OMB control number

Incoming and Outgoing Intergovernmental Personnel Act (IPA) Assignment Agreement

OMB 0960-0792 · SSA.

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 2026-07-31 and is listed under ICR 202308-0960-008.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Form SSA-188 Assignment Agreement Title IV of the Intergovernmental Personnel Act of 1970: Outgoing Assignments	Form and Instruction
Form SSA-187 Assignment Agreement Title IV of the Intergovernmental Personnel Act of 1970: Incoming Assignments	Form and Instruction
Form SSA-188 Assignment Agreement Title IV of the Intergovernmental Personnel Act of 1970: Outgoing Assignments	Form and Instruction
Form SSA-187 Assignment Agreement Title IV of the Intergovernmental Personnel Act of 1970: Incoming Assignments	Form and Instruction
Supporting Statement -0792 (final).docx	Supporting Statement A
Addendum - 0792 (final).docx	Supplementary Document
Non-Federal Employer Signers	Form and Instruction
Non-Federal Employer Signers	Form and Instruction
Non-Federal Employer Signers	Other-Revised PA Statement
Non-Federal Employee Respondent	Form and Instruction
Non-Federal Employee Respondent	Form and Instruction
Non-Federal Employee Respondent	Other-Revised PA Statement

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Action
202607-0960-006	Revision of a currently approved collection	2026-07-31
202308-0960-008	No material or nonsubstantive change to a currently approved collection	2023-08-24	Approved without change
202010-0960-004	Revision of a currently approved collection	2021-02-04	Approved with change
201706-0960-003	Revision of a currently approved collection	2017-09-20	Approved without change
201408-0960-004	Revision of a currently approved collection	2014-10-15	Approved without change
201108-0960-009	Existing collection in use without an OMB Control Number	2012-01-13	Approved without change

OMB Details

Non-Federal Employee Respondent

Federal Enterprise Architecture: General Government - Central Personnel

Information collection instruments
Form	Name	Electronic access	Type
Form SSA-187	Assignment Agreement Title IV of the Intergovernmental Personnel Act of 1970: Incoming Assignments	www.ssa.gov	Form and instruction
Form SSA-188	Assignment Agreement Title IV of the Intergovernmental Personnel Act of 1970: Outgoing Assignments	www.ssa.gov	Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.