Form 8569 PDF Details

The Form 8569 serves a crucial role in the shaping of leadership within the Senior Executive Service Candidate Development Program and other executive positions, reflecting the Internal Revenue Service's (IRS) commitment to structured and strategic personnel placement. Designed with a focus on geographic availability, this document not only captures the applicant's willingness to serve in various locations but also stands as a testament to the importance of flexibility and adaptability in leadership roles within the IRS. The voluntary nature of providing information, underscored by a gentle reminder of its potential impact on an applicant's consideration, highlights the balance between individual choice and organizational needs. The form, adhering to the Paperwork Reduction Act, carries an OMB control number, ensuring its legitimacy and the respondent's obligation to retain related records as per Internal Revenue law. The specificity regarding geographic availability—from the broad acknowledgment of headquarters operations in Washington, DC, and/or Atlanta, to a detailed list of potential IRS office locations—provides a clear framework for applicants to express their availability and preferences. This, coupled with a straightforward process for altering one's area of availability through the Executives Resources Board, exemplifies the IRS's approach to efficient and responsive executive staffing. Furthermore, the invitation for feedback on the form's simplicity and the estimated time for completion signifies a continuous effort towards improvement, keeping open channels for dialogue between the IRS and its potential executive cadre. Importantly, while the form fosters transparency in the application process, it simultaneously respects confidentiality in accordance with the Internal Revenue Code Section 6103. This careful balance between transparent administrative processes and the safeguarding of individual information defines the Form 8569’s fundamental role in the executive selection process within the Department of the Treasury-Internal Revenue Service.

QuestionAnswer
Form NameForm 8569
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesform availability statement printable, form availability statement sample, form 8569, need irs form 8569

Form Preview Example

Geographic Availability Statement

OMB No. 1545-0973

Paperwork Reduction Act Notice: This form is used in considering applicants for the Senior Executive Service Candidate Development Program and other executive positions. Your response is voluntary; however, your failure to provide this information could effect your consideration for this program. This signed statement will remain the minimum area of availability and will be used for future job placement consideration. Employees must secure the approval of the Executives Resources Board for any change in their area of availability. Based upon your experience and prior assignments, you will be considered for any Board covered position located in the area of your geographic availability. The cities listed below are not all inclusive but are intended to provide you with a general idea of where IRS offices do or may exist.

You are not required to provide the information requested on a form that is subject to the Paperwork Reduction Act unless the form displays a valid OMB control number. Books or records relating to a form or its instructions must be retained as long as their contents may become material in the administration of any Internal Revenue law. Generally, tax returns and return information are confidential, as required by Internal Revenue Code Section 6103.

The time needed to complete the geographic availability statement is twenty minutes. If you have comments concerning the accuracy of this time estimate or suggestions for making this form simpler, we would be happy to hear from you. You can write to Internal Revenue Service, Tax Products Coordinating Committee, SE:W:CAR:MP:T:T:SP, 1111 Constitution Ave. NW, IR-6406, Washington, DC 20224. DO NOT send the completed Geographic Availability Statement to this office.

Availability for Headquarter Operations in Washington, DC and/or Atlanta is required.

I am available for all locations.

I am available for only those locations marked below. (You must mark all locations for which you are available. If you are only available for Washington, DC and/or Atlanta, you must mark which one or both.)

Atlanta GA

Andover MA

Austin TX

Baltimore MD

Boston MA

Brookhaven NY

Brooklyn NY

Chicago IL

Cincinnati OH

Dallas TX

Denver CO

Detroit MI

Fresno CA

Ft. Lauderdale FL

Greensboro NC

Hartford CT

Houston TX

Indianapolis IN

Jacksonville FL

Kansas City MO

Laguna Niguel CA

Los Angeles CA

Manhattan NY

Martinsburg WV

Memphis TN

Nashville TN

Newark NJ

New Orleans LA

Oakland CA

Ogden UT

Philadelphia PA

Phoenix AZ

San Francisco CA

Seattle WA

St. Louis MO

St. Paul MN

Washington DC Metropolitan Area

Remarks

Name (Please type)

Signature

Date signed

Return completed form to

Internal Revenue Service

Attn: Executive Services Division

OS:HC:S Room 3511

1111 Constitution Ave., NW

Washington, DC 20224

Form 8569 (Rev. 4-2006)

Catalog Number 63618S

www.irs.gov

Department of the Treasury-Internal Revenue Service

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2. The subsequent step is to fill in these fields: Detroit MI, Remarks, Name Please type, Signature, Return completed form to, Martinsburg WV, St Paul MN, Washington DC Metropolitan Area, Date signed, Internal Revenue Service, Attn Executive Services Division, OSHCS Room, Constitution Ave NW, Washington DC, and Form Rev Catalog Number S.

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