UNITED STATES GOVERNMENT INTERAGENCY AGREEMENT (IAA)Government Interagency Agreement • September 16th, 2016
PRIMARY ORGANIZATION /OFFICE INFORMATION 24. Requesting Agency Servicing Agency Primary Organization / Office Name Responsible Organization / Office Address ORDER REQUIREMENTS INFORMATION 25. Order Action (Check One)New Modification (Mod) - List affected Order blocks being changed and explain the changes being made.For Example: for a performance period mod, state the new performance period for this Order in Block 27. Fill out the Funding Modification Summary by Line (Block 26) if the mod involves adding, deleting, or changing Funding for an Order Line. Cancellation - Provide a brief explanation for Order cancellation and fill in the Performance Period End Date for the effective cancellation date. 26. Funding Modification Summary by Line Line # Line # Line # Total of All Other Lines (attach funding details) Total Original Line Funding $0.00 Cumulative Funding Changes From Prior Mods [addition (+) or reduction (-)] $0.00 Funding Change for This Mod $0.00
UNITED STATES GOVERNMENT INTERAGENCY AGREEMENT (IAA)Government Interagency Agreement • October 24th, 2016
DEPARTMENT AND/OR AGENCY 1. Requesting Agency of Products / Services Servicing Agency Providing Products / Sevices Name Office of Personnel Management (OPM)National Background Investigations Bureau (NBIB) Address 1900 E Street NW, Room 6H31 Washington, DC 20415 2. Servicing Agency Tracking Number (Optional) : 150017PRA 3. Assisted Acquisition Agreement Yes No 4. GT&C Action (Check action being taken)New Amendment - Complete only the GT&C blocks being changed and explain the changes being made. Cancellation - Provide a brief explanation for the IAA cancellation and complete the effective End Date. 5. Agreement Period Start Date 02/01/2017 End Date 09/30/2017 of IAA or effective cancellation dateMM-DD-YYYY MM-DD-YYYY 6. Recurring Agreement (Check One) A Recurring Agreement will continue, unless a notice to discontinue is received Yes If Yes, this is an: Annual RenewalOther Renewal State the other renewal period: No 7. Agreement Type (Check One) Single Order IAA Multiple Order IAA 8
UNITED STATES GOVERNMENT INTERAGENCY AGREEMENT (IAA)Government Interagency Agreement • September 16th, 2016
DEPARTMENT AND/OR AGENCY 1. Requesting Agency of Products / Services Servicing Agency Providing Products / Services Name Address 2. Servicing Agency Tracking Number (Optional) : 3. Assisted Acquisition Agreement Yes No 4. GT&C Action (Check action being taken)New Amendment - Complete only the GT&C blocks being changed and explain the changes being made. Cancellation - Provide a brief explanation for the IAA cancellation and complete the effective End Date. 5. Agreement Period Start Date End Date of IAA or effective cancellation dateMM-DD-YYYY MM-DD-YYYY 6. Recurring Agreement (Check One) A Recurring Agreement will continue, unless a notice to discontinue is received Yes If Yes, this is an: Annual RenewalOther Renewal State the other renewal period: No 7. Agreement Type (Check One) Single Order IAA Multiple Order IAA 8. Are Advance Payments Allowed for this IAA (Check One) Yes NoIf Yes is checked, enter Requesting Agency’s Statutory Authority Title and Citation Note: Specific ad
UNITED STATES GOVERNMENT INTERAGENCY AGREEMENTGovernment Interagency Agreement • June 27th, 2018
Agreement Between Federal Program Agencies for Intragovernmental Reimbursable, Buy/Sell Activity - In Accordance with TFM Volume 1, Part 2, Chapter 4700, Appendix 10, Section 9. G-Invoicing Required Fields have an ( * ) https://www.fiscal.treasury.gov/fsservices/gov/acctg/g_invoice/g_invoice_home.htm NEW OR MODIFIED GT&C Header *General Terms and Conditions (GT&C) Number The unique agreement number that must be established between the Requesting and Servicing Agency which will track each GT&C from the origination through the completion or termination. This is a 20 character value within the G-Invoicing application. Example: AYYMM-(Req. AID)-(Serv AID)-6 digit sequential # *Modification Number The unique number that identifies a modification to the GT&C. The modification number is added to the end of the GT&C number after the decimal. This incrementally increases after each modification.Note: For a new GT&C, the modification number will be 0. Modification to the GT&C requires approvals
UNITED STATES GOVERNMENT INTERAGENCY AGREEMENT (IAA)Government Interagency Agreement • September 16th, 2016
DEPARTMENT AND/OR AGENCY 1. Requesting Agency of Products / Services Servicing Agency Providing Products / Sevices Name Office of Personnel Management (OPM)National Background Investigations Bureau (NBIB) Address 1900 E Street NW, Room 6H31 Washington, DC 20415 2. Servicing Agency Tracking Number (Optional) : 150017PRA 3. Assisted Acquisition Agreement Yes No 4. GT&C Action (Check action being taken)New Amendment - Complete only the GT&C blocks being changed and explain the changes being made. Cancellation - Provide a brief explanation for the IAA cancellation and complete the effective End Date. 5. Agreement Period Start Date 02/01/2017 End Date 09/30/2017 of IAA or effective cancellation dateMM-DD-YYYY MM-DD-YYYY 6. Recurring Agreement (Check One) A Recurring Agreement will continue, unless a notice to discontinue is received Yes If Yes, this is an: Annual RenewalOther Renewal State the other renewal period: No 7. Agreement Type (Check One) Single Order IAA Multiple Order IAA 8
UNITED STATES GOVERNMENT INTERAGENCY AGREEMENT (IAA)Government Interagency Agreement • September 16th, 2016
PRIMARY ORGANIZATION /OFFICE INFORMATION 24. Requesting Agency Servicing Agency Primary Organization / Office Name Office of Personnel Management National Background Investigations Responsible Organization / Office Address 1900 E Street NW, Room 6H31 Washington, DC 20415 ORDER REQUIREMENTS INFORMATION 25. Order Action (Check One)New Modification (Mod) - List affected Order blocks being changed and explain the changes being made.For Example: for a performance period mod, state the new performance period for this Order in Block 27. Fill out the Funding Modification Summary by Line (Block 26) if the mod involves adding, deleting, or changing Funding for an Order Line. Cancellation - Provide a brief explanation for Order cancellation and fill in the Performance Period End Date for the effective cancellation date. 26. Funding Modification Summary by Line Line # Line # Line # Total of All Other Lines (attach funding details) Total Original Line Funding $0.00 Cumulative Funding Ch
UNITED STATES GOVERNMENT INTERAGENCY AGREEMENT (IAA)Government Interagency Agreement • September 16th, 2016
PRIMARY ORGANIZATION /OFFICE INFORMATION 24. Requesting Agency Servicing Agency Primary Organization / Office Name Responsible Organization / Office Address ORDER REQUIREMENTS INFORMATION 25. Order Action (Check One)New Modification (Mod) - List affected Order blocks being changed and explain the changes being made.For Example: for a performance period mod, state the new performance period for this Order in Block 27. Fill out the Funding Modification Summary by Line (Block 26) if the mod involves adding, deleting, or changing Funding for an Order Line. Cancellation - Provide a brief explanation for Order cancellation and fill in the Performance Period End Date for the effective cancellation date. 26. Funding Modification Summary by Line Line # Line # Line # Total of All Other Lines (attach funding details) Total Original Line Funding $0.00 Cumulative Funding Changes From Prior Mods [addition (+) or reduction (-)] $0.00 Funding Change for This Mod $0.00
