Incoming and Outgoing Intergovernmental Personnel Act (IPA) Assignment Agreement

OMB 0960-0792

OMB 0960-0792

The Intergovernmental Personnel Act (IPA) mobility program provides for the temporary assignment of civilian personnel between the Federal Government and State and local governments; colleges and universities; Indian tribal governments; federally funded research and development centers; and other eligible organizations. The Office of Personnel Management (OPM) created a generic form, the OF-69, for agencies to use as a template when collecting information for the IPA assignment. The OF-69 collects specific information about the agreement including: (1) the enrolled employee’s name, Social Security number, job title, salary, classification, and address; (2) the type of assignment; (3) the reimbursement arrangement; and (4) an explanation as to how the assignment benefits both SSA and the non-federal organization involved in the exchange. OPM directs agencies to use their own forms for recording these agreements. Accordingly, SSA modified the OF-69 to meet our needs, creating the SSA-187 for incoming employees and the SSA-188 for outgoing employees. SSA collects information on the SSA-187 and SSA-188 to document the IPA assignment and to act as an agreement between the agencies. Respondents are personnel from State and local governments; colleges and universities; Indian tribal governments; federally funded research and development centers; and other eligible organizations who participate in the IPA exchange with SSA.

The latest form for Incoming and Outgoing Intergovernmental Personnel Act (IPA) Assignment Agreement expires 2021-02-28 and can be found here.

OMB Details

Non-Federal Employee Respondent

Federal Enterprise Architecture: General Government - Central Personnel

Form SSA-188Assignment Agreement Title IV of the Intergovernmental Personnel Act of 1970: Outgoing Assignmentswww.ssa.govForm and instruction
Form SSA-187Assignment Agreement Title IV of the Intergovernmental Personnel Act of 1970: Incoming Assignmentswww.ssa.govForm and instruction

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