Opm Form 1652 - Request For Ses Noncareer Or Limited Appointment Authority Page 2
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2Instructions for Completing OPM Form 1652
Request for SES Noncareer or Limited Appointment Authority
This form has been prepared for you in a fillable Adobe Acrobat PDF format.
Please fill in the requested information as follows:
Part A - Agency SES Contacts/HR Office
Boxes 1, 2, and 4 - Self-explanatory.
Box 3 - Please leave blank - for OPM use only.
Box 5 - Fill in the appropriate name of your Agency Officer in OPM's Office of Executive Resources
Management.
Box 6 - Use your cursor and click on the appropriate Box for the type of request you are making. Provide
additional information, e.g. justification, project description, et al, on a separate sheet of a paper. If there is a
change in position title, type in the current title in this space, and the new title in item 10a.
Box 7 - Self-explanatory.
Box 8 - Enter the case number assigned automatically when you successfully entered the data for this
appointment in the Executive Information System (EIS). Please note: this request will not be processed
without an EIS case number.
Box 9 - Enter the position number of the position in Box 10a.
Box 10a - Enter the position title. This title must match what is in EIS.
Box 10b - Enter the organization or component, i.e., Forest Service.
Box 10c - Enter the office name, i.e., Chief Financial Officer (CFO).
Box 11 - If the candidate is not a current Federal employee, please enter the current title and employer. If a
Federal employee, identify the agency, appointment type and level.
Box 12 - Enter the Department/Agency head or appointing authority for SES positions who has certified that
the proposed appointee meets executive, professional/technical, and managerial qualifications of the position
to be filled.
Box 13 - Signature of the Agency, Department head or a Designee. If this is different from Box 12, please
enter the name, title and office.
Box 14 - Self-explanatory.
Part B - Agency White House Liaison – to be used only when requesting noncareer SES authority or
when the candidate must be endorsed by the White House.
Boxes 1 and 2 - Self-explanatory. The White House Liaison provides the White House Office of Presidential
Personnel a copy of this request, along with other appropriate documentation on the candidate for the
position.
Boxes 3 and 4 - Once the White House Liaison has received confirmation that the White House has
endorsed the candidate for the position being filled, the White House Liaison signs and dates Box 3 & 4, and
provides the form to the agency HR SES contact. The SES contact faxes the form to OPM, Office of
Executive Resources Management (OERM), 202 606-2126.
Please note: Once Part B is completed, the form is printed and forwarded to the Agency White House
Liaison. It helps to have your printer set to "Shrink to fit", "Fit to page" or “Print as Image” with Adobe
Acrobat files, otherwise the text may print to the edge of the page, you may not get all of the image to print
correctly, or all of the words will run together.
Part C - Office of Executive Resources Management (OPM)
OERM will be responsible for Part C, and will notify the agency SES contact/HR Office of the status of the
request, once a determination has been made, and appropriate signatures are obtained. Agencies are not
authorized to hire any individual to any of these appointments without the written approval and authorization
of the Chief of Staff, OPM.
Please contact your Agency Officer if you experience any problems with the form, or if these instructions need
further clarification. (SES Staffing Center 202 606-2246)
OPM 1652 (Reverse)
Revised February 2002
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