Common Contracts
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Assignment Agreement Title IV of theDecember 6th, 2011
Instructions for Outgoing Assignments This package applies to SSA employees going to work for a non-Federal organization. This agreement constitutes the written record of the obligations and responsibilities of the parties to a temporary assignment arranged under the provisions of the Intergovernmental Personnel Act of 1970. The term "State or local government", when appearing on this form, refers to an institution of higher education, an Indian tribal government, and any other eligible organization. Copies of the completed and signed agreement should be retained by each signatory. Within 30 days of the effective date of the assignment, one copy of this form must be sent to: Executive & Special Services Staff Room 2510 Annex Building6401 Security BoulevardBaltimore, MD 21235 Attn: IPA Procedural questions on completing the assignment agreement form or on other aspects relating to the mobility program may be addressed to: Karen MakinoPhone: 410-965-4473Fax: 410-965-4391Email: karen.ma
