Form 12854, Government Service Information

OMB 1545-1919

Form 12854 is used to identify applicants who have had prior government service in order to request the official personnel folder from federal records and to identify possible pay-setting issues.

The latest form for Form 12854, Government Service Information expires 2021-04-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 12854 Form 12854, Government Service Information Form
1545-1919 Supporting Statement 2021.docx Supporting Statement A
Form 12854, Government Service Information Form

202102-1545-030 Approved without change	Extension without change of a currently approved collection	2021-04-30
201801-1545-017 Approved without change	Extension without change of a currently approved collection	2018-03-27
201411-1545-045 Approved without change	Extension without change of a currently approved collection	2014-12-30
201110-1545-043 Approved without change	Extension without change of a currently approved collection	2011-10-31
200808-1545-004 Approved without change	Extension without change of a currently approved collection	2008-08-29
200506-1545-019 Approved without change	Extension without change of a currently approved collection	2005-06-08
200412-1545-013 Approved without change	New collection (Request for a new OMB Control Number)	2004-12-20