Fillable Printable Opm1592
Fillable Printable Opm1592
Opm1592
Outstanding Scholar Provision Reporting Form
for the Luevano Decree
Page ___ of ___
1. Occupation
Series Grade Title
2. Reporting Period
From To
3. Title of Department, Independent Establishment, or Government Corporation 4. Address of Submitting Office
5. N ame of Submitti ng Office
6. Missing Data 7. Name of Agency Contact and Telephone Numbers
NUMBER OF QUALIFIED* APPLICANTS BY ZONE
DESIGNATION
CATEGORY
GEOGRAPHIC
ZONES**
NATIONWIDE
1. Atlanta 2. Chica
g
o 3. Dallas 4. Philadelphia 5. San Francisco 6. Alaska 7.Caribbean 8. Hawaii 9. Washin
g
ton, DC
A. American Indian or
Alaskan Native
B. Asian or
Pa c ific Is la nder
C. Black, not of
Hispanic
origin
D. Hispanic
E. White, not of
Hispa nic origin
F. Other qualified
applicants
Zone Totals
* Only those applicants who meet the appropriate qualification requirements for the position. OPM Form
1592
(
2-90
)
** Zone definitions are on the reverse side of OPM Form 1386B, Applicant Race and National Ori
g
in Questionnaire.
United States
Office of
Personnel
Management
Instructions for completing the
Outstanding Scholar Provision Report ing F orm for the Luevano Decree
Item
Instructions for Completing
1. Occupation
Series: Enter the four digit classification series.
Grade: Enter t he grade for thi s r eport, eit her 05 or 07.
Title: Enter the occupational title.
2. Reporting Period Enter the reporting period cover ed; e.g., 01/ 01/ 90 t o 12/31/90.
3. Title of Department, Enter your organizational title, e.g., Veterans Administration,
Independent Establis h- General Services Adminis tr at i on.
me nt or Government
Corporation
4. Address of submitting Enter address of office that prepared report.
Office
5. Name of Submitting Enter name of the office that prepared the report, e.g., Office of
Office Personnel Operations.
6. Mis si ng Data Enter the number of qualified
applicants that either did not complete or
return the Applicant Race and National Origin Questionnaire, OPM Form
1386B.
7. Name of Agency Enter the name and phone number(s) of designated agency contact for
Contact and Telephone questions in thi s ar ea.
Numbers
NUMBER OF QUALIFIED* From the Applicant Race and National Origin Questionnaire
OPM F orm
APPLICANTS BY ZONE 1386B, enter counts of qualified appli cants for each race and national
origin category broken down by Geographic Zones. Geographic zone is
determined from item 6, Location of Position, on the Applicant Race and
National Origin Questionnaire. A list showing the coverage of each
geographic zone is provided on the back of the questionnaire.
Please provide the total number of applicants for all zones in Zone Totals
and the total number of applicants nationwide for each designation
category under NATIONWIDE.
