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Business phone number:
What Agency do you work for?
Department of Veteran's Affairs, Delaware, LiUNA Local 1029
Army Corps of Engineers (Kansas City)
Army Corps of Engineers (St Louis)
Army Corps of Engineers (New Orleans)
Bureau of Indian Education
Fort Sill, OK
Vandenburg Air Force Base
Red River Army Depot
Department of Education
Aberdeen Proving Grounds
Onizuka Air Force Station
Bureau of Land Management
White Sands Missile Range
The best time and day of the week to reach you is:
Briefly list and describe all positions, titles, grades and job series that you have held, including detailed dates you have held with the Federal government.
List your major and minor job duties (indicate which are major, which are minor) at each job you have held (and AT EACH GS LEVEL) since January 2001, estimating the amount of time you perform each duty (daily, weekly, monthly, etc.). (Minor duties may include activities not included in position description that you find yourself performing on a frequent basis.)
State if your job duties have changed since January 2001 and if so, how?
Do you supervise or lead the work of two other employees?
If so, how many? If so, describe how you supervise the other employee(s), state their grade and job series, and estimate the amount of time you spend supervising them.
To qualify for your position, is it required, to the best of your knowledge, to have a 4-year degree or any other specialized prolonged course of institutional instruction, training, or study?
If yes, please describe what field of knowledge and how you use that knowledge in the course of your job.
Computer Professional Exemption
Are you a systems analyst, or do you perform similar tasks?
Are you a systems or software designer?
Do you deal with the design or modification of machine operating systems?
If you answered yes to any of the three previous questions, please elaborate and describe your duties.
In your own words, what are the goals of the agency?
Is your job directly involved with accomplishing these goals?
Do you provide expert advice to the agency’s management in specialized subject matter fields, such as that provided by a management consultant?
If yes, please describe the nature of the advice that you provide, to whom you provide it, and your qualifications as a specialist.
Are you regularly or customarily called upon to assume facets of the overall management function, such as safety, personnel or budgeting/financial management for your office?
If yes, please describe which facets you assume, how often you assume them, and what duties/responsibilities are associated with them.
Are you ever called upon to represent management in such business functions such as negotiating/administering contracts, determining the acceptability of goods or services, or authorizing payments for entities who are not clients, grantees or beneficiaries of the agency?
If YES, please comment in detail about the extent of your authority to independently and on your own discretion commit management/the agency to the above mentioned agreements/goods/payments.
Are you regularly or customarily delegated substantial authority and discretion to act in place of your supervisor?
If yes, please describe what authorities you are delegated, and any oversight procedures that exist for your use of them.
Does your work customarily involve creatively selecting, adapting or innovating procedures or techniques to deal with complex situations?
If YES, please provide examples of a situation in which you might be called upon to do this.
Do the types of decisions that you are called upon to make require high level reasoning, analysis, interpretation or judgment?
If yes, please elaborate.
Are there standardized procedures/precedents that you rely on to make the bulk of your decisions?
If yes, please describe in detail the extent to which these procedures, precedents, guidelines or regulations dictate your decisions, and describe under what circumstances you are allowed to deviate from them, if any.
Does the ability to effectively perform your job require substantial knowledge of a specialized subject matter field, including knowledge of techniques, principles, practices and procedures associated with that field?
If yes, please specify the field and give examples of the associated techniques, principles, practices or procedures that you must be familiar with.
Does the ability to effectively perform your job necessitate a large amount of training or experience in a specialized subject matter field?
If YES, please detail the amount of training in the specialized subject matter field you had upon first acquiring your job?
Discretion and Independent Judgment
Do you have the authority to independently select, adapt or innovate the techniques or procedures that you use to perform your job?
If yes, please give an example of a typical situation in which you might be called upon to do this
Is the work that you do sufficiently complex that you are regularly called upon to exercise to select, adapt or invent the techniques or procedures that you use to perform your job?
Do your decisions or recommendations have a significant effect on other individuals or policies?
If yes, please describe, in general, which individuals or policies are affected, and in what way(s).
Have you come to work before the start of your shift at any time in the last three years?
Have you received any compensation? Check all that apply.
Unofficial Comp time
Have you come worked through your lunch break at any time in the last three years?
Have you stayed at work after the end of your shift at any time in the last three years?
Have you come to work on weekends or federal holidays at any time in the last three years?
Have you taken work home and worked on it outside of the office at any time in the last three years?
Unofficial Comp time
If you earned compensatory time, were you always given the choice for paid overtime?
Thank you very much for taking the time to complete this questionnaire.