “Print”
Select <Pages>, type 1,3 and click <Print>
Using typewriter or Adobe software, type name of fund manager and concurrence date. Have a fund manager place his/her signature (digitally or hand‐written).Scan signed copy and save it on the desktop with the name “Signed RPA”.
Go back to this screen (Ref: Page 4 – 7) and click civilian inbox
Wait till Java applet finishes running (Do not close this window)
Click <Continue>
Wait till applet finishes working (Do not close this window)
Press <Ctrl Key> + <F11 Key> at the same time.
RPAs in your inbox appear. Select the RPA and click <Respond>
Click <Attachment> and attach the scanned signed RPA
Once uploading is completed, click <Save>.
Click <Yes>
Select <Select Groupbox>
Type “67400” an click <OK>
Select top one <NV_A_N9_67400_CD> and click <OK>
**** COMPLETED**** The RPA was forwarded to G‐8 for review.
PART V
RPA PROCESS
RPA Process• RPA Routing Flow Chart
NOTE: RPAs are entered into CHRO RPA Tracker when we receive them. The Weekly RPA spreadsheet will only reflect those we have received.
Organization/Command-Initiates RPA
Budget Office/G-8-Verifies Funding
Manpower Office/G-1-Verifies Billet
US Classification Section/CHRO-Verifies Position Description
US Staffing/CHRO-Review Documents-Enter into local RPA Tracker
OCHR San Diego or OCHR Stennis-
THANK YOU!!!
QUESTIONS