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Federal Free Printable Form 13896 (6-2007) for 2019 Federal SES/CDP Application Intake Information

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SES/CDP Application Intake Information
Form 13896 (6-2007)

SES/CDP Application Intake Information Applicant Information 1. Job title in announcement 2. Announcement Number 3. Name Last name First name Middle name 4. Mailing Address (Use Standard State Postal Codes (abbreviations). If outside the United States of America, and you do not have to have a military address, type or print “OV” in the State field, leaving the ZIP code field blank.) Street City 5. Phone numbers (include area code if within the United States of America) Daytime State ZIP Code Country 6. Email address (if available) Evening Education 7. Mark highest level completed Some HS HS/GED Associate Bachelor Master Doctoral General 8. Are you a U.S. Citizen? Yes No 9. Are you eligible for reinstatement in the career SES? If yes, attach copy of Notification of Personnel Action (SF 50) as proof. Yes No 10. Were you ever a Federal civilian employee? If yes, fill in the information below showing the highest civilian grade held. Yes No Series Grade From (mm/yyyy) To (mm/yyyy) Other Qualifications Job related education, publications, memberships in professional/honor societies, leadership activities, public speaking, etc. - give dates, but do not send documents or certificates. Privacy Act Notice This form solicits personal information from individuals applying for Senior Executive Service (SES) positions in the Internal Revenue Service or its SES Candidate Development Program. The authority to collect this information is 5 U.S.C. 301, 3131, 3301 and 3302. We need the information requested on this form to evaluate your qualifications. We may disclose this information to the Office of Personnel Management for review and certification of your Executive Core Qualifications. We may disclose this information to a former employer to confirm SES reinstatement eligibility, tenure of employment, civil service status, or length of service. We may also disclose this information to the Office of Special Counsel or the Equal Employment Opportunity Commission for adjudicating a complaint. You are not required to provide this information, however, failure to furnish the requested information may delay or prevent consideration of the application; providing false information may subject you to penalties. Form 13896 (6-2007) Catalog Number 50261V Department of the Treasury - Internal Revenue Service
Extracted from PDF file 2018-federal-form-13896.pdf, last modified June 2007

More about the Federal Form 13896 Other TY 2018

We last updated the SES/CDP Application Intake Information in February 2019, so this is the latest version of Form 13896, fully updated for tax year 2018. You can download or print current or past-year PDFs of Form 13896 directly from TaxFormFinder. You can print other Federal tax forms here.

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Form Sources:

The Internal Revenue Service usually releases income tax forms for the current tax year between October and January, although changes to some forms can come even later. We last updated Federal Form 13896 from the Internal Revenue Service in February 2019.

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Historical Past-Year Versions of Federal Form 13896

We have a total of six past-year versions of Form 13896 in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:

2018 Form 13896

Form 13896 (6-2007)

2017 Form 13896

Form 13896 (6-2007)

2016 Form 13896

Form 13896 (6-2007)

SES/CDP Application Intake Information 2015 Form 13896

Form 13896 (6-2007)

SES/CDP Application Intake Information 2012 Form 13896

Form 13896 (6-2007)

SES/CDP Application Intake Information 2011 Form 13896

Form 13896 (6-2007)

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