1309.14,18.2,Ex.01
Page 1 of 26
FOREST SERVICE HANDBOOK
MISSOULA, MONTANA
FSH 1309.14 - INFORMATION REQUIREMENTS HANDBOOK
Region 1 Supplement No. 1309.14-92-3
Effective September 8, 1992
POSTING NOTICE: Supplements to this title are numbered consecutively. Post by document name. Remove entire document and
replace with this supplement. Retain this transmittal as the first page of this document. The last supplement to this handbook was
1309.14-92-2, to 1309.14,10.
Superseded
Page Code
New
21--1 Thru 21--23
(Number of Sheets)
12
-
Supplements Covered
13, 3/87
Document Name
(Number of Pages)
1309.14,18.2,Ex.01
Superseded
-
New
26
Digest:
18.2 - Revised R1 Forms Listing, by: identifying forms converted from paper to electronic, adding new forms, removing obsolete
forms, and adding supply source to exhibit.
R1 SUPPLEMENT 1309.14-92-3
EFFECTIVE 9/8/92
David F. Jolly
Regional Forester
1309.14,18.2,Ex.01
Page 2 of 26
R1 SUPPLEMENT 1309.14-92-3
EFFECTIVE 9/8/92
1309.14,18.2,Ex.01
Page 3 of 26
FSH 1309.14 - INFORMATION REQUIREMENTS HANDBOOK
R1 SUPPLEMENT 1309.14-92-3
EFFECTIVE 9/8/92
18.2 - Exhibit 01
FORM NO.
R-1
EDITION
DATE
FORM TITLE AND DESCRIPTION
(Report Number, if any)
SUPPLY SOURCE
UNIT OF
ISSUE
1100-2
10/91
Directives Processing Request
DG
1310-1
9/81
Procedure Chart
MS, Supply
EA
1360-1
11/82
Meeting Evaluation
Reproduce
locally
EA
1360-2
11/82
Meeting/Evaluation Transmittal
Reproduce
locally
EA
1570-1
10/91
Appeal Data Base Source Document
DG
1600-1
1/92
Northern Region Retiree Request
DG
1600-2
1/92
Northern Region News Information
Request
DG
1630-1
11/74
Report of Personnel Changes and
Awards (R1-1600-A)
Reproduce
locally
EA
Camera Point Record
MS, Supply
EA
1640-1
AUTHORITY
REMARKS
FSH 1109.12,
R-1
16" x 36"
FSM 1600
R1 & FPM Supp
831-1; Subchpt
S20, R-1
FSM 1638.3,
R-1
Card stock
1640-2
10/90
Graphics Services Request
Reproduce
locally
CS
1640-3
10/90
Audio-visual Production Request
Reproduce
locally
CS
1830-1
10/83
This Facility Maintained by _____
MS, Supply
EA
FSM 1830
Poster - 10 1/2" x 8"
1830-2
10/83
This Trail Maintained by ______
MS, Supply
EA
FSM 1830
Poster - 10 1/2" x 8"
1830-3
1/85
Campground Host Certificate of
Merit
MS, Supply
EA
FSM 1800
Award
R1 SUPPLEMENT 1309.14-92-3
EFFECTIVE 9/8/92
1309.14,18.2,Ex.01
Page 4 of 26
18.2 - Exhibit 01--Continued
FORM NO.
R-1
EDITION
DATE
FORM TITLE AND DESCRIPTION
(Report Number, if any)
SUPPLY SOURCE
UNIT OF
ISSUE
AUTHORITY
REMARKS
1900-1
3/80
Review Process Environmental Documents for which Regional Forester
is the Responsible Official
Reproduce
locally
CS
1900-2
11/87
Management Code Master File Update
ACP - 729
Reproduce
locally
CS
2060-1
12/87
Recon Data - Form 1
Reproduce
locally
CS
FSH 2090.11,
Chap. 4
Waterproof paper
2060-2
12/87
Fastplot Plant Species Data - Form 2
Reproduce
Locally
CS
FSH 2090.11,
Chap. 4
Waterproof paper
2060-3
12/87
General Plot Data - Form 3
Reproduce
locally
CS
FSH 2090.11,
Chap. 4
Waterproof paper
2060-4
12/87
Ocular Plant Species Data - Form 4
Reproduce
locally
CS
FSH 2090.11,
Chap. 4
Waterproof paper
2060-5
12/87
Cover Microplot Plant Species Data Form 5
Reproduce
locally
CS
FSH 2090.11,
Chap. 4
Waterproof paper
2060-6
12/87
Nested Microplot Plant Species Data Form 6
Reproduce
locally
CS
FSH 2090.11,
Chap. 4
Waterproof paper
2060-7
12/87
Line Intercept Canopy Cover Data form 7
Reproduce
locally
CS
FSH 2090.11,
Chap. 4
Waterproof paper
2060-8
12/87
Density Data - Form 8
Reproduce
locally
CS
FSH 2090.11,
Chap. 4
Waterproof paper
2060-9
12/87
Production Data - Form 9
Reproduce
locally
CS
FSH 2090.11,
Chap. 4
Waterproof paper
2060-A
12/87
Short Nested Microplot Plant Species
Data - Form A
Reproduce
locally
CS
FSH 2090.11,
chap. 4
Waterproof paper
2060-B
12/87
Point Cover Data - Form B
Reproduce
locally
CS
FSH 2090.11,
Chap.4
Waterproof paper
2060-C
12/87
Optional Plant Species Attribute Data Form C
Reproduce
locally
CS
FSH 2090.11,
Chap. 4
Waterproof paper
2060-S
12/87
Fastplot Data - Form 2 and Shortened
General Plot Data - Form 3
Reproduce
locally
CS
FSH 2090.11,
Chap. 4
Waterproof paper
2200-M1
7/74
List of Standard Symbols and Common
Names for Plants of the Northern
MS, Supply
BK
FSH 2209.21,
R-1
R1 SUPPLEMENT 1309.14-92-3
EFFECTIVE 9/8/92
Region
1309.14,18.2,Ex.01
Page 5 of 26
Book
R1 SUPPLEMENT 1309.14-92-3
EFFECTIVE 9/8/92
1309.14,18.2,Ex.01
Page 6 of 26
18.2 - Exhibit 01--Continued
FORM NO.
R-1
EDITION
DATE
FORM TITLE AND DESCRIPTION
(Report Number, if any)
SUPPLY SOURCE
UNIT OF
ISSUE
AUTHORITY
2200-M2
7/74
Range Map Legend (Specify bond or
adhesive-backed acetate)
MS, Supply
EA
FSH 2209.21,
R-1
2200-5
10/76
Record of Transect (Permanent-PacedPhoto Grid)
Reproduce
locally
CS
FSH 2209.21,
R-1
2200-5a
10/76
Photo Grid Transect Record
Reproduce
locally
CS
FSH 2209.21,
R-1
2200-6
10/76
Transect Cluster and Condition
Rating Summary
Reproduce
locally
CS
FSH 2209.21,
R-1
2200-7
7/74
Species and Soil Cover Comparison
Record
Reproduce
locally
CS
FSH 2209.21,
R-1
2200-8
7/74
Summary and Evaluation of Range
Trend
Reproduce
locally
CS
FSH 2209.21,
FSH 2241, R-1
2200-9
4/80
Collection Agreement for Range
Improvement Work
Reproduce
locally
CS
FSM 2241, R-1
2200-14
11/79
Grazing Permit - Part 3 - Modification Cooperative Range Improvement
Reproduce
locally
CS
FSM 2241, R-1
2200-15
10/76
Vegetation and Soil Condition and
Trend Score Sheet
Reproduce
locally
CS
FSH 2209.21,
R-1
2200-16
7/74
35MM aerial Photography Flight Log
MS, Supply
CS
FSH 2209.21,
R-1
2200-17
7/74
35MM Aerial Photography Coverage
Tables
Reproduce
locally
CS
FSH 2209.21,
R-1
2200-18
7/74
Exposure Interval
MS, Supply
CS
FSH 2209.21,
R-1
2200-19
7/74
35MM Aerial Photography Pace
Transect - 4 Template
MS, Supply
EA
FSH 2209.21,
R-1
2200-20
7/74
35MM Aerial Photography Pace
Transect - 6 Template
MS, Supply
EA
FSH 2209.21,
R-1
2200-21
7/74
Record of 35MM Aerial Photo Pace
Transect
Reproduce
locally
CS
FSH 2209.21,
R-1
2200-24
10/76
Range Utilization - Clipped Weights
Reproduce
locally
CS
FSH 2209.21,
R-1
REMARKS
5" x 8"
5" x 8"
R1 SUPPLEMENT 1309.14-92-3
EFFECTIVE 9/8/92
1309.14,18.2,Ex.01
Page 7 of 26
18.2 - Exhibit 01--Continued
FORM NO.
R-1
EDITION
DATE
FORM TITLE AND DESCRIPTION
(Report Number, if any)
SUPPLY SOURCE
UNIT OF
ISSUE
AUTHORITY
2200-25
7/74
Range Utilization - Ocular Estimate
By Weight or Ocular Estimate of
Percent by Plot
Reproduce
locally
CS
FSH 2209.21,
R-1
2200-26
7/74
Range Utilization - Grazed, Plant
or Loop
Reproduce
locally
CS
FSH 2209.21,
R-1
2200-27
10/76
Range Readiness and Plant
Development
Reproduce
locally
CS
FSH 2209.21,
R-1
2200-28
10/74
Record of Grazing Use
locally
Reproduce
CS
R-1
FSH 2209.21,
2200-29
10/74
Worksheet-Acreage Computation
locally
Reproduce
CS
R-1
FSH 2209.21,
2200-30
5/81
Vegetative Condition Classification
by Range Types Summary Sheet
Reproduce
locally
CS
FSH 2209.21,
R-1
2200-31
5/81
Allotment Acreage and Estimated
Grazing and Browsing Capacity Summary
Reproduce
locally
CS
FSH 2209.21.
R-1
2200-31a
5/81
Worksheet-Estimated Grazing and
Browsing Capacity
Reproduce
locally
CS
FSH 2209.21,
R-1
2200-33
10/76
Forage Production and Utilization
Reproduce
locally
CS
FSH 2209.21,
R-1
2200-34
10/76
Production/Utilization-Herbage Meter
Reproduce
locally
CS
FSH 2209.21,
R-1
2220-1
10/76
C+H Grazing Allotment Action Sheet and
Actual Use Record
Reproduce
locally
CS
FSH 2209.21,
R-1, 852
2220-3
9/68
S+G Allotment Action Sheet--Planned
and Actual Use Record
Reproduce
locally
CS
FSH 2209.21,
R-1, 852
2230-4
1/79
Base Property Qualification Rating
Sheet - Region 1
Reproduce
locally
CS
FSM 2231.22a
2230-5
5/90
Statement of Corporation of Partnership Interest in Grazing Permit
DG - Ofc. Pub.
Brand Record
Reproduce
locally
CS
FSH 2209.21,
R-1, 852
Evaluation Worksheet for
Allotment Projects
Reproduce
locally
CS
FSM 2246.1
2230-6
2240-1
6/86
FSM 2209.13,
R-1 14.31
REMARKS
OMB # 9696-0003,
11/30/92
R1 SUPPLEMENT 1309.14-92-3
EFFECTIVE 9/8/92
1309.14,18.2,Ex.01
Page 8 of 26
R1 SUPPLEMENT 1309.14-92-3
EFFECTIVE 9/8/92
1309.14,18.2,Ex.01
Page 9 of 26
18.2 - Exhibit 01--Continued
FORM NO.
R-1
EDITION
DATE
FORM TITLE AND DESCRIPTION
(Report Number, if any)
SUPPLY SOURCE
Reproduce
locally
UNIT OF
ISSUE
CS
AUTHORITY
REMARKS
2300-1
9/78
Route Inventory Form
FSM 2333.2
2300-2
9/78
Route Profile
EA
2300-3
9/78
Visitor Contact Tabulation Form
EA
2300-4
9/78
Site Related Inventory Form
EA
2300-8
8/85
Prediction of Cultural Resource Work
Reproduce
locally
CS
FSM 2360
2330-1
6/81
Recreation Site Preseason Safety
Inspection
Reproduce
locally
CS
FSM 2333.2
2330-2
5/81
This is Bear Country
E Photo Lab
Attn: Bob Bond
EA
FSM 2333.22,
R-1
Poster - 18" x 12"
(orange, Plastic)
2330-3
6/81
Campground Closed
MS, Supply
EA
FSM 2334.34b.
R-1
Poster 8" x 10-1/2"
(White, Waterproof)
2330-4
6/81
Services are Limited
MS, Supply
EA
FSM 2334.34b,
R-1
Poster 8-1/2" x 11"
(white, waterproof)
2330-5
5/82
Hello -- We're Your Campground Hosts
MS, Supply
EA
FSM 2334.33,
R-1
Poster 24" x 20"
(white, waterproof)
2330-6
7/83
Horsemen
E Photo Lab
Attn: Bob Bond
EA
Poster - 12" x 18"
(Plastic)
2330-7
10/83
Tree Hurts Too
E Photo Lab
Attn: Bob Bond
EA
Poster - 12" x 18"
(Plastic)
2330-8
10/83
Minimize Impact
E Photo Lab
Attn: Bob Bond
EA
Poster - 12" x 18"
(Plastic)
2330-9
10/83
Protecting Environment
E Photo Lab
Attn: Bob Bond
EA
Poster - 12" x 18"
(Plastic)
2330-10
1/84
Hikers
E Photo Lab
Attn: Bob Bond
EA
Poster - 12" x 18"
(Plastic)
2330-11
1/84
Courtesy
E Photo Lab
Attn: Bob Bond
EA
Poster - 12" x 18"
(Plastic)
2330-14
6/84
Trail Not Maintained
E Photo Lab
EA
Poster - 8" x 11"
R1 SUPPLEMENT 1309.14-92-3
EFFECTIVE 9/8/92
1309.14,18.2,Ex.01
Page 10 of 26
Attn: Bob Bond
(Plastic)
R1 SUPPLEMENT 1309.14-92-3
EFFECTIVE 9/8/92
1309.14,18.2,Ex.01
Page 11 of 26
18.2 - Exhibit 01--Continued
FORM NO.
R-1
EDITION
DATE
FORM TITLE AND DESCRIPTION
(Report Number, if any)
SUPPLY SOURCE
UNIT OF
ISSUE
AUTHORITY
REMARKS
2330-15
9/84
Commemorative Wilderness
MS, Supply
EA
2340-1
1/87
Welcome Sign - Campground
MS, Supply
EA
FSM 2340
2350-1
1/69
Historical Record
Reproduce
locally
CS
FSM 2351.1,
R-1
2350-2
1/69
Installation Report
Reproduce
locally
CS
FSM 2351.1,
R-1
2350-3
1/69
Mountain Summit Registers Supply
List and Installing-Recording
Instructions
Reproduce
locally
CS
FSM 2351.1,
R-l
2350-4a
7/86
Winter Recreation Poster (Skiers)
MS, Supply
EA
FSM 2353.05,
R-1
Poster
2350-4b
7/86
Winter Recreation Poster
(Snowmobilers)
MS, Supply
EA
FSM 2353.05.
R-1
Poster
2350-5
12/83
Data Entry Form for Trail or
Trail/Bridge Construction/
Reconstruction
Reproduce
locally
CS
FSM 2353,R-1
2350-6
9/84
Road Closure
EA
FSM 2350
2350-7a
7/86
Tread Lightly ORV
Resource Protection
E Photo Lab
EA
Attn: Bob Bond
Poster - 12" x 18"
(Plastic)
2350-7b
7/86
Tread Lightly ORV
General Information
E Photo Lab
Attn: Bob Bond
EA
Poster - 12" x 18"
(Plastic)
2350-8
3/80
Certificate of Recognition
(Primitive Skills Award)
2400-1
Poster
EA
Certificate
FSM 2406.2
Release of Timber
Reproduce
locally
CS
2400-2
2/85
Forest Service-BLM Personal
Use Firewood Permit
MS, Supply
EA
2400-3
10/84
R-1 Certification of Qualified
Scaler
Reproduce
locally
CS
FSM 2443.56,
R-1
2400-4
10/84
R-1 Certification of Advanced
Scaler
Reproduce
locally
CS
FSM 2443.56,
R-1
Poster
Concessionaires
Poster
Orange Card.
Numbered
consecutively.
R1 SUPPLEMENT 1309.14-92-3
EFFECTIVE 9/8/92
1309.14,18.2,Ex.01
Page 12 of 26
18.2 - Exhibit 01--Continued
FORM NO.
R-1
EDITION
DATE
FORM TITLE AND DESCRIPTION
(Report Number, if any)
SUPPLY SOURCE
UNIT OF
ISSUE
AUTHORITY
2400-5
12/72
R-1 Certification of Master
Scaler
Reproduce
locally
CS
2400-5a
2/85
R-1 Certification of Utilization
Scaler
Reproduce
locally
CS
2400-8a
2/85
FS-BLM Personal Use-Free
Firewood Permit
ADM
EA
FSM 2460
2400-9
7/81
Certification of Timber Measurement
Specialist
MS, Supply
EA
FSH 2409.21,
R-1
2400-11
4/82
Stand Orthophoto Map
Consolidated
TCFPM Order
Annual
EA
R-1
FSH 2109.21e,
2400-33a
7/76
Transfer of Unused Effective Purchaser
Credit Worksheet
Reproduce
locally
CS
FSM 6553.31b
2400-65a
2/75
Blanket Payment Guarantee Current
Data or Contract Record Deletion
Coding Sheet (Batch Type B)
Reproduce
locally
CS
2410-15B
11/89
Forest Inventory Stand Examination,
Stand ID
Reproduce
locally
CS
FSH 2409.21h,
R-1
2410-BA
11/89
Forest Inventory Stand Examination,
Card 1, Basic Stand Data
Reproduce
locally
CS
FSH 2409.21h,
R-1
2410-BB
11/89
Stand Examination, Card 2
(Input Only)
Reproduce
locally
CS
FSH 2409.21h,
R-1
2410-15BE
11/89
Forest Inventory Stand Examination,
Card 4, Fire Data
Reproduce
locally
CS
FSH 2409.21h,
R-1
2410-15BF
4/83
Forest Inventory Stand Examination,
Update Form
Reproduce
locally
CS
FSH 2409.21h,
R-1
2410-15BG
6/85
Forest Inventory Stand Examination
Form R-1 Edit Cover Sheet
Reproduce
locally
CS
FSH 2409.21h,
R-1
2410-15BH
9/86
Forest Inventory Stand Examination,
Program Request Form
Reproduce
locally
CS
FSH 2409.21h,
R-1
2410-15BI
6/85
Area Description Form
Reproduce
locally
CS
FSH 2409.21h,
R-1
2410-15BJ
7/85
Regression Coefficient Form
Reproduce
CS
FSH 2409.21h,
REMARKS
FSM 2443.56,
R-1
Goldenrod Card,
ADM controls.
Not stocked.
R1 SUPPLEMENT 1309.14-92-3
EFFECTIVE 9/8/92
1309.14,18.2,Ex.01
Page 13 of 26
locally
R-1
R1 SUPPLEMENT 1309.14-92-3
EFFECTIVE 9/8/92
1309.14,18.2,Ex.01
Page 14 of 26
18.2 - Exhibit 01--Continued
FORM NO.
R-1
EDITION
DATE
FORM TITLE AND DESCRIPTION
(Report Number, if any)
2410-15BK
7/85
Grouping Name Form
Reproduce
locally
CS
FSH 2409.21h,
R-1
2410-15BL
7/85
Grouping Name Coefficient Form
Reproduce
locally
CS
FSH 2409.21h,
R-1
2410-15BM
7/85
Habitat Grouping Form
Reproduce
locally
CS
FSH 2409.21h,
R-1
2410-15BN
9/85
Stratum Dummy Variable Form
Reproduce
locally
CS
FSH 2409.21h,
R-1
2410-15BO
5/86
Dependent Variable Lower and Upper
Limits by Stratum
Reproduce
locally
CS
FSH 2409.21h.
R-1
2410-15BP
5/91
Card 9: Cover Plot Data for Stand
Exams
Reproduce
locally
CS
FSH 2409.21h
R-1
2410-15D
2/72
Felled Tree Data Sheet for Volume
Determination
Annual
Consolidated
TCFPM Order
EA
2410-15E
4/73
North Idaho Habitat Type Species
Checklist
Reproduce
locally
CS
2410-15F
5/76
Central Idaho Habitat Type Species
Checklist
Reproduce
locally
CS
2410-15G
l
6/77
Key to Montana Habitat Types
Reproduce
locally
CS
2410-15H
6/77
Montana Habitat Type Species
Checklist
Reproduce
locally
CS
2410-21
5/83
R-1 Timber Stand Data Base - Form 21
Reproduce
locally
CS
FSH 2409.21e,
R-1
2410-22
5/83
R-1 Timber Stand Data Base - Form 22
Reproduce
locally
CS
FSH 2409.21e,
R-1
2410-23
5/83
R-1 Timber Stand Data Base - Form 23
Reproduce
locally
CS
FSH 2409.21e,
R-1
2410-23a
3/85
R-1 Timber Stand Data Base - Form 23a
Reproduce
locally
CS
FSH 2409.21e,
R-1
2410-24
5/83
R-1 Timber Stand Data Base - Form 24
Reproduce
locally
CS
FSH 2409.21e,
R-1
SUPPLY SOURCE
UNIT OF
ISSUE
AUTHORITY
REMARKS
Not stocked.
green ink
FSH 2409.21,
R-1
R1 SUPPLEMENT 1309.14-92-3
EFFECTIVE 9/8/92
1309.14,18.2,Ex.01
Page 15 of 26
R1 SUPPLEMENT 1309.14-92-3
EFFECTIVE 9/8/92
1309.14,18.2,Ex.01
Page 16 of 26
18.2 - Exhibit 01--Continued
FORM NO.
R-1
EDITION
DATE
FORM TITLE AND DESCRIPTION
(Report Number, if any)
2410-25
6/86
R-1 Timber Stand Data Base - Form 25
Delete Form
Reproduce
locally
CS
2410-26
11/79
R-1 Timber Stand Data Base - Form 26
Update Form
Reproduce
locally
CS
2410-27
8/84
Activity Planned Year Increment by
Stand ID
Reproduce
locally
CS
FSH 2409.21e
2410-28
12/85
Activity Planned Year Increment by
Sale Contract Number
Reproduce
locally
CS
FSH 2409.21e
2430-1
9/71
Skyline Percent Protractor
Order from
TCFPM
EA
2430-2
7/85
Oral Examination for Timber Sale
Administrators - Examiner's Ratings
and Comments
Distributed by
TCFPM
EA
2430-4
7/67
Outline for Timber Sale and Appraisal
Report
Reproduce
locally
CS
FSM 2431.92
2430-6a
3/90
Timber Sale Inspection Report
Annual
Consolidated
TCFPM order
EA
FSM 2409.15,
R-1
Not stocked.
4-part NCR
2430-6b
3/90
Timber Sale Inspection Report
Continuation Sheet
Annual
Consolidated
TCFPM Order
EA
FSM 2409.15,
R-1
Not stocked
4-part NCR
2430-10
11/84
Skyline Road Profile Data Sheet
Annual
Consolidated
TCFPM Order
EA
FSM 2431.22,
R-1
Not stocked.
5 x 9 waterproof
2430-11
1/73
Single Span Skyline Worksheet and
Multi-Span Skyline Worksheet
Reproduce
locally
CS
2430-12
1/73
Single Span Skyline Summary
Reproduce
locally
CS
2430-13
2/73
Running Skyline Worksheet
Reproduce
locally
CS
2430-14
1/83
Cable Logging Profile Tag
Annual
Consolidated
TCFPM Order
EA
FSM 2430
Not stocked. Tag,
4 x 4 waterproof
2430-18
4/74
Consent of Surety for Third Party
Reproduce
CS
FSM 2433.35,
SUPPLY SOURCE
UNIT OF
ISSUE
AUTHORITY
REMARKS
FSH 2409.21e,
R-1
R1 SUPPLEMENT 1309.14-92-3
EFFECTIVE 9/8/92
1309.14,18.2,Ex.01
Page 17 of 26
Agreement
locally
R-1
18.2 - Exhibit 01--Continued
FORM NO.
R-1
EDITION
DATE
FORM TITLE AND DESCRIPTION
(Report Number, if any)
2430-19
3/88
Commercial Timber Sales (Memo) (Sale
Volume Determination) Card Type 1,
(Card Type 2 on Reverse)
Annual
Consolidated
TCFPM Order
2430-20
3/88
Sale Cruise Tally Sheet (Card
Type 3)
2430-21
3/88
2430-22
SUPPLY SOURCE
UNIT OF
ISSUE
AUTHORITY
REMARKS
EA
FSH 2409.12,
R-1
Not stocked.
Green ink
Annual
Consolidated
TCFPM Order
EA
FSH 2409.12,
R-1
Not stocked.
Green ink
3-P Sum of Estimates (Card Type 4)
Annual
Consolidated
TCFPM Order
EA
FSH 2409.12,
R-1
Not stocked.
Green ink
3/80
Log Information Sheet (Card Type 5)
Annual
Consolidated
TCFPM Order
EA
FSH 2409.12,
R-1
Not stocked.
Green ink, Waterproof
2430-30a
2/69
Traverse Data (ADP)
Annual
Consolidated
TCFPM Order
EA
Not stocked.
5 1/2 x 9 1/2
Waterproof
2440-3
8/72
Scribner Decimal C Volume and
Squared Defect Table
Annual
Consolidated
TCFPM Order
EA
Not stocked.
Plastic card
2440-4
3/79
Log Brand Assignment Record
Annual
Consolidated
TCFPM Order
EA
Not stocked.
3-part NCR
2440-5
4/88
Log Truck Tickets, Yellow (Scale
Sales) Book
Annual
Consolidated
TCFPM Order
BK
FSH 2409.15,
Sec. 28.4, R-1
Not stocked.
Control number
2440-5a
2/89
Log Truck Tickets, Orange (Premeasurement Product Sales) Book
Annual
Consolidated
TCFPM Order
BK
FSH 2409.15,
Sec. 28.4, R-1
Not stocked.
Control number
2440-5b
2/89
Log Truck Tickets, Light green (Premeasurement Sales) book
Annual
Consolidated
TCFPM Order
Bk
FSH 2409.15.
Sec.28.4, R-1
Not stocked.
Control number
2440-6
1/87
Scaler's Information Form
DG
2440-10
6/81
Check Scale Summary
Reproduce
locally
CS
2440-14
7/70
ADP Load/Weight/Piece Count
Annual
EA
FSH 2409.15,
R-1
FSH 2409.15,
R-1
Not stocked.
R1 SUPPLEMENT 1309.14-92-3
EFFECTIVE 9/8/92
1309.14,18.2,Ex.01
Page 18 of 26
Consolidated
TCFPM Order
3-part NCR
R1 SUPPLEMENT 1309.14-92-3
EFFECTIVE 9/8/92
1309.14,18.2,Ex.01
Page 19 of 26
18.2 - Exhibit 01--Continued
FORM NO.
R-1
2440-15
EDITION
DATE
1/87
2450-1
FORM TITLE AND DESCRIPTION
(Report Number, if any)
SUPPLY SOURCE
UNIT OF
ISSUE
District Log Accountability Audit
Reproduce
locally
CS
Statement of Charges for Extra
Scaling
Reproduce
locally
CS
AUTHORITY
REMARKS
FSH 2409.15,
Sec. 28.4, R-1
2450-5
4/85
Construction Cost Adjustment for
Specified Roads
Reproduce
locally
CS
FSM 2450,
R-1
2450-6
1/90
Timber Sale Inspection Evaluation
Report (for inservice use)
Annual
Consolidated
TCFPM Order
EA
FSH 2409.15
2460-17
10/81
Christmas Tree Sale Contract
Reproduce
locally
CS
FSM 2467.21,
R-1
2470-2
9/81
Tree Improvement - 10-Year Work
Plan Condensation
(R1-2400-G)
Reproduce
locally
CS
FSM 2475.61,
R-1 & FSH
2409.26g
2470-3
1/85
Summary of Tree Improvement Funds
Needed
(R1-2400-G)
Reproduce
locally
CS
FSM 2475.61,
R-1 & FSH
2409.26g, R-1
2470-4
3/90
Plantation Quick Check
DG
FSH 2409.26g, 530
R-1
2470-5
9/91
Tree Improvement (Accomplishments)
DG
FSH 2496.1, R-1
2470-6
10/82
Thinning Inspection Form
Reproduce
locally
CS
FSM 2476.03
2470-7
12/79
Detailed Silviculture Prescription
Summary
Reproduce
locally
CS
FSM 2478
2470-9
9/88
Planting Inspection Sheet--Contract
and Force Account
Reproduce
locally
CS
FSH 2409.26b,
R-1
2470-11
3/79
Tree Improvement Cones (Tag)
Annual
Consolidated
TCFPM Order
EA
2470-12
8/82
Tree or Native Shrub Sowing Planning
Requisition Form
Reproduce
locally
CS
FSH 2409.26f,
R-1
2470-12a
4/78
Tree or Native Shrub Sowing Requisition
Summary Form
Reproduce
locally
CS
FSH 2409.26b,
R-1
Not stocked.
3-part NCR
Not stocked. Tag
R1 SUPPLEMENT 1309.14-92-3
EFFECTIVE 9/8/92
1309.14,18.2,Ex.01
Page 20 of 26
R1 SUPPLEMENT 1309.14-92-3
EFFECTIVE 9/8/92
1309.14,18.2,Ex.01
Page 21 of 26
18.2 - Exhibit 01--Continued
FORM NO.
R-1
2470-13
EDITION
DATE
11/68
2470-14
FORM TITLE AND DESCRIPTION
(Report Number, if any)
SUPPLY SOURCE
UNIT OF
ISSUE
Annual Requisition for Tree Seed
Direct Seeding
Reproduce
locally
CS
Rodent Survey Snap-Trap Line Record
Reproduce
locally
CS
AUTHORITY
REMARKS
FSH2409.26b,
R-1
2470-15
3/83
Seed and Cone Identification Tag
Annual
Consolidated
TCFPM Order
EA
FSH 2409.26f,
R-1
2470-16
2/82
Cone Collection Agreement
Reproduce
locally
CS
FSH 2409.26f,
R-1
2470-17
8/82
Pre-Planting Survey Form
Reproduce
locally
CS
FSH 2409.26b, R-1
2470-18a
7/82
Reforestation Quick Plot Survey
Form
Reproduce
locally
CS
FSH 2409.26b,
R-1
2470-19
5/84
Douglas Fir Tree Improvement
Reproduce
locally
CS
FSH 2409.26
2470-20
12/85
Record of Field Review for Validation of Certified Silviculturist
Reproduce
locally
CS
FSM 2478.4,
R-1
2470-21
1/83
Stock Quality Assessment Form
Reproduce
locally
CS
FSH 2409.26b,
R-1
2470-22
7/86
Cone Handling Checklist
Annual
Consolidated
TCFPM Order
EA
FSH 2409.26f,
R-1
2470-23
5/84
Management Activities Form
Reproduce
locally
CS
FSH 2409.26g,
R-1
2470-24
12/86
Target stand description
2470-25
9/91
Superior Tree Selection Status
Report
DG
2470-26
1/91
Selective Breeding Cone Tag
Annual
Consolidated
TCFPM Order
2490-70
9/71
Volume Data Coding Sheet (Batch
Type S)
2490-70a
3/83
Sample Group Correction, Card 53
Not stocked. Tag
Not stocked.
3-part NCR
FSH 2409.17
FSM 2496.1,
R-1
EA
EA
Reproduce
CS
Not stocked. Tag
R1 SUPPLEMENT 1309.14-92-3
EFFECTIVE 9/8/92
1309.14,18.2,Ex.01
Page 22 of 26
locally
R1 SUPPLEMENT 1309.14-92-3
EFFECTIVE 9/8/92
1309.14,18.2,Ex.01
Page 23 of 26
18.2 - Exhibit 01--Continued
FORM NO.
R-1
EDITION
DATE
FORM TITLE AND DESCRIPTION
(Report Number, if any)
SUPPLY SOURCE
UNIT OF
ISSUE
2490-70b
3/83
Volume Data Coding Sheet (Batch
Type S) Load Correction, Card 61
Reproduce
locally
CS
2500-1
3/71
Hydrology Facts
MS, Supply
EA
2500-5a
1/75
R-1 Stream Reach Inventory and Channel
Stability Evaluation
MS, Supply
EA
Browse Intercept Transect Record
Reproduce
locally
CS
2620-1
AUTHORITY
REMARKS
FSH 2609.21
R-1, Chap. 100
2620-2
7/70
Browse Intercept Cluster Summary
Reproduce
locally
CS
2620-3
5/66
Browse Utilization
Reproduce
locally
CS
2620-4
12/63
Cumulative Record of Study Area Data
Reproduce
locally
CS
2620-5
1/70
Pellet-Group Count Record
Reproduce
locally
CS
FSH 2609.21,
R-1
2620-7
8/81
Wildlife Habitat Survey
Reproduce
locally
CS
FSH 2609.21 and
FSH 2209.21
2620-8
6/69
Habitat Unit Data Sheet
Reproduce
locally
CS
2620-9
12/68
Stream Habitat Survey Summary and
Analysis
Reproduce
locally
CS
2620-10
12/68
Stream Habitat Survey Field Form
Reproduce
locally
CS
2630-1
4/69
Nest Record
(R1-2600-A)
Reproduce
locally
CS
FSH 2609.21,
R-1, (pg. 513
& 515)
2630-2
4/69
Annual Nesting Status Report
(R1-2600-A)
Reproduce
locally
CS
FSH 2609.21,
R-1, (pg. 513
& 515)
2630-3
1/83
Raptor Observation Card
WL
EA
FSM 2630.3
3" x5" Card
2650-1
2/87
Small Rodent Census - Snap-trap
FSH 2609.22,
R-1
Used locally to
determine need for
animal damage
R1 SUPPLEMENT 1309.14-92-3
EFFECTIVE 9/8/92
1309.14,18.2,Ex.01
Page 24 of 26
control.
R1 SUPPLEMENT 1309.14-92-3
EFFECTIVE 9/8/92
1309.14,18.2,Ex.01
Page 25 of 26
18.2 - Exhibit 01--Continued
FORM NO.
R-1
EDITION
DATE
FORM TITLE AND DESCRIPTION
(Report Number, if any)
SUPPLY SOURCE
UNIT OF
ISSUE
AUTHORITY
REMARKS
EA
FSH 2209.22,
R-1
Used locally to
survey seed losses
through animal damage
control.
2650-2
2/87
Seed Spot Survey
2700-1
12/87
Northern Region Recreation Lodging
Application
Reproduce
locally
CS
FSM 2721.34e,
R-1
2700-2
12/87
Northern Region Recreation Permit
Reproduce
locally
CS
FSM 2721.34e,
R-1
2700-3
12/87
Recreation Lodging Condition Report
Reproduce
locally
CS
FSM 2721.34e,
R-1
2710-2
12/68
Financial Statement for Commercial
Public Service Uses
Reproduce
locally
CS
2710-11
7/68
Information Sheet - Forest Service
Summer Home Policy
Reproduce
locally
CS
2720-1
3/69
Reserved Campsite
MS, Supply
EA
2720-5
7/82
Forest Visitors
MS, Supply
EA
2800-1
12/79
Mineral Sample Record
LM
EA
2800-2
5/84
Mineral Claim Report
Reproduce
locally
CS
2800-3
3/89
Reference slip
LM
PD
2820-8
5/83
SMA-MLF Input Form
Reproduce
locally
CS
FSM 2820,
R-1
2820-9
7/83
Segregation Worksheet
Reproduce
locally
CS
FSM 2820,
R-1
2820-10
3/82
Collection Agreement for Interim
Seismic Inspection Work
MS, Supply
EA
FSM 2820,
R-1
2820-11
3/82
Collection Agreement Cost Estimate
Sheet
Reproduce
locally
CS
FSM 2820,
R-1
2820-12
4/90
Application for Prospecting
Reproduce
locally
CS
FSM 2820-12,
R-1
FSM 2721.23,
R-1
Poster 8" x 10 1/2"
FSM 2721.53.
R-1
Poster 12" x 18"
4 1/2" x 7 1/2" Card
FSM 2818.3,
R-1
(For Lands &
Minerals)
5-Part NCR
OMB No. 0596-0089
expires 7/31/93.
R1 SUPPLEMENT 1309.14-92-3
EFFECTIVE 9/8/92
1309.14,18.2,Ex.01
Page 26 of 26
R1 SUPPLEMENT 1309.14-92-3
EFFECTIVE 9/8/92
1309.14,18.2,Ex.01
Page 27 of 26
18.2 - Exhibit 01--Continued
FORM NO.
R-1
EDITION
DATE
FORM TITLE AND DESCRIPTION
(Report Number, if any)
SUPPLY SOURCE
UNIT OF
ISSUE
AUTHORITY
REMARKS
2850-1
9/86
Application/Permit for Mineral
Materials Free Use or Preliminary
Prospecting Permit
Reproduce
locally
EA
FSM 2850,
R-1
Card stock
2850-3
5/85
Free Use Minerals Materials
Permit
MS, Supply
EA
FSM 2850,
R-1
5 1/2" x 8 1/2" Card
2880-1
4/84
Paleontological Resource
(Fossil) Site Record
Reproduce
locally
CS
FSM 2883.8,
R-1
3200-1
4/76
Improved Harvesting Program - Felling and Bucking Activity (FAB) FAB-1
Reproduce
locally
CS
FSM 3242.1,
R-1
3200-1a
7/81
Tree Legend (Card Type 3 Col. 9)
FAB-1a
MS, Supply
EA
FSM 3242.1
R-1
5" x 7 1/4"
5100-1
9/80
Fire Property Transfer
MS, Supply
EA
FSH 5109.32,
R-1
3 1/4" X 7 1/4"
3-part NCR
5100-2
3/78
Slash Weight Summary
Reproduce
locally
CS
5100-3
locally
6/77
Preattack Planning Forms
R-1
Reproduce
CS
5100-4
locally
1/79
Slash Hazard Appraisal Data Form
Reproduce
CS
5100-5
8/84
Fire Cache Receipt
MS, Supply
EA
5-part NCR
5100-5a
8/84
Fire Cache Receipt Continuation Sheet
MS, Supply
EA
5-part NCR
5100-7
6/74
Downed Fuel Inventory
Reproduce
locally
CS
5100-7a
6/74
Downed Woody Material Computation
Summary
Reproduce
locally
CS
5100-9
5/76
Smokejumper Packout Data Form
Reproduce
locally
CS
5100-21
8/73
National Forest Entry Permit
MS, Supply
PD
FSM 5115.41a
Pad of 50
5100-22
3/87
Campfire Permit
MS, Supply
PD
FSM 5113.2--6,
R-1
Pad of 100
5110-2
3/70
Fire Prevention Inspection - Industrial Operations
Reproduce
locally
EA
FSM 5113.3,
R-1
FSH 5109.15,
FSM 5113.3,
R-1
R1 SUPPLEMENT 1309.14-92-3
EFFECTIVE 9/8/92
1309.14,18.2,Ex.01
Page 28 of 26
R1 SUPPLEMENT 1309.14-92-3
EFFECTIVE 9/8/92
1309.14,18.2,Ex.01
Page 29 of 26
18.2 - Exhibit 01--Continued
FORM NO.
R-1
EDITION
DATE
FORM TITLE AND DESCRIPTION
(Report Number, if any)
SUPPLY SOURCE
UNIT OF
ISSUE
AUTHORITY
REMARKS
5110-2a
3/91
Fire Prevention Inspection - Industrial Operations
MS, Supply
BK
FSM 5113.3,
R-1
(Book of 25 Sets)
4-part NCR
5110-3
8/70
Fire Precautions
MS, SUPPLY
EA
FSM 5113.3,
5115.2, R-1
3 1/2" X 6 1/2"
5110-4
4/80
Fire Precautions for Chain Saws
MS, SUPPLY
EA
FSM 5113.2,
R-1
3 1/2" X 6 1/2"
Orange stock
5110-4a
4/80
Spark Arrester Screen Required on
all Chain Saws (Tag)
MS, Supply
EA
FSM 5113.2,
R-1
5110-5
11/65
Annual Power Line Inspection
Checklist
Reproduce
locally
CS
FSM 5113.33,
R-1
5110-6
1/72
Railroad Fire Prevention Inspection
Checklist
Reproduce
locally
CS
FSM 5113.5,
R-1
Motor Equipment Fire Prevention
Inspection Stickers
MS, Supply
EA
FSM 5113.3,
R-1
5110-7
5110-8
5110-9
(Specify Red or
Green)
Shield
5/92
5110-13
Reminder - Safe Fireworks
MS, Supply
EA
Poster 8 1/2 x 11"
Summer Home and Forest Residence
Fire Prevention Checklist
Reproduce
locally
CS
FSM 5113.81,
R-1
5110-15
11/69
Industrial Fire Prevention
Inspections
MS, Supply
EA
FSM 5113.3,
R-1
24" x 14"
5110-16
4/80
National Forest Fire Regs. - Trail
Bikes and Motorcycles
MS, Supply
PD
FSM 5113, R-1
5 1/2" x 8 1/2"
5110-18
4/80
Attention Motorcyclists (National
Fire Requirements In Effect During
State Fire Season)
MS, Supply
EA
FSM 5113,
R-1
Poster
5110-19
11/75
Caution Label - For Catalytic
MS, Supply
EA
FSM 5113,
R-1
5110-20
5/76
Sawmill Operation Inspection
Checklist
Reproduce
locally
CS
FSM 5113.3,
R-1
5110-21
5/81
Welcome to the
MS, Supply
BK
FSM 5113.1,
R-1
5110-22
5/80
No Spark Arrester - No Cutting
MS, Supply
EA
FSM 5113.2,
National Forest
Poster 12" x 14"
R1 SUPPLEMENT 1309.14-92-3
EFFECTIVE 9/8/92
1309.14,18.2,Ex.01
Page 30 of 26
R-1
R1 SUPPLEMENT 1309.14-92-3
EFFECTIVE 9/8/92
1309.14,18.2,Ex.01
Page 31 of 26
18.2 - Exhibit 01--Continued
FORM NO.
R-1
EDITION
DATE
FORM TITLE AND DESCRIPTION
(Report Number, if any)
SUPPLY SOURCE
UNIT OF
ISSUE
AUTHORITY
REMARKS
5110-22a
5/80
No Spark Arrester - No Cutting
MS, Supply
EA
FSM 5113.2,
R-1
Poster 44" x 16"
5110-23
2/81
Required For Camping on Undeveloped
Sites
MS, Supply
EA
FSM 5113.2,
R-1
Poster 14" x 12"
5110-23a
2/81
Required For Camping on Undeveloped
Sites
MS, Supply
EA
FSM 5113.2,
R-1
Poster 44' x 16"
5120-16
4/85
Fire-Weather Special Forecast
Request
Reproduce
locally
CS
FSM 5125
5120-19
5/64
Vertical Angle Scale
5120-30
Orientation Point - Legitimate
Smokes and Key Points
Reproduce
locally
CS
5120-31
Lightning Strike Record (Lookout)
Reproduce
locally
CS
5120-37
Fire Danger Station Inspection and
Self-Training Guide
Reproduce
locally
CS
5120-39
6/76
Fire Management Preparedness Checklist For District or Forest
MS, Supply
PD
FSM 5126,
R-1
5130-6
3/84
Medical Unit Record of Issues
MS, Supply
EA
FSM 5135.4
5130-7
6/91
Shift Fireline Accomplishment Report
and Recommendation
Reproduce
locally
CS
5130-12
10/88
Resource Tracking Form
MS, Supply
EA
17" x 14"
5130-38
3/79
Fire Danger Record
MS, Supply
EA
12" X 18"
5140-4
4/89
Planned Prescribed Burning (Idaho)
Reproduce
locally
CS
FSM 5148
5140-5
4/89
Planned Prescribed Burning (Montana)
Reproduce
locally
CS
FSM 5148
5150-3
4/82
Wilderness Visitor's Information
poster(No R1 number)
MS, Supply
EA
FSM 5150
Green waterproof
5150-4
4/82
Wilderness Visitor's Caution
MS, Supply
EA
FSM 5150
Orange waterproof
poster(No R1 number)
5150-5
4/82
Wilderness Visitor's Notice
MS, Supply
EA
FSM 5150
Blue waterproof
4-part NCR
R1 SUPPLEMENT 1309.14-92-3
EFFECTIVE 9/8/92
poster(No R1 number)
1309.14,18.2,Ex.01
Page 32 of 26
R1 SUPPLEMENT 1309.14-92-3
EFFECTIVE 9/8/92
1309.14,18.2,Ex.01
Page 33 of 26
18.2 - Exhibit 01--Continued
FORM NO.
R-1
EDITION
DATE
FORM TITLE AND DESCRIPTION
(Report Number, if any)
SUPPLY SOURCE
UNIT OF
ISSUE
AUTHORITY
REMARKS
FSM 5160.42.
R-1
Tag
5160-4
1/68
Firemen's Outfit Inspection Tag
MS, Supply
EA
5170-3
2/88
Instructions for Crew Representatives Montana Indian Firefighters
Reproduce
locally
CS
5180-1
3/82
Supervisor's Monthly Fire Report
Reproduce
locally
CS
FSM 5182, R-1
5180-4
5/86
Fire Action and Report Record
Reproduce
locally
CS
FSM 5182, R-1
5180-5
5/87
Current Fire Record
Form
MS, Supply
EA
FSM 5182
5300-1
10/82
Firearm Authority
ADM, Law
Enforcement
EA
FSM 5372,
R-1
5300-3
8/88
Collateral Schedule
ADM, Law
Enfocement
EA
FSH 5309.11
Chapter 700
5430-4
1/67
Certificate Re Protests to Land
Exchange
Reproduce
locally
CS
FSM 5430.4,
R-1
Certificate Re Taxes
Reproduce
locally
CS
FSM 5430.4,
R-1
EA
FSH 5409.17,
22.31
5430-7
20"x 16" Special Fire
5460-1
7/86
Checklist for Final Title Assembly
5700-2
3/75
Approved Aircraft and Pilots
Reproduce
locally
CS
(Regional Office
Only)
5700-3a
4/89
Resource Order Smokejumper IA
MS,Duplicating
EA
Card stock
5700-3b
4/89
Resource Order Smokejumper IA
MS, Supply
EA
3-part NCR sets
(Forest use only)
5700-17
4/74
Helicopter Load Calculation
Reproduce
locally
CS
FSM 5718.5,
R-1
5700-18
Flight and Duty Record (large)
Reproduce
locally
CS
FSH 5709.11
and 5709.12
Salmon
5700-18a
Flight and Duty Record (small)
Reproduce
locally
CS
FSH 5709.11
and 5709.12
4 1/4" x 5 1/2"
salmon
Application for Pilot Approval
Reproduce
CS
FSM 5712.51,
5710-1
3/75
R1 SUPPLEMENT 1309.14-92-3
EFFECTIVE 9/8/92
1309.14,18.2,Ex.01
Page 34 of 26
locally
R-1
R1 SUPPLEMENT 1309.14-92-3
EFFECTIVE 9/8/92
1309.14,18.2,Ex.01
Page 35 of 26
18.2 - Exhibit 01--Continued
FORM NO.
R-1
EDITION
DATE
FORM TITLE AND DESCRIPTION
(Report Number, if any)
SUPPLY SOURCE
UNIT OF
ISSUE
AUTHORITY
REMARKS
5710-5
8/83
Request for Air Service
Reproduce
locally
CS
FSM 5718.1
5 1/2" x 8 1/2",
Blue stock
5730-1
6/82
Para-Cargo Order
MS, Supply
EA
FSM 5742
3-part Blue NCR
6100-1
6/85
Flexible Schedule
Reproduce
locally
CS
FSM 6161.13a
(Regional Office
Only)
6120-1
2/84
Form Letter Used For Transmittal
and Receipt of Official Personnel
Folders
Reproduce
locally
CS
FSM 6129.31,
R-1
6130-7
1/82
Certificate of Eligibles
DG
6130-8
10/80
Supervisory Appraisal for Measuring
Potential
Reproduce
locally
CS
6130-9
11/77
Qualification Analysis
Reproduce
locally
CS
FSM 6133.56g,
R-1
6140-1
4/92
Nominations for Training
DG
6140-26
9/82
Orientation Checklist
Reproduce
locally
CS
FSH 6109.41a
6140-30
5/85
Training Program Evaluation
Reproduce
locally
CS
6150-7
5/75
Certification of Accuracy of Job
Description
Reproduce
locally
CS
6150-70
3/82
Position Evaluation Sheet
Reproduce
locally
CS
6150-72
9/82
Position Review Sheet
Reproduce
locally
CS
6250-1
&2
6/90
Regional Office Routing Slip Combined
MS, Supply
PD
100 in pad
6250-3
4/82
Request For Mailroom Distribution
MS, Duplicating
CS
(Regional Office
Only)
6250-4
3/82
Duplicating Order Form
MS,Duplicating
EA
(Regional Office
Only)
6250-5
3/89
Telefax Cover Sheet
Reproduce
CS
FSM 6109.14,
R-1
FSM 6151.12a
R1 SUPPLEMENT 1309.14-92-3
EFFECTIVE 9/8/92
1309.14,18.2,Ex.01
Page 36 of 26
locally
R1 SUPPLEMENT 1309.14-92-3
EFFECTIVE 9/8/92
1309.14,18.2,Ex.01
Page 37 of 26
18.2 - Exhibit 01--Continued
FORM NO.
R-1
EDITION
DATE
FORM TITLE AND DESCRIPTION
(Report Number, if any)
SUPPLY SOURCE
UNIT OF
ISSUE
AUTHORITY
EA
REMARKS
6270-1
6/87
FOIA Transmittal
(Regional Office
Only)
6300-3
5/87
BPA Order Authorization
MS, Supply
Also DG
EA
FSH 6309.12
6310-17
5/69
Blanket Purchase Arrangement
Reproduce
locally
CS
FSH 6309.31,
4G-3.606-4,
R-1
6320-2
3/82
Contract Payment Estimate and
Invoice
Reproduce
locally
CS
FSH 6309.11,
R-1
6320-2a
10/77
Contract Payment Estimate and
Invoice (Continuation Sheet)
Reproduce
locally
CS
6320-3
2/90
Record of Prework Meeting
MS, Supply
Also DG
EA
6320-4
11/77
Work Progress Schedule
Reproduce
locally
CS
6320-5
5/83
Transmittal of Contract Documents
Reproduce
locally
CS
6320-7
6/83
Machine Site Preparation Inspection
Report
Reproduce
locally
CS
6320-8
12/87
Solicitation Mailing List Application
6320-20
3/82
Inspection Report ___ Intermediate
____ Final Page 1
MS, Supply
EA
4-part NCR
6320-20
10/74
Continuation Sheet, Page 2
MS, Supply
EA
4-part NCR
6320-27
1/92
Designation of Contracting Officers
Representative
DG
FSH 6309.11
R-1
6320-29
10/90
Designation of Inspector
DG
FSM 6309.11,
R-1
6410-2
9/69
Lookout Inventory Checklist
Reproduce
locally
CS
FSM 6411.12,
R-1
6420-1
7/69
Procurement and Supply Warehouse
Receipt
Reproduce
locally
CS
FSM 6411.11,
R-1
FSH 6309.11,
R-1
2-part NCR
4-part NCR
FSH 6309.31,
4G-2.201,
R-1
EA
(Regional Office
Only)
R1 SUPPLEMENT 1309.14-92-3
EFFECTIVE 9/8/92
1309.14,18.2,Ex.01
Page 38 of 26
R1 SUPPLEMENT 1309.14-92-3
EFFECTIVE 9/8/92
1309.14,18.2,Ex.01
Page 39 of 26
18.2 - Exhibit 01--Continued
FORM NO.
R-1
EDITION
DATE
FORM TITLE AND DESCRIPTION
(Report Number, if any)
SUPPLY SOURCE
UNIT OF
ISSUE
AUTHORITY
REMARKS
6500-1
5/77
Report on Status of Cost Share
Roads
MS, Supply
EA
FSH 6509.11b,
571.1, R-1
6500-6
7/79
Request For Allocation of Surety
Bond
Reproduce
locally
CS
FSM 6506.82,
R-1
6500-7
6/84
Request For Release of Blanket
Surety Bond
Reproduce
locally
CS
FSM 6506.82,
R-1
6500-9
4/83
Charge Firewood Permit Audit
Record
Reproduce
locally
CS
FSM 6531.42d,
R-1
6500-32
5/73
Assignment of Claim
Reprocduce
locally
CS
6500-60
9/86
Region One-Equipment Accountability
Report
MS, Supply
PD
6540-10
7/78
Preparation of Expense Account For
Official Travel
Reproduce
locally
CS
(Regional Office
Worksheet)
6550-11
2/88
Northern Region Photo Lab Order Form
MS, Supply
EA
(Regional Office
Only)
6550-18
3/84
Reconciliation, TSD Fund
(Appropriation Y94)
Reproduce
locally
CS
FSM 6554.33,
R-1
Account Number Record
Reproduce
locally
CS
FSM 6561.23,
R-1
6560-3
FSH 6509.11f,
6700-1
8/79
Accident Information List
Reproduce
locally
CS
6700-2
8/82
Vehicle Accident Case Letter of
Transmittal
Reproduce
locally
CS
FSM 6730.8,
R-1
6700-3
8/83
Inspection of Explosive Storage
Facilities
Reproduce
locally
CS
FSH 7109.51
6700-5
7/85
Safety Award-Gold Foil
6700-6
7/91
Chain Saw Incident
DG
7100-1
9/74
Transmittal Memo Re Contracting
7100 will issue
CS
7100-8
4/80
Condition Report For Rental Vehicles
Reproduce
locally
CS
EA
Pad of 25
Certificate
R1 SUPPLEMENT 1309.14-92-3
EFFECTIVE 9/8/92
1309.14,18.2,Ex.01
Page 40 of 26
R1 SUPPLEMENT 1309.14-92-3
EFFECTIVE 9/8/92
1309.14,18.2,Ex.01
Page 41 of 26
18.2 - Exhibit 01--Continued
FORM NO.
R-1
EDITION
DATE
FORM TITLE AND DESCRIPTION
(Report Number, if any)
SUPPLY SOURCE
UNIT OF
ISSUE
AUTHORITY
REMARKS
7100-9
4/82
Instructions Re WO Form 7100-9
Reproduce
locally
EA
FSH 7109.19,
11.5
Card Stock
7100-9a
4/82
Instructions Re WO Form 7100-9a
Reproduce
locally
EA
FSH 7109.19,
11.5
Card Stock
7100-9b
4/82
Instructions Re WO Form 7100-9b
Reproduce
locally
EA
FSH 7109.19,
11.5
Card Stock
7100-9c
4/82
Instructions Re WO Form 7100-9c
Reproduce
locally
EA
FSH 7109.19,
11.5
Card Stock
7100-9d
4/82
Instructions Re WO Form 7100-9d
Reproduce
locally
EA
FSH 7109.19,
11.5
Card Stock
7100-9e
1/89
Drivers Safety & Preventive Maintenance
Inspection, Transportation Equipment
7100 will issue
EA
FSH 7109.19
3-part NCR
7100-10
8/87
Drivers Safety & Preventive Maintenance
Inspection, Medium Trucks
7100 will issue
EA
FSH 7109.18,
Sec. 43
7100-11
7/79
Engineering Certification Program
Reproduce
locally
CS
7130-1
6/84
Application For Motor Vehicle
Operators Identification Card
Reproduce
locally
CS
7130-2
9/88
General Test For All Automotive
Drivers and 4 x 4 Operators
7100 will issue
CS
7130-4
3/79
Performance Scoresheet For Heavy
Equipment Operator
Reproduce
locally
CS
7130-5
12/84
FY____ Request for Vehicle Acquisition Rental/Lease 60 Days or More
Reproduce
locally
CS
FSM 7131.4
7130-8
7/79
Request For Motor Vehicle
Reproduce
locally
CS
FSH 6509.11e,
Sec. 42.2
R-1
(Regional Office
Only)
7130-10
3/74
Checklist - New Equipment
Reproduce
locally
CS
7130-11
3/74
Initial Servicing Checksheet
Reproduce
locally
CS
7130-13
10/83
Odometer Mileage Statement
Order from
EA
FSH 7109.19,
2-part NCR
FSH 7109.19,
R-1
See Driver Examiner
for other vehicle
tests
R1 SUPPLEMENT 1309.14-92-3
EFFECTIVE 9/8/92
1309.14,18.2,Ex.01
Page 42 of 26
Engineering
53.4
R1 SUPPLEMENT 1309.14-92-3
EFFECTIVE 9/8/92
1309.14,18.2,Ex.01
Page 43 of 26
18.2 - Exhibit 01--Continued
FORM NO.
R-1
EDITION
DATE
FORM TITLE AND DESCRIPTION
(Report Number, if any)
SUPPLY SOURCE
UNIT OF
ISSUE
AUTHORITY
REMARKS
7130-14
3/88
Equipment Requisition
Order from
Engineering
EA
FSH 7109.19,
R-1
4-part NCR
7130-17
6/84
US Government Motor Vehicle
Driver/Operator Identification Card
Order from
Engineering
EA
FSM 7136.2
(Replaces SF-46)
7140-1
1/88
Photographic Work Requisition
MS, Supply
EA
FSM 6583.1,
7148, R-1
6-part snapout
(Thin or Heavy)
7140-2
Legend
EA
7150-1
Certified Land Corner Recordation
Order from
Engineering
EA
FSM 7153.53,
R-1,
FSH 7709.11,
R-1
7150-2
11/80
Annual Cadastral Engineering
Accomplishment Report
Reproduce
locally
CS
FSM 7151.6
R-1
7154-1
7/83
Right-of-Way Checklist
Reproduce
locally
CS
FSH 7109.15,
R-1, 25.65
7210-1
Radio Maintenance Record
Reproduce
locally
CS
7210-2
Radio Identification Label
7220-1
4/76
7220-2
Gummed (Strip 0f 9)
Communications Equipment Inventory
Reproduce
locally
CS
FSM 7211.3,
R-1
Radio Test Equipment Inventory Data
Reproduce
locally
CS
FSM 7211.3,
R-1
7230-1
12/83
Avionics Inspection
FSM 7234
7310-1
10/91
Estimated Design Cost
Reproduce
locally
CS
Created on Macintosh
7310-2
10/91
Estimated Design Cost Back-up Data
Reproduce
locally
CS
Created on Macintosh
7310-3
10/91
Estimated Construction Cost
Reproduce
loccally
CS
Created on Macintosh
7310-4
10/91
Review Comments
Reproduce
locally
CS
Created on Macintosh
7400-1
12/76
Drinking Water Bacteriological Test
Reproduce
CS
FSM 7421.25
R1 SUPPLEMENT 1309.14-92-3
EFFECTIVE 9/8/92
Report
1309.14,18.2,Ex.01
Page 44 of 26
locally
R1 SUPPLEMENT 1309.14-92-3
EFFECTIVE 9/8/92
1309.14,18.2,Ex.01
Page 45 of 26
18.2 - Exhibit 01--Continued
FORM NO.
R-1
EDITION
DATE
FORM TITLE AND DESCRIPTION
(Report Number, if any)
SUPPLY SOURCE
UNIT OF
ISSUE
AUTHORITY
7400-3
9/77
Disinfection and Turbidity Record
Reproduce
locally
CS
7400-4
9/78
Sewer System Inventory
Reproduce
locally
CS
7500-2
1/80
Dam Inspection Report
Reproduce
locally
CS
FSM 7564.23,
R-1
7700-1
5/87
Road Bridge Routine Maintenance
Inspection Report
Reproduce
locally
CS
FSM 7731.21
7700-2
1/83
Bridge Rating Summary
7100 will issue
CS
FSM 7720
7700-3
6/74
Daily Road Maintenance Summary
Reproduce
locally
CS
7700-4
1/91
Timber Bridge Inspection Report
Reproduce
locally
CS
FSM 7731.21
7700-5
1/91
Multi-Beam Bridge Inspection Report
Reproduce
locally
CS
FSM 7731.21
7700-6
1/91
Major Bridge Inspection Report
Reproduce
locally
CS
FSM 7731.21
7700-9
7/79
Subsurface Investigations Safety
Guide
7100 will issue
BK
7700-11
5/87
Trail Bridge Routine Maintenance
Inspection Report
Reproduce
locally
CS
FSM 7731.21
7700-16
11/84
Bridge Design Data Sheet
Reproduce
locally
CS
FSM 7721.8,
R-1
7700-18
4/90
Delegations of Responsibility to
Perform Structural Engineering and
Bridge Inspection
Reproduce
locally
CS
FSM 7721.04b,
R-1
7700-22
12/75
Oversize/Overload Trip Permit
Reproduce
locally
CS
FSM 7731.4,
R-1
7700-23
11/84
Bridge Design Request Submittal
Checklist
Reproduce
locally
CS
FSH 7709.11,
R-1, 60 & 70
7700-24
6/77
Annual Maintenance Plan Worksheet -Nontraffic Generated Maintenance
Program
Reproduce
locally
CS
FSH 7709.15,
R-1
REMARKS
8" x 13"
R1 SUPPLEMENT 1309.14-92-3
EFFECTIVE 9/8/92
1309.14,18.2,Ex.01
Page 46 of 26
R1 SUPPLEMENT 1309.14-92-3
EFFECTIVE 9/8/92
1309.14,18.2,Ex.01
Page 47 of 26
18.2 - Exhibit 01--Continued
FORM NO.
R-1
EDITION
DATE
FORM TITLE AND DESCRIPTION
(Report Number, if any)
7700-25
6/77
Annual Maintenance Plan Worksheet -Traffic Generated Maintenance Program
Reproduce
locally
7700-26
6/77
Traffic Summary
7700-27
7/77
7700-28
UNIT OF
ISSUE
AUTHORITY
REMARKS
CS
FSH 7709.15,
R-1
8" x 13"
Reproduce
locally
CS
FSH 7709.15,
R-1
8" x 13"
Transportation System Economic Analysis
Problem Statement Form
Reproduce
locally
CS
FSM 7712.41,
7712.46, R-1
7/77
Transportation System Economic Analysis
Alternative Description Form
Reproduce
locally
CS
FSM 7712.41,
7712.46, R-1
7700-29
7/77
Transportation System Economic Analysis
Data Assembly Form
Reproduce
locally
CS
FSM 7712.41,
7712.46, R-1
7700-30
7/77
Transportation System Economic Analysis
Calculation Form
Reproduce
locally
CS
FSM 7712.41,
7712.46, R-1
7700-31
7/77
Transportation System Economic Analysis
Alternative Comparison Form
Reproduce
locally
CS
FSM 7712.41,
7712.46, R-1
7700-47
9/81
Pre-Application For Permit to Drill
7100 will issue
EA
FSM 7720.3,
R-1
OTHER ITEMS:
Tags (Approximate Size, 4-1/2" x 2-1/8")
Caution Keep Away From Fire (Red)
Gasoline (Red)
Gasoline With Oil (Red)
This Radiator is Empty (Red)
Diesel Oil (Green)
Kerosene (Blue)
Oil (Yellow)
Stove Oil (Yellow)
SUPPLY SOURCE
5-part NCR