Non-Federal Employer Signers

Incoming and Outgoing Intergovernmental Personnel Act (IPA) Assignment Agreement

OMB: 0960-0792

IC ID: 199024

Documents and Forms

Document Name Document Type
Form SSA-187 Non-Federal Employer Signers Form and Instruction
SSA-187 Assignment Agreement Title IV of the Intergovernmental Personnel Act of 1970: Incoming Assignments SSA-187 Revised.PDF www.ssa.gov Form and Instruction
SSA-188 Assignment Agreement Title IV of the Intergovernmental Personnel Act of 1970: Outgoing Assignments SSA-188 Revised.PDF www.ssa.gov Form and Instruction
Revised PA & PRA Statements.pdf Other-Revised PA & PRA Statements
SSA-187 - Current.pdf SSA-187 Current IC Document
SSA-188 - Current.pdf SSA-188 Current IC Document