NIST Administrative Manual, Subchapter 10.06
Transmittal Date - 2/23/98


APPENDIX A
 
 

CHECKLIST FOR OPTIONAL FORM 69 (OF-69), ASSIGNMENT AGREEMENT - TITLE IV
OF THE INTERGOVERNMENTAL PERSONNEL ACT OF 1970 (5 U.S.C. 3371-3376)

Part 1: Nature of Assignment Agreement - self-explanatory
 
 

Part 2: Information on Participating Employee

2 through 5B - Self-explanatory
 
 

Part 3: Parties to the Assignment Agreement

 6. NIST and organizational unit
7. Identify approved organization (e.g., state, local government, or university, etc.)
8. Self-explanatory
 
 

Part 4: Position Data

 9. Current employment office address of participating employee
10. Employee's current position title.
11, 12, 13, & 14 - self-explanatory
15. Complete address including organizational unit
16. Appropriate classification title, e.g., Physicist, Mathematician, Research Chemist
17. Telephone number where the employee can be reached during the assignment
18. Self-explanatory
 
 

Part 5: Type of Assignment

 19 & 20 - Self-explanatory
 
 

Part 6: Reason for Mobility Assignment
 
 

21. Explain the rationale for the assignment and adequately describe the mutual benefits to be received by both parties to the Assignment Agreement. Indicate how the employee will be utilized at the completion of the assignment (e.g., returning to teaching position at the university, NIST employee will return to former position, etc.).
 
 

Part 7: Position Description
 
 

22. Describe the major duties and responsibilities to be performed during the assignment.

Part 8: Employee Benefits
 
 

23. Employee's basic rate of pay on a monthly or annual basis.
24. Outline any special conditions which could increase the assigned employee's pay during the period of assignment. For a federal employee, include comparability increases, performance increases, etc. For a nonfederal employee, list any anticipated raises or bonuses, etc.
25. Annual and sick leave benefits for which the assigned employee is eligible and specify who is responsible for approving and reporting leave usage.
 
 

Part 9: Fiscal Obligations
 
 

26. Cost sharing ratio, breakdown of costs, i.e., salary, benefits, cost center(s), fiscal year, etc.
27. Obligations of the participating organization. If one organization is to reimburse the other, show billing instructions (frequency of billing, billing address, and the Assignment Agreement Number).
 
 

NIST Billing Address:

National Institute of Standards and Technology
Contracts/Miscellaneous Payments, Room A825
Administration Building
Gaithersburg, MD 20899
 
 

Part 10: Conflicts of Interest and Employee Conduct
 
 

28 & 29 - The organizational unit is responsible for ensuring that an employee on assignment to NIST is provided with this information.

Part 11: Options
 
 

30. Complete as appropriate. An assignee detailed to NIST is not eligible for federal benefits.
31. Attach a signed statement from the assignee's organization identifying the benefits to be retained by the employee.
32. List any additional benefits not previously stated.
 
 

Part 12: Travel and Transportation Expenses and Allowances
 
 

33. Specify travel expenses to be covered. Attach a cost comparison identifying the travel costs to be paid, i.e., identify per diem costs vs. movement of household goods.

Part 13: Applicability of Rules & Regulations
 
 

34. Boxes A through D must be checked. Box E should be completed if a NIST employee is being sent on an Assignment Agreement.
 
 

Part 14: Certification of Assigned Employee
 
 

35. Organizational location of the assignment
36, 37, & 38 - Self-explanatory

Part 15: Certification of Approving Officials
 
 

39. Self-explanatory
40. The appropriate OU Approving Official
41, 42, & 43 - Self-explanatory
44. Name and title of appropriate OU Approving Official
 
 

Note: A signature line must be added below Block 44 for the Office of the Comptroller.
 
 


NIST Home PageSearch
National Institute of Standards and Technology,
Office of the Director - Management and Organization Division
Questions concerning context, contact darla.yonder@nist.gov
Problems/Suggestions, contact gwenda.roberson@nist.gov
5/2008