Retirement of Certain Bureau of Land Management (BLM) Volunteer Program Forms
UNITED STATES DEPARTMENT OF THE INTERIOR
BUREAU OF LAND MANAGEMENT
WASHINGTON, D.C. 20240
http://www.blm.gov
January 24, 2012
In Reply Refer To:
1114 (420) P
EMS TRANSMISSION 02/02/2012
Instruction Memorandum No. 2012-057
Expires: 09/30/2013
To: All Washington Office and Field Office Officials
Attn: Volunteer Coordinators Forms Managers
From: Assistant Director, National Landscape Conservation System and Community Partnerships
Subject: Retirement of Certain Bureau of Land Management (BLM) Volunteer Program Forms
Program Area: Volunteers
Purpose: This Instruction Memorandum (IM) provides formal notification that the following BLM Volunteer Program forms are now obsolete and any unused copies should be discarded:
Form 1114-1 Volunteer Performance Evaluation
Form 1114-2 Volunteer Identification Card
Form 1114-4 Individual Volunteer Services Agreement
Form 1114-5 Group Volunteer Services Agreement
Form 1114-5a Parental Approval Form for Volunteers Under 18 Years of Age
Form 1114-7 Volunteer and Hosted Worker Report
Form 1114-9 Volunteer Appreciation Certificate
Form 1114-10 Volunteer Application
Policy/Action: Effective immediately, BLM Forms 1114-1, 1114-2, 1114-4, 1114-5, 1114-5a, 1114-7, 1114-9, and 1114-10 are cancelled. All BLM organizations should destroy any remaining inventory of these forms not currently in use. (Existing forms 1114-4 and 1114-5 may be renewed for long-term volunteers). The forms will no longer be available through the Printed Materials Distribution Services at the National Operations Center nor from the BLM Internal Forms Website (Forms Central) .
Time Frame: This Instruction Memorandum is effective immediately.
Background: Explanations for the retirement of the aforementioned forms are as follows:
- Interagency Optional Form 301a (“Volunteer Services Agreement for Natural Resources Agencies for Individuals or Groups”) accommodates all information formerly addressed by BLM Forms 1114-1, 1114-4, 1114-5, and 1114-5a. The form is available on the BLM Volunteer Program intranet at as well as the General Services Administration website.
- The Department of the Interior Access Card has replaced Form 1114-2.
- BLM Volunteer Program Annual Report submissions have replaced data submitted via Form 1114-7.
- Form 1114-9 may be replaced by locally-produced, customized certificates of appreciation. Sample certificates developed by the Washington Office are also available on the BLM Volunteer Program intranet.
- The interagency Volunteer.gov volunteer recruitment and application website at http://www.volunteer.gov and interagency Optional Form 301 (“Volunteer Application for Natural Resources Agencies”) have obviated the need for Form 1114-10. Form 301 is available on the BLM Volunteer Program intranet as well as the General Services Administration website.
Budget Impact: None.
Manual/Handbooks Affected: BLM Manual Section 1114, “Volunteers”
Coordination: This document was coordinated with Karen Wrenn (OC-652), BLM Electronic Forms Manager.
Contact: Please address any questions or concerns regarding this IM to Bibi Booth of the Division of Education, Interpretation, and Partnerships at Bibi_Booth@blm.gov or (202) 912-7451.
Signed by: Authenticated by:
Carl Rountree Robert M. Williams
Assistant Director, National Landscape Division of IRM Governance,WO-560
Conservation System and Community Partnerships