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June 20, 1985

Attachment A
FPMR Temp. Reg. D-71

INSTRUCTIONS

1. Submission of Requests for Space.

a. This form should be submitted in triplicate to the General Services Admin-
istration Regional Office having jurisdiction for the geographical area in
which the space requested (item 4) is located.

b. Agency field components requesting space should submit this form only
if the field component has been delegated authority to do so and to obligate
funds for reimbursement to GSA for costs of rental, moving, alterations, out-
lets, etc. Otherwise, the request must be coordinated with and approval
obtained from the proper agency office having such authority.

c. Approximately 180 days will be required to complete transactions and
have space ready for occupancy if leased space is to be acquired.
2. Official Vehicle Parking.

When parking is required for assigned official vehicles, indicate in item 14
the type and number of vehicles for which space must be provided.
3. Extended Operational Requirements.

If there is a requirement for access to and/or for services in the space
requested during evening hours or over weekends, it should be noted and
fully explained in item 14. An estimate of the number of hours per day and
days per month that access and services will be required should be included.
4. Specific Location.

If a particular location within the community indicated in item 4 is critical
to agency operations, it should be noted and fully explained in item 14.

Item 14, continued:

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U.S. GOVERMENT PRINTING OFFICE 1983 0 421-526 (9144)

STANDARD FORM 81 BACK (REV 8-74)

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June 20, 1985

FPMR Temp. Reg. D-71
Attachment A

INSTRUCTIONS

This report is to provide information as a basis for the design of the Federal building
specified on the face of this form.

Additional copies of the form, or attachments on plain paper with appropriate headings,
should be used if necessary to furnish complete information. If space is not desired in
the proposed building, enter a statement to that effect at the bottom of Part II of this
form.

PART I

A and R: NET SPACE NOW OCCUPIED. Enter complete information for each kind of occu. pancy. Use a separate column for each building. Enter the building name in the space provided, and give the aggregate of each kind of space occupied in the building. The dimensions for computing net space are taken from the inside faces of exterior walls to the faces of corridor walls, and from center to center of cross partitions (or the faces of partitions separating net assignable areas from other areas).

PART II

NET SPACE REQUIREMENTS. The entries here should indicate the net space requirements based on staffing permitted by current appropriations or authorizations. Space allowances for additional staffing based on future programs will be allowed by GSA only if such programs have Bureau of the Budget approval. Space ultimately will be assigned in accordance with GSA Per. 2-11, with due regard to the allowances set forth in section 502.00 of that Chapter. Agencies should he guided accordingly in stating estimated net space require. ments. Exclude estimated space requirements for temporary or emergency expansion.

PROPOSED USE OF ROOMS: List the types of occupants such as "Executives", "Junior Executives", "Secretaries", and "Clerks" in the order of planning arrangement, or in the order of preferred arrangement if no plan has been made. If any of the following types of rooms or facilities are needed, give the additional information required for each:

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A special justification is required, explaining the need in detail, for any unusual re-
quests for space.

Complete and accurate data must be entered in Part II: the size and cost of the contemplated
building will depend upon these data.

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PREPARED BY

TITLE

DATE

This form must accompany SF-81, Request for Space.

CITY AND STATE

PAGE

ORGANIZATIONAL UNIT DESCRIBED ON THIS PAGE

(SEE INSTRUCTIONS, STANDARDS, AND SYMBOLS ON REVERSE.)

STORAGE UNITS

DESKS

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