Ad 435A Form PDF Details

The AD-435A form serves three main purposes: performance planning, progress review, and final appraisal. USDA supervisors use it to define job expectations at the start of a rating period, document mid-year progress, and assign final ratings at year end.

The form separates performance elements into two categories. Critical elements directly determine the summary rating. Non-critical elements are reviewed but do not independently control the final outcome. Each element requires a written standard that describes what a Fully Successful performance looks like.

The completed form spans ten pages and requires signatures from the employee, the supervisor, and the reviewing official. Related USDA forms on FormsPal include the AD-435 form and the USDA Form 3555-21.

QuestionAnswer
Form NameAd 435A Form
Form Length10 pages
Fillable?No
Fillable fields0
Avg. time to fill out2 min 30 sec
Other namesad 435e 10 2018, ad 435a fillable, AD-435A, ad 435b 12 86

Form Preview Example

Page 1 of 10

AD-435A

 

UNITED STATES DEPARTMENT OF AGRICULTURE

 

 

 

(12-86)

PERFORMANCE PLAN, PROGRESS REVIEW AND APPRAISAL WORKSHEET

 

 

 

 

 

 

 

 

 

1.

NAME (Last, First, M.I.)

 

2.

POSITION TITLE

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

AGENCY/DIVISION

 

 

4.

PAY PLAN, SERIES, GRADE

 

 

APPRAISAL PERIOD

 

 

 

 

 

 

5.

START DATE

 

6. END DATE

 

 

 

 

 

 

 

 

 

 

7. PERFORMANCE ELEMENT

No.

 

(Describe below the duty or responsibility for which the employee is accountable

 

and responsible. Indicate if the element is critical or noncritical.)

 

 

 

 

 

CRITICAL

NONCRITICAL

8.STANDARD (Describe the level expected for "Fully Successful" performance. Include appropriate indicators of quality, quantity, cost efficiency, or timeliness, where applicable.)

9.ELEMENT RATING (At the end of the rating period, compare the employee's performance with standard and assign an element rating. Refer to documentation, as necessary.)

Fully

ExceedsDoes Not Meet

Successful

10.ACCOMPLISHMENTS (Must be completed if employee receives a summary rating of Outstanding. Attach additional sheets if more space is required.)

11.CERTIFICATION OF DEVELOPMENT AND RECEIPT OF PLAN (Signatures certify discussion with the employee and receipt of plan which reflects current

position description.)

Employee's Signature

Supervisor's Name (Print)

 

Supervisor's Signature

 

 

Reviewer's Name (Print)

 

Reviewer's Signature

 

 

 

 

 

 

 

 

Date

Date

Date

12.PROGRESS REVIEWS (at least one must be completed)

 

 

Employee's Initials and Date

 

 

Supervisor's Initials and Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Check appropriate*copy designation below.

ORIGINAL-OFFICIAL PERSONNEL FOLDER/EMPLOYEE PERFORMANCE FILE COPY *EMPLOYEE COPY *SUPERVISOR'S COPY *AGENCY USE

Page 2 of 10

AD-435B (Continuation Sheet)

UNITED STATES DEPARTMENT OF AGRICULTURE

 

 

(12-86)

PERFORMANCE PLAN, PROGRESS REVIEW AND APPRAISAL WORKSHEET

 

 

 

 

 

 

 

 

1.

NAME (Last, First, M.I.)

 

2.

POSITION TITLE

 

 

 

 

 

 

 

 

 

 

 

3.

AGENCY/DIVISION

 

 

4.

PAY PLAN, SERIES, GRADE

 

APPRAISAL PERIOD

 

 

 

 

 

 

5. START DATE

 

6. END DATE

 

 

 

 

 

 

 

 

 

7. PERFORMANCE ELEMENT

 

 

 

 

 

 

 

No.

 

(Describe below the duty or responsibility for which the employee is accountable and responsible. Indicate

if the element

 

is critical or noncritical.)

 

CRITICAL

 

 

 

 

 

 

 

 

NONCRITICAL

8.STANDARD (Describe the level expected for "Fully Successful" performance. Include appropriate indicators of quality, quantity, cost efficiency, or timeliness, where applicable.)

9.ELEMENT RATING (At the end of the rating period, compare the employee's performance with standard and assign an element rating. Refer to documentation, as necessary.)

Exceeds

Fully SuccessfulDoes Not Meet

10.ACCOMPLISHMENTS (Must be completed if employee receives a summary rating of Outstanding. Attach additional sheets if more space required.)

Page 3 of 10

AD-435B (Continuation Sheet)

UNITED STATES DEPARTMENT OF AGRICULTURE

 

 

(12-86)

PERFORMANCE PLAN, PROGRESS REVIEW AND APPRAISAL WORKSHEET

 

 

 

 

 

 

 

 

1.

NAME (Last, First, M.I.)

 

2.

POSITION TITLE

 

 

 

 

 

 

 

 

 

 

 

3.

AGENCY/DIVISION

 

 

4.

PAY PLAN, SERIES, GRADE

 

APPRAISAL PERIOD

 

 

 

 

 

 

5. START DATE

 

6. END DATE

 

 

 

 

 

 

 

 

 

7. PERFORMANCE ELEMENT

 

 

 

 

 

 

 

No.

 

(Describe below the duty or responsibility for which the employee is accountable and responsible. Indicate

if the element

 

is critical or noncritical.)

 

CRITICAL

 

 

 

 

 

 

 

 

NONCRITICAL

8.STANDARD (Describe the level expected for "Fully Successful" performance. Include appropriate indicators of quality, quantity, cost efficiency, or timeliness, where applicable.)

9.ELEMENT RATING (At the end of the rating period, compare the employee's performance with standard and assign an element rating. Refer to documentation, as necessary.)

Exceeds

Fully SuccessfulDoes Not Meet

10.ACCOMPLISHMENTS (Must be completed if employee receives a summary rating of Outstanding. Attach additional sheets if more space required.)

Page 4 of 10

AD-435B (Continuation Sheet)

UNITED STATES DEPARTMENT OF AGRICULTURE

 

 

(12-86)

PERFORMANCE PLAN, PROGRESS REVIEW AND APPRAISAL WORKSHEET

 

 

 

 

 

 

 

 

1.

NAME (Last, First, M.I.)

 

2.

POSITION TITLE

 

 

 

 

 

 

 

 

 

 

 

3.

AGENCY/DIVISION

 

 

4.

PAY PLAN, SERIES, GRADE

 

APPRAISAL PERIOD

 

 

 

 

 

 

5. START DATE

 

6. END DATE

 

 

 

 

 

 

 

 

 

7. PERFORMANCE ELEMENT

 

 

 

 

 

 

 

No.

 

(Describe below the duty or responsibility for which the employee is accountable and responsible. Indicate

if the element

 

is critical or noncritical.)

 

CRITICAL

 

 

 

 

 

 

 

 

NONCRITICAL

8.STANDARD (Describe the level expected for "Fully Successful" performance. Include appropriate indicators of quality, quantity, cost efficiency, or timeliness, where applicable.)

9.ELEMENT RATING (At the end of the rating period, compare the employee's performance with standard and assign an element rating. Refer to documentation, as necessary.)

Exceeds

Fully SuccessfulDoes Not Meet

10.ACCOMPLISHMENTS (Must be completed if employee receives a summary rating of Outstanding. Attach additional sheets if more space required.)

Page 5 of 10

AD-435B (Continuation Sheet)

UNITED STATES DEPARTMENT OF AGRICULTURE

 

 

(12-86)

PERFORMANCE PLAN, PROGRESS REVIEW AND APPRAISAL WORKSHEET

 

 

 

 

 

 

 

 

1.

NAME (Last, First, M.I.)

 

2.

POSITION TITLE

 

 

 

 

 

 

 

 

 

 

 

3.

AGENCY/DIVISION

 

 

4.

PAY PLAN, SERIES, GRADE

 

APPRAISAL PERIOD

 

 

 

 

 

 

5. START DATE

 

6. END DATE

 

 

 

 

 

 

 

 

 

7. PERFORMANCE ELEMENT

 

 

 

 

 

 

 

No.

 

(Describe below the duty or responsibility for which the employee is accountable and responsible. Indicate

if the element

 

is critical or noncritical.)

 

CRITICAL

 

 

 

 

 

 

 

 

NONCRITICAL

8.STANDARD (Describe the level expected for "Fully Successful" performance. Include appropriate indicators of quality, quantity, cost efficiency, or timeliness, where applicable.)

9.ELEMENT RATING (At the end of the rating period, compare the employee's performance with standard and assign an element rating. Refer to documentation, as necessary.)

Exceeds

Fully SuccessfulDoes Not Meet

10.ACCOMPLISHMENTS (Must be completed if employee receives a summary rating of Outstanding. Attach additional sheets if more space required.)

Page 6 of 10

AD-435B (Continuation Sheet)

UNITED STATES DEPARTMENT OF AGRICULTURE

 

 

(12-86)

PERFORMANCE PLAN, PROGRESS REVIEW AND APPRAISAL WORKSHEET

 

 

 

 

 

 

 

 

1.

NAME (Last, First, M.I.)

 

2.

POSITION TITLE

 

 

 

 

 

 

 

 

 

 

 

3.

AGENCY/DIVISION

 

 

4.

PAY PLAN, SERIES, GRADE

 

APPRAISAL PERIOD

 

 

 

 

 

 

5. START DATE

 

6. END DATE

 

 

 

 

 

 

 

 

 

7. PERFORMANCE ELEMENT

 

 

 

 

 

 

 

No.

 

(Describe below the duty or responsibility for which the employee is accountable and responsible. Indicate

if the element

 

is critical or noncritical.)

 

CRITICAL

 

 

 

 

 

 

 

 

NONCRITICAL

8.STANDARD (Describe the level expected for "Fully Successful" performance. Include appropriate indicators of quality, quantity, cost efficiency, or timeliness, where applicable.)

9.ELEMENT RATING (At the end of the rating period, compare the employee's performance with standard and assign an element rating. Refer to documentation, as necessary.)

Exceeds

Fully SuccessfulDoes Not Meet

10.ACCOMPLISHMENTS (Must be completed if employee receives a summary rating of Outstanding. Attach additional sheets if more space required.)

Page 7 of 10

AD-435B (Continuation Sheet)

UNITED STATES DEPARTMENT OF AGRICULTURE

 

 

(12-86)

PERFORMANCE PLAN, PROGRESS REVIEW AND APPRAISAL WORKSHEET

 

 

 

 

 

 

 

 

1.

NAME (Last, First, M.I.)

 

2.

POSITION TITLE

 

 

 

 

 

 

 

 

 

 

 

3.

AGENCY/DIVISION

 

 

4.

PAY PLAN, SERIES, GRADE

 

APPRAISAL PERIOD

 

 

 

 

 

 

5. START DATE

 

6. END DATE

 

 

 

 

 

 

 

 

 

7. PERFORMANCE ELEMENT

 

 

 

 

 

 

 

No.

 

(Describe below the duty or responsibility for which the employee is accountable and responsible. Indicate

if the element

 

is critical or noncritical.)

 

CRITICAL

 

 

 

 

 

 

 

 

NONCRITICAL

8.STANDARD (Describe the level expected for "Fully Successful" performance. Include appropriate indicators of quality, quantity, cost efficiency, or timeliness, where applicable.)

9.ELEMENT RATING (At the end of the rating period, compare the employee's performance with standard and assign an element rating. Refer to documentation, as necessary.)

Exceeds

Fully SuccessfulDoes Not Meet

10.ACCOMPLISHMENTS (Must be completed if employee receives a summary rating of Outstanding. Attach additional sheets if more space required.)

Page 8 of 10

AD-435B (Continuation Sheet)

UNITED STATES DEPARTMENT OF AGRICULTURE

 

 

(12-86)

PERFORMANCE PLAN, PROGRESS REVIEW AND APPRAISAL WORKSHEET

 

 

 

 

 

 

 

 

1.

NAME (Last, First, M.I.)

 

2.

POSITION TITLE

 

 

 

 

 

 

 

 

 

 

 

3.

AGENCY/DIVISION

 

 

4.

PAY PLAN, SERIES, GRADE

 

APPRAISAL PERIOD

 

 

 

 

 

 

5. START DATE

 

6. END DATE

 

 

 

 

 

 

 

 

 

7. PERFORMANCE ELEMENT

 

 

 

 

 

 

 

No.

 

(Describe below the duty or responsibility for which the employee is accountable and responsible. Indicate

if the element

 

is critical or noncritical.)

 

CRITICAL

 

 

 

 

 

 

 

 

NONCRITICAL

8.STANDARD (Describe the level expected for "Fully Successful" performance. Include appropriate indicators of quality, quantity, cost efficiency, or timeliness, where applicable.)

9.ELEMENT RATING (At the end of the rating period, compare the employee's performance with standard and assign an element rating. Refer to documentation, as necessary.)

Exceeds

Fully SuccessfulDoes Not Meet

10.ACCOMPLISHMENTS (Must be completed if employee receives a summary rating of Outstanding. Attach additional sheets if more space required.)

Page 9 of 10

AD-435B (Continuation Sheet)

UNITED STATES DEPARTMENT OF AGRICULTURE

 

 

(12-86)

PERFORMANCE PLAN, PROGRESS REVIEW AND APPRAISAL WORKSHEET

 

 

 

 

 

 

 

 

1.

NAME (Last, First, M.I.)

 

2.

POSITION TITLE

 

 

 

 

 

 

 

 

 

 

 

3.

AGENCY/DIVISION

 

 

4.

PAY PLAN, SERIES, GRADE

 

APPRAISAL PERIOD

 

 

 

 

 

 

5. START DATE

 

6. END DATE

 

 

 

 

 

 

 

 

 

7. PERFORMANCE ELEMENT

 

 

 

 

 

 

 

No.

 

(Describe below the duty or responsibility for which the employee is accountable and responsible. Indicate

if the element

 

is critical or noncritical.)

 

CRITICAL

 

 

 

 

 

 

 

 

NONCRITICAL

8.STANDARD (Describe the level expected for "Fully Successful" performance. Include appropriate indicators of quality, quantity, cost efficiency, or timeliness, where applicable.)

9.ELEMENT RATING (At the end of the rating period, compare the employee's performance with standard and assign an element rating. Refer to documentation, as necessary.)

Exceeds

Fully SuccessfulDoes Not Meet

10.ACCOMPLISHMENTS (Must be completed if employee receives a summary rating of Outstanding. Attach additional sheets if more space required.)

Page 10 of 10

AD-435B (Continuation Sheet)

UNITED STATES DEPARTMENT OF AGRICULTURE

 

 

(12-86)

PERFORMANCE PLAN, PROGRESS REVIEW AND APPRAISAL WORKSHEET

 

 

 

 

 

 

 

 

1.

NAME (Last, First, M.I.)

 

2.

POSITION TITLE

 

 

 

 

 

 

 

 

 

 

 

3.

AGENCY/DIVISION

 

 

4.

PAY PLAN, SERIES, GRADE

 

APPRAISAL PERIOD

 

 

 

 

 

 

5. START DATE

 

6. END DATE

 

 

 

 

 

 

 

 

 

7. PERFORMANCE ELEMENT

 

 

 

 

 

 

 

No.

 

(Describe below the duty or responsibility for which the employee is accountable and responsible. Indicate

if the element

 

is critical or noncritical.)

 

CRITICAL

 

 

 

 

 

 

 

 

NONCRITICAL

8.STANDARD (Describe the level expected for "Fully Successful" performance. Include appropriate indicators of quality, quantity, cost efficiency, or timeliness, where applicable.)

9.ELEMENT RATING (At the end of the rating period, compare the employee's performance with standard and assign an element rating. Refer to documentation, as necessary.)

Exceeds

Fully SuccessfulDoes Not Meet

10.ACCOMPLISHMENTS (Must be completed if employee receives a summary rating of Outstanding. Attach additional sheets if more space required.)

How to Edit Ad 435A Form Online for Free

The AD-435A is a ten-page USDA performance appraisal document. Follow the steps below to complete each section correctly.

  1. Employee and Position Information: Enter the employee name, position title, pay plan, grade, step, and the start and end dates of the rating period.
  2. Critical Elements: List each critical element of the employee role. For each element, write a performance standard that describes what a Fully Successful result looks like. Critical elements must be documented before the rating period begins.
  3. Non-Critical Elements: Add any non-critical elements relevant to the position. These elements are considered during the appraisal but do not independently determine the summary rating.
  4. Progress Review: At the mid-point of the rating period, the supervisor meets with the employee to discuss progress. Document the review date and have both parties sign.
  5. Annual Appraisal: At the end of the rating period, the supervisor assigns a rating for each element. Add narrative comments to support ratings that are above or below Fully Successful.
  6. Summary Rating Calculation: Calculate the overall summary rating based on element ratings. At least one critical element rated Unacceptable results in an Unacceptable overall rating.
  7. Certification and Signatures: The supervisor, reviewing official, and employee all sign and date the completed form.

What is the difference between the AD-435 and AD-435A forms?

The AD-435 form is a shorter version used for some USDA positions. The AD-435A form includes additional sections for non-critical elements and is used for most permanent USDA positions that require a full appraisal worksheet.

Can I fill out the AD-435A form online?

Yes. FormsPal provides a fillable PDF version of the AD-435A form. Use the button at the top of this page to open the form in the online editor. You can also download the blank form and complete it in Adobe Acrobat or a compatible PDF reader.

What other performance forms are related to the AD-435A?

Other forms used in federal and USDA performance management include the 90-day performance review, the employee self-evaluation form, and the ACF performance progress report. Use these forms together with the AD-435A to document the full appraisal cycle.

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