Office of Ethics
United States Department of Agriculture

FORMS

Some of the following forms are available on this website in Adobe Acrobat's PDF file format. To view and print the files requires the use of Adobe's Acrobat viewing software. This software may be obtained free from Adobe's Web site . Instructions and technical support for using this software is provided by Adobe.

Upon completion of your form, please submit the form to your appropriate mission area ethics advisor View the full listing of Mission Area Ethics Advisors

Employees within the Research, Education and Economics agencies (ARS, ERS, NASS & NIFA) can find their agency ethics contacts here: Agency Ethics Contacts

FINANCIAL DISCLOSURE FORMS

FORM # DESCRIPTION AVAILABLE FORMATS
OGE-278 Senate-confirmed Presidential appointees, all SES employees (and equivalent) and all Schedule C staff are required to file public financial disclosure reports, OGE Form 278s (formerly SF-278s), within 30 days of entering and leaving a position at USDA, as well as annually while serving in a covered position. Annual reports, covering the previous calendar year, are due each year by May 15th, unless you obtain an extension to file. Reports are submitted electronically using the Office of Ethics FDONLINE filing system. If you already have an account please submit your OGE 278 using FDONLINE, via: https://fdonline.ntis.gov/ (If you are new to the system you will need an electronic email invitation to access and setup your account on the FDONLINE system. Please email DAEO.Ethics@oe.usda.gov for account setup/access.

The Stop Trading on Congressional Knowledge (STOCK) Act requires OGE-278 financial disclosure report filers to submit a Periodic Transaction Report (OGE-278-T) to report certain financial transactions. More information on the STOCK Act may be found at http://ethics.usda.gov/rules/stockact.htm. Submit your OGE 278-T using FDONLINE, via: https://fdonline.ntis.gov/
Only Electronic Submissions via the Office of Ethics FDONLINE system will be accepted.

https://fdonline.ntis.gov/
OGE 450 and 450A Career staff below the SES level may be required to file confidential financial disclosure reports (OGE Form 450 or OGE Optional Form 450-A) if they make decisions or recommendations that can have a financial impact on the Department's contractors or the commercial interests USDA services or regulates. New Entrant reports are due within 30 days of entering a covered position. Annual reports cover a calendar year and are due each year by February 15th, unless you obtain an extension to file.

Reports are submitted electronically using the Office of Ethics FDONLINE filing system. If you already have an account please submit your OGE 450 using FDONLINE, via: https://fdonline.ntis.gov/ (If you are new to the system you will need an electronic email invitation to access the FDONLINE system. Please email your ethics service provider for account setup/access.
Only Electronic Submissions via the Office of Ethics FDONLINE system will be accepted.

https://fdonline.ntis.gov

REQUEST FOR DOCUMENTS

FORM # DESCRIPTION AVAILABLE FORMATS
OGE-201 Request for Copy of a Completed Public Disclosure Report


TRAVEL

FORM # DESCRIPTION AVAILABLE FORMATS
AD-1101 Approval and Report of Travel Funds Received from Non-Federal Sources for use by a prospective traveler.
SF-326 Semi-annual Report of Payments Accepted from a Non-Federal Source for use by ethics official charged with documenting travel assistance accepted under 31 U.S.C. 1353.
Sample Letter of Acceptance for Travel Funds Provided by a Non-Federal Source MS Word  


AWARDS & DEGREES

FORM # DESCRIPTION AVAILABLE FORMATS
  Review / Approval of Outside Awards PDF
  Review / Approval of Honorary Degrees PDF


OUTSIDE EMPLOYMENT & ACTIVITIES

FORM # DESCRIPTION AVAILABLE FORMATS
OE-101 Review/Approval of Non-Federal Employment or Activity Form for use with USDA Supplemental Ethics Regulation, 5 CFR Part 8301. Prior to submitting a request for non-Federal employment, view guidance under Rules of the Road, specifically the Standards of Ethical Conduct (5 CFR 2635.401-.403; .501-.503; .701-.705; and .801-809). PDF
OE-101 (Farm) Office of Ethics – Farm, Conservation, & Rural Programs Branch Guidance: Request for Prior Approval of Outside Activity / Employment for use by employees of FSA, NRCS, and RD in connection with requests for outside employment pursuant to the USDA Supplemental Ethics Regulation, 5 CFR Part 8301. PDF
OE-101 (USFS) Office of Ethics – Forest Service Guidance: Request for Prior Approval of Outside Activity / Employment for use by employees of the Forest Service in connection with with requests for outside employment pursuant to the USDA Supplemental Ethics Regulation, 5 CFR Part 8301. PDF
OE-101 (Marketing) Office of Ethics – Marketing, Regulatory, and Nutrition Branch Guidance: Request for Prior Approval of Outside Activity / Employment for use by employees of AMS, APHIS, GIPSA, FNS, FSIS and NAD employees in connection with requests for outside employment pursuant to the USDA Supplemental Ethics Regulation, 5 CFR Part 8301. PDF
OE-101 (REE) Office of Ethics –Research, Education & Economics Guidance: Request for Prior Approval of Outside Activity / Employment for use by employees of ARS, ERS, NASS and NIFA in connection with requests for outside employment pursuant to the USDA Supplemental Ethics Regulation, 5 CFR Part 8301. PDF

Instructions


OUTSIDE ORGANIZATIONS

FORM # DESCRIPTION AVAILABLE FORMATS
  Appointment as Agency Liaison Memorandum PDF
OE-208 Request for Approval to Serve as an Officer, Director, or Trustee of a Nonprofit Professional Organization in an Official Capacity PDF


COMBINED FEDERAL CAMPAIGN

FORM # DESCRIPTION AVAILABLE FORMATS
OE-109 ETHICS AND THE COMBINED FEDERAL CAMPAIGN (CFC) – IMPORTANT NEW CHANGE IN 2017. Due to a change in the OPM regulations regarding the Combined Federal Campaign (CFC), effective January 1, 2017, the solicitation and collection of cash donations in connection with CFC are strictly prohibited.  This means that, for the current and all future campaigns, cash fundraising events, such as bake sales, silent auctions, book sales, chili cook-offs, and other similar events, are no longer permitted in connection with the CFC.  Instead CFC special events must focus only on increasing employee awareness of CFC charities and their missions. For a complete set of the new CFC rules, you can visit the Electronic Code of Federal Regulations (see section 950.502(b) for the new rule concerning solicitation methods).

 

AGENCY-SPECIFIC FORMS FOR EMPLOYEES OF THE RESEARCH, EDUCATION AND ECONOMICS AGENCIES (ARS, ERS, NASS & NIFA):
FORM # FORM TITLE AVAILABLE FORMATS
AD-1101 Acceptance of Travel Funds from a Non-Federal Source Instructions Adobe PDF
OE-101 Request for Approval of Outside Activity Instructions Adobe PDF
SEB-102 Conflict of Interest Certification Adobe PDF
SEB-103 Request for Approval to Accept an Award from a Non-Federal Source Adobe PDF
SEB-104 Acceptance of Free Attendance at Widely-Attended Gatherings Adobe PDF
SEB-106 Request for Approval of Official Duty Activity   Adobe PDF

 

FORM # DESCRIPTION AVAILABLE FORMATS
  Certification of U.S. Government Material as Public Domain Content MS Word  
  Disqualification Memorandum – Outside Activity MS Word  
  Disqualification Memorandum – Stock Holdings MS Word  
  Disqualification Memorandum – Seeking Employment MS Word  
  Federal Liaison Memorandum Template MS Word