Form Cd 516 Lf – Fill Out and Use This PDF

The CD-516 LF form, used by the U.S. Department of Commerce, plays a crucial role in categorizing and managing various performance-related processes such as performance plans, appraisals, recognition, progress reviews, and ensuring position descriptions are both accurate and reflective of the duties involved. Central to facilitating structured and systematic performance management within the General Workforce and those covered by the Senior Executive Service Demonstration Project, it encompasses essential elements that align employee goals with organizational objectives. To understand more about filling out this form and how it functions within the framework of performance management, click the button below.

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Form Cd 516 Lf PDF Details

The Form CD-516 LF, a crucial document utilized by the United States Department of Commerce, serves an integral role in the robust framework of performance management within the organization. This multipurpose form embodies a structured approach to managing employee performance, facilitating not just the evaluation of an individual's contributions over a specified rating period but also laying the groundwork for future development through detailed performance plans. Essential components such as Performance Plan, Performance Appraisal, Performance Recognition, and Progress Review are comprehensively covered, ensuring a well-rounded assessment of the employee's role and contributions. Furthermore, the form delves into the classification and certification of the position itself, underscored by the approval and acknowledgment signatures from supervisors and the employee, which seals the commitment to the accuracy and objectives laid out. Unique to this process is the inclusion of both performance indicators and an acknowledgment of privacy considerations, illustrating the depth of thought put into the employee's growth, data integrity, and the overarching organizational standards. The structured nature of the form, along with mandatory certifications and a meticulous approach to performance evaluation, underscores the government’s dedication to maintaining high standards of accountability and efficiency within its workforce.

Question	Answer
Form Name	Form Cd 516 Lf
Form Length	5 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	1 min 15 sec
Other names	Performance_Pla n_Cover_Sheet_C D 516 noaa workforce management form

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FORM CD-516 LF			US DEPARTMENT OF COMMERCE				NEW
(6-93)			CLASSIFICATION AND
(6-93)							I/A:
							I/A:

PERFORMANCE MANAGEMENT RECORD						MR#:
PERFORMANCE MANAGEMENT RECORD
						IP#:

฀ Performance Plan		฀ Performance Appraisal ฀ Performance Recognition		฀ Progress Review			฀ Position Description

Employee’s Name: VACANCY

Position Title: FINANCIAL MANAGEMENT ANALYST

Pay Plan, Series, Grade/Step: ZA/0501/ IV

Organization:	1.	NOAA		4.

	2. PPBS			5.

	3.			6.

Rating Period:

Covered by			Senior Executive Service		Demonstration Project

	X		General Workforce		Other:

			PART A - POSITION DESCRIPTION

POSITION CERTIFICATION – I certify that this is an accurate statement of the major duties and responsibilities of the position and its organization relationships and that the position is necessary to carry out Government functions for which I am responsible. This certification is made with the knowledge that this information is to be used for statutory purpose relating to appointment and payment of public funds and that false or misleading statements may constitute violation of such statute or their implementing regulations.

SUPERVISOR’S SIGNATURE			DATE		SECOND LEVEL SUPERVISOR			DATE

Jane Doe					John Smith

CLASSIFICATION	OFFICIAL TITLE:
CERTIFICATION
CERTIFICATION	PP:	SERIES:		FUNC:		GRADE:	I/A:	YES	NO
	PP:	SERIES:		FUNC:		GRADE:	I/A:	YES	NO

I certify that this position has been classified as required by Title 5, US Code, in conformance with standards published by the OPM or, if no published standard applies directly, consistently with the most applicable published standards.

NAME & TITLE OF CLASSIFIER		SIGNATURE	DATE

Jane Doe, Branch Chief

	PART B - PERFORMANCE PLAN

This plan is an accurate statement of the work that will be the basis of the employee’s performance appraisal.

NAME & TITLE OF FIRST LINE SUPERVISOR/RATING OFFICIAL	SIGNATURE	DATE

John Smith, Director

APPROVAL – I agree with the certification of the position description and approve the performance plan.

NAME & TITLE OF APPROVING OFFICIAL OR SES APPOINTING AUTHORITY	SIGNATURE	DATE

John ABC

EMPLOYEE ACKNOWLEDGMENT – My signature acknowledges	SIGNATURE	DATE
discussion of the position description and receipt of the plan, and does not

necessarily signify agreement.

PRIVACY ACT STATEMENT – Disclosure of your social security number on this form is voluntary. The number is linked with your name in the official personnel records system to ensure unique identification of your records. The social security number will be used solely to ensure accurate entry of your performance rating into the automated record system.

MS Word Version, NOAA Performance Management Forms, 6/29/04: CD-516.wpd

PERFORMANCE PLAN, PROGRESS	Employee’s Name:
REVIEW and APPRAISAL RECORD
REVIEW and APPRAISAL RECORD

PART I. PERFORMANCE PLAN

A. CRITICAL ELEMENTS (LIST AT LEAST TWO BUT NO MORE THAN FIVE)		B. RATING
( Expand size of blocks as desired)		(Mark One)

1.		Meets	Does
		or	Not
		Exceeds	Meet


2.		Meets	Does
		or	Not
		Exceeds	Meet


3.		Meets	Does
		or	Not
		Exceeds	Meet


4.		Meets	Does
		or	Not
		Exceeds	Meet


5.		Meets	Does
		or	Not
		Exceeds	Meet


NOAA 2-Level Performance Form, 11/97	See NAO 202-430 for Instructions

PART II. PROGRESS REVIEW COMMENTS

Date(s) of review and initials of employee and rating official must be provided for each review. A summary

of comments is optional unless expectations are not being met.

Employee	Date:	Rating Official	Comments	Yes	No
Initials:		Initials:	Attached:

Employee	Date:	Rating Official	Comments	Yes	No
Initials:		Initials:	Attached:

Employee	Date:	Rating Official	Comments	Yes	No
Initials:		Initials:	Attached:

Employee	Date:	Rating Official	Comments	Yes	No
Initials:		Initials:	Attached:

PART III. SUMMARY LEVEL

NOTE:If any one or more of the Critical Elements in Part I above is marked “Does Not Meet” Expectations,

the below Summary of Expectations must also be marked “Does Not Meet.” Also, a written explanation must be attached.*

Summary

MEETS

EXCEEDS

DOES

NOT

MEET *

Mark one of the following --->

Check under “Yes” column if:

YES

1.Written comments or explanations are attached.*

2.A Quality Step Increase is recommended (narrative justification attached)

PART IV. PERFORMANCE CERTIFICATION

(Employee’s signature certifies review and discussion with the Rating Official.

It does not necessarily mean that the employee concurs with the information on this form.)

Rating Official Signature:	Date:

Reviewing Official Signature:	Date:
(If Applicable)

Employee Signature:	Date:

NOAA 2-Level Performance Form, 11/97

See NAO 202-430 for Instructions

Appendix B

PERFORMANCE INDICATORS

For each Performance Indicator listed below, circle the number of each Critical Element (from Part I) that	Applicable
is applicable, in the right column:		Critical

I. QUALITY
I. QUALITY	Elements
A. Knowledge of Field or Profession:
Maintains and demonstrates technical competence and/or experience in areas of assigned responsibility.	All	1	2	3	4	5

B. Accuracy and Thoroughness of Work:
Plans, organizes, and executes work logically. Anticipates and analyzes problems clearly and determines appropriate	All	1	2	3	4	5
solutions. Work is correct and complete.

C. Soundness of Judgment and Decisions:
Documents assignments carefully. Weighs alternative courses of action, considering long- and short-term implications.	All	1	2	3	4	5
Makes and executes timely decisions.

D. Effectiveness of Written Decisions:
Presentation meets objectives, is persuasive, tactful, and appropriate to audience. Demonstrates attention, courtesy and
respect for other points of view.	All 1 2 3 4					5

E. Timeliness in Meeting Deadlines. : Completes work in accordance with established deadlines	All 1 2 3 4					5

F. Use of Information Technology:	All	1	2	3	4	5
Work effectively uses IT resources and follows applicable IT policies and procedures including both security and
appropriate use policies.

G. Other (Specify):	All	1	2	3	4	5

II. TEAMWORK

A. Participation:	Willingly participates in group activities, performing in a thorough and complete fashion.
	Communicates regularly with team members. Seeks team consensus.		All	1	2	3	4	5

B. Cooperation:	Supports team initiatives. Demonstrates respect for team members. Seeks team consensus.
			All	1	2	3	4	5

C. Leadership:	Provides encouragement, guidance, and direction to team members as needed.	Adjusts
	leadership style to fit situation.		All	1	2	3	4	5

D. Safety:	Maintains a safe work environment, including keeping the work area free of known hazards.		All	1	2	3	4	5
	Complies with all occupational safety rules and regulations and encourages safe behavior in
	fellow workers.

D. Other (Specify):			All	1	2	3	4	5

III. CUSTOMER SERVICE

A. Quality of Service:	Delivers high quality products and services to both external and internal customers Initiates
	and responds to suggestions for improving service.		All	1	2	3	4	5

B. Timeliness of Service:
	Delivers quality products and services in accordance with time schedules agreed upon with		All	1	2	3	4	5
	customer.

C. Courtesy:	Treats external and internal customers with courtesy and respect. Customer satisfaction is
	high priority.		All	1	2	3	4	5

D. Other (Specify):			All	1	2	3	4	5

NOAA 2-Level Performance Form, 02/03		See NAO 202-430 for Instructions

Attachment

(Due December 1 of each year)

TO: Director for Human Resources Management

FROM:	Assistant Administrator
	Program Director
	Staff Office Director
SUBJECT:	Annual Certification of Compliance with
	Performance Management Responsibilities

I certify that all employees within the Line/Staff/Program Office have received performance appraisals for the rating cycle ending September 30.

Not Rated. The following employees were not rated:

Organization Code Employee Names Reason for No Appraisal

Extensions. The following employees did not complete the minimum 120 days work under a performance plan to be rated as of September 30th. They will complete 120 days under their current performance standards and will be rated on the date shown:

Organization Code Employee Names Scheduled Date of 120 Day Rating

Unratables. The following employees cannot be rated for the reason shown (such as: time in a non-pay status; long-term training; service on a Federally sponsored program [such as an Intergovernmental Personnel Act or President’s Executive Exchange assignment] for which appraisal information is not available; service on detail to another Federal agency for which performance appraisal information is not available; or approved absence):

Organization Code Employee Names

Reason for No Rating

New Plan Certification. I also certify that all employees within the Line/Staff/Program Office who are in covered positions and are not exceptions as noted above, have received performance plans for the new appraisal cycle. This includes employees on time-limited appointments which are projected to extend beyond the first 119 days of the rating cycle.

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Write down the essential data in the area POSITION CERTIFICATION I certify, SUPERVISORS SIGNATURE, DATE, SECOND LEVEL SUPERVISOR, DATE, Jane Doe, CLASSIFICATION CERTIFICATION, OFFICIAL TITLE, John Smith, SERIES, FUNC, GRADE, YES, I certify that this position has, and NAME TITLE OF CLASSIFIER.

Form Cd 516 Lf POSITION CERTIFICATION I certify, SUPERVISORS SIGNATURE, DATE, SECOND LEVEL SUPERVISOR, DATE, Jane Doe, CLASSIFICATION CERTIFICATION, OFFICIAL TITLE, John Smith, SERIES, FUNC, GRADE, YES, I certify that this position has, and NAME TITLE OF CLASSIFIER fields to fill

It is crucial to put down certain particulars within the area John ABC, EMPLOYEE ACKNOWLEDGMENT My, SIGNATURE, DATE, and PRIVACY ACT STATEMENT Disclosure.

The field PERFORMANCE PLAN PROGRESS REVIEW, Employees Name, PART I PERFORMANCE PLAN, A CRITICAL ELEMENTS LIST at least, Expand size of blocks as desired, B RATING Mark One, Meets or Exceeds, Meets or Exceeds, Meets or Exceeds, Does Not Meet, Does Not Meet, and Does Not Meet is going to be where to place all sides' rights and obligations.

Form Cd 516 Lf PERFORMANCE PLAN PROGRESS REVIEW, Employees Name, PART I PERFORMANCE PLAN, A CRITICAL ELEMENTS LIST at least, Expand size of blocks as desired, B RATING Mark One, Meets or Exceeds, Meets or Exceeds, Meets or Exceeds, Does Not Meet, Does Not Meet, and Does Not Meet fields to fill out

Check the areas Meets or Exceeds, Meets or Exceeds, Does Not Meet, Does Not Meet, NOAA Level Performance Form, and See NAO for Instructions and then complete them.

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