Federal Register / Vol. 89, No. 36 / Thursday, February 22, 2024 / Notices 13341 

2. Monthly Reports 

(a) Participant Report 

(b) Investment Report 

(c) Legislative Report 

3. Quarterly Reports 

(d) Metrics 

4. Enterprise Risk Management 

5. ORM Annual Office Update 

6. FEVS Update 

Closed Session 

7. Information covered under 5 U.S.C. 

552b(c)(9)(B) and (c)(10). 

Authority: 5 U.S.C. 552b(e)(1). 

Dated: February 16, 2024. 

Dharmesh Vashee, 

General Counsel, Federal Retirement Thrift 

Investment Board. 

[FR Doc. 2024–03587 Filed 2–21–24; 8:45 am] 

BILLING CODE 6760–01–P 

GENERAL SERVICES 

ADMINISTRATION 

[OMB Control No. 3090–XXXX; Docket No. 

2024–0001; Sequence No. 2] 

Information Collection; Actual Place of 

Residence Determination (GSA Form 

5047) 

AGENCY: Office of Human Resource 

Management, Division of Human 

Capital Policy and Programs, General 

Services Administration (GSA). 

ACTION: Notice of request for comments 

regarding a request for a new OMB 

clearance. 

SUMMARY: Under the provisions of the 

Paperwork Reduction Act, the 

Regulatory Secretariat Division will be 

submitting to the Office of Management 

and Budget (OMB) a request to review 

and approve a new information 

collection requirement. 

DATES: Submit comments on or before 

April 22, 2024. 

ADDRESSES: Submit comments 

identified by Information Collection 

3090–XXXX; ‘‘Actual Place of Residence 

Determination (GSA Form 5047)’’ to: 

https://www.regulations.gov. Submit 

comments via the Federal eRulemaking 

portal by searching for ‘‘Information 

Collection 3090–XXXX; ‘‘Actual Place 

of Residence Determination (GSA Form 

5047).’’ Select the link ‘‘Submit a 

Comment’’ that corresponds with 

‘‘Information Collection 3090–XXXX; 

Actual Place of Residence 

Determination (GSA Form 5047).’’ 

Follow the instructions provided at the 

‘‘Submit a Comment’’ screen. Please 

include your name, company name (if 

any), and ‘‘Information Collection 3090– 

XXXX; Actual Place of Residence 

Determination (GSA Form 5047)’’ on 

your attached document. If your 

comment cannot be submitted using 

https://www.regulations.gov, call or 

email the points of contact in the FOR

FURTHER INFORMATION CONTACT section of 

this document for alternate instructions. 

Instructions: Please submit comments 

only and cite ‘‘Information Collection 

3090–XXXX; Actual Place of Residence 

Determination (GSA Form 5047),’’ in all 

correspondence related to this 

collection. Comments received generally 

will be posted without change to 

https://www.regulations.gov, including 

any personal and/or business 

confidential information provided. To 

confirm receipt of your comment(s), 

please check www.regulations.gov, 

approximately two-to-three days after 

submission to verify posting. 

FOR FURTHER INFORMATION CONTACT: 

Colin C. Bennett, Human Resources 

Specialist, Office of Human Resources 

Management, Division of Human 

Capital Policy and Programs, at 

telephone 240–418–6822 or via email to 

colin.bennett@gsa.gov for clarification of 

content. 

SUPPLEMENTARY INFORMATION: 

A. Purpose 

The General Services Administration 

(GSA) routinely hires, reassigns, 

promotes and transfers Federal 

employees to duty stations in foreign 

areas (i.e., locations outside of the 

United States, its territories and 

possessions). For this staffing activity, 

GSA pays for the cost of relocation, 

known as ‘‘permanent change of 

station’’ relocation benefits (see further 

5 U.S.C. 5722(a) and 5724(d)). 

Relocation benefits include the cost of 

travel and transportation, as well as the 

cost of shipment of household goods to 

a new post outside of the Continental 

United States. In addition, most 

overseas employees are eligible for 

‘‘renewal agreement travel,’’ a travel 

reimbursement authority that allows 

agency to leverage funds to pay for 

periodic travel back to the United States 

between overseas tours of duty for paid 

time off, known as ‘‘home leave’’ (see 

further, 5 U.S.C. 5728(a) and 5 U.S.C. 

6305(a)). 

For an agency to calculate the costs of 

relocation as well as renewal agreement 

travel, both federal travel laws require 

that the employee (or appointee) 

designate an ‘‘actual place of 

residence.’’ When such residence 

cannot be easily determined by the job 

candidate, the agency must instead 

make an administrative residency 

determination on behalf of the 

employee. The new GSA Form 5047 

will help agency representatives (i.e. 

human resources specialists) make a 

determination of the actual place of 

residence based upon documents and 

input provided by the job candidates, 

considered members of the public. 

Typically, agencies use the definition 

of ‘‘residence’’ from the Immigration 

and Naturalization Act of 1952, codified 

at 5 U.S.C. 1101(33), which defines 

‘‘residence’’ as a ‘‘place of general 

abode’’ or the ‘‘principal, actual 

dwelling place in fact, without regard to 

intent.’’ While for most employees (or 

appointees) the determination of an 

actual place of residence in the U.S. is 

typically straightforward, residency may 

be unclear if the appointee is already 

overseas and has been overseas for a 

long period of time. Long-term posts 

overseas are often characterized by the 

lease (or even sale) of the employee’s 

primary U.S. dwelling, changes in the 

declared U.S. voting registration 

location, and/or changes in the state and 

local income or property tax 

jurisdictions. 

To more effectively administer 

permanent change of station relocation 

as well as renewal agreement travel, the 

General Services Administration (GSA) 

has created a new agency form, GSA 

Form 5047, Actual Place of Residence 

Determination. This form will allow 

employees, job candidates, and the 

agency’s human resources specialists, to 

more easily determine the actual place 

of residence by working through a series 

of guided questions on the form’s 

worksheet. Following completion of the 

form’s worksheet, the employee, 

candidate, and human resources 

specialist can summarize the 

determination on the form’s front cover 

sheet. 

The questions on the worksheet 

portion of the form are drawn from 

governing administrative law 

authorities, primary Comptroller 

General decisions such as: Rafael 

Arroyo, decision B–197205 (May 16, 

1980), decision B–157548 (Sept. 13, 

1965), 45 Comp. Gen. 136, and decision 

B–140748 (Oct. 29, 1959), 39 Comp. 

Gen. 337. Under these administrative 

law authorities, the place of actual 

residence is established at the time of 

appointment or transfer (see also 

decision B–136029, June 24, 1958, 37 

Comp. Gen. 846). Use of this form is 

therefore recommended for all overseas 

appointments, transfers or 

reassignments and, in particular, those 

personnel selections of job candidates 

via agency transfer employed by a 

different U.S. Government agency and 

already present overseas. 

Use of this form will allow GSA to 

comply with the Federal Travel 

Regulations, which require the 


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13342 Federal Register / Vol. 89, No. 36 / Thursday, February 22, 2024 / Notices 

administrative determination and 

documentation of the actual place of 

residence for all overseas appointments 

or placements (see further 41 CFR 302– 

3.509). In addition, this form will also 

allow the agency to leverage the renewal 

agreement travel authority (i.e., the 

Home Leave Act of 1954, 68 Stat. 1008) 

only when appropriate and not in the 

rare cases of local foreign hires who 

have severed all jurisdictional nexuses 

with the U.S. 

Significantly, this residency 

determination form can also be used to 

determine eligibility for the following 

other overseas allowance and benefit 

authorities: (a) the 45-day annual leave 

accrual authority (5 U.S.C. 6304(b)), (b) 

home leave (5 U.S.C. 6305(a)) and (c) 

living quarters allowance (5 U.S.C. 

5923(a)(2)). Under each of these 

authorities, local hires who currently 

live in foreign areas are excluded from 

benefits eligibility unless they can 

demonstrate that foreign residence is 

temporary, is only pursuant to 

continuous employment overseas with 

the U.S. Government (or other U.S. 

interest), and finally, there exists a 

contractual transportation agreement 

that provides for the eventual return of 

the job candidate to a specificallyidentified place of actual residence 

within the U.S. 

B. Annual Reporting Burden 

Respondents: 25 per year. 

Responses per Respondent: 1. 

Total Annual Responses: 25. 

Hours per Response: 1. 

Total Burden Hours: 25. 

C. Public Comments 

Public comments are encouraged, and 

are particularly invited, on: (a) whether 

this collection of information is 

necessary, (b) whether it will have 

practical utility, (c) whether our 

estimate of the public burden of this 

collection of information is accurate 

(and based on valid assumptions and 

methodology), (d) whether or not there 

are ways to enhance the new form’s 

utility and clarity of the information to 

be collected, and (e) whether or not 

there might be ways in to minimize the 

data collection burden through the use 

of information technology. 

Obtaining Copies of Proposals: We 

have provided a copy of the proposed 

draft GSA Form 5047 at the end of this 

notice below the signature block. A 

copy of the proposed draft form can 

alternatively be obtained through GSA’s 

Regulatory Secretariat Division by 

calling (202) 501–4755 or emailing 

GSARegSec@gsa.gov. Please cite OMB 

Control No. 3090–XXXX, Actual Place 

of Residency Determination (GSA Form 

5047), in all correspondence. 

Lois Mandell, 

Director, Regulatory Secretariat Division, 

General Services Administration. 

BILLING CODE 6820–FM–P 


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GSA Form 5047 

ACTUAL PLACE OF RESIDENCE DETERMINATION 

SECTION A •COVERSHEET 

Name of Candidate 

First 

BACKGROUND. An employee's "actual place of residence in the U.~,i::;~fdetermined by an 

appointing agency,. is a statutory requirern~mt that determines eligibilify'.Jor "permanent change 

of station" (PCS) relocation costs (5 U.S.C. §§ 5722 and 5724(d))::Qh'c:l'~f:t~~ Administrative 

Expenses Act of 1946 and home leav.e travel cost reirnbursernetlf(also krt~'W!) as "renewal 

agreement travel," 5 u.s.c. § 5728) under the Horne Leav~<~ct of 1954. 

Note: This residency determination form can also be L!.~,a t~ determine eligibilityif~h (a) the 

45-day annual leave accrual authority (5 U.S.C. § 63()~(0)), fromJh'$ Annual and S16k Leave 

Act of 1951., (b) home .leave (5 U.S.C, § 6305(a)) and'.(~l:,living,91;1arters allowance (5 U.S.C. § 

5923(a)(2)), both from the Overseas Allowances Act of:1/$69{/< 

' ' '<'' i))\\~\:,-,\ ' 

Under GSA Order 5730.1, usually the "ac:;t!il~(place of residerl¢:~.i: is the principal, actual 

dwelling place in fact, without regard to int:e'ot;'. ~t:;thtJime of s~i~l::tion for appointment or 

transfer. (See 8 U .S.C. § 1101 (a)(33)). Thi,it!Jle 'is'i:ii~~J~.r.candiaeites who are selected 

while residing within the U.S. 

For candidates residing inJfii':tJ;l:.:..~d the ~'l,~~/~f~ppoint;ent or transfer, the actual 

place of residence is [Wgiksheef'Nq, Requir~g]: ',,,'' ' '\I r• ,,'' 

City 

For Depai:trt!'i~{\3⁄4/~~(f!!'!~:i~tj~idates residing in a foreign area at the time of 

selecti91(61 transfer,'tti.!)~ctuai'.~\~ce of residence determination is made as follows: 

For e~;j~:, selected f;g~the Department of Defense, use the ''Actual Residence at Time 

of Appoirf i:ltltt Line ltemif of OoD Form 1617, TrsnsferofCivi/ian Employees Outside of 

CONUS. Urid~;~·;QSA lort ·• ding travel policy (i.e., former 41 C.F.R. § 302-1.12(o)(3)(iii), 

1997 edition) tlii~!~<~,. , red a continuous designation unless this designation was in error 

or later circurnstan~/ifentitle a different determination. The residence listed on the DoD Form 

1617 is [WorksheefNot Required]: 

City State (PostalAbbreviation) 

GSA Form 5047 (02/XX/2024) Page 1 
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When Worksheet Requited: 

For <:andrdates ft<>m ooores@ing]n a foreign area atthe time of selection 6ytransfer, 

• who ~o nm have the Do0 form 1617.-"!ail8:ble, as well .-s candidates fromot~rfi!deral 

agencies (e.g., C()mmerce Department, State ~rtment, USAID), GSAmust make an 

administrative determination of the actwil place ofresidence. Use this form's 

worksheet·todtrterminet.hemQstappropriateactual placeofresid~mc::e. 

The~nei:any «J~flizedt~ f9rthe"a<:t~l pl~~ Qf resld~m~0Jest 

a~encies is base<tupon the CompttollerGenei:atOpinions, ~aftKefA 

198Q;8457548, 45/Comp,Gen.136:(1965),and S-140748,39 

TtleseacfminiStl'ative law de¢isions require the en,p1o:yirigoffice transfer.to deten:rine (andthen doeul'tietit) the "acl:ual pla 

·the fofl.oyving ca~goriesof evictence: • 

(1)Physical residence([e;; actual dwelling place of 

§ 1:t0t(a)(33)) ctiscussed above) .at the tirne of se.1 

(2}Residencept<Wided in agency records; 

(3)~e~k:lerice a~rding t<>e1T1Ployrnent'1istory;: 

Aand~ther 

1M:2os. M~yte, . 337 (;1959) . • 

f appointment or 

hsideration of 

(4) lndi\iidtJal or family assi>eiatlon With an area:· 

(5) Exercising the privileges and duties. ship; sue 

<>q:>roperty la)(f3S; and .. . .. ...... ... . . . .. . .. .... . • 

•• g of paying state income, 

(S)Plaee ofbirth! education,and marriage 

Baseido11 eva1uatk>1ti>faiit11 ••• 

ofthe worksheet below, th , and foltoWing C'Oinpl~bn is: • 

<.SA Form SQ47 [02JXXJ2Q24,\ Page 2 
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SECTIONS 

ACTUAL PLACE QF RES.IPeNCe VllQRKSAEET 

Based on RafaelAiroyo:1 Comptroller Genetaf decision B-197205 {1980),and other 

a~mi11istrative lavvsouri;es,Co11siderthepreponder.an® oftheevidence .(from l?elow) ifthere 

are multiple possible places of residence" 

Name of Candidate 

. Cu 

Aug~2~, 1955,. s.-12· 

Gen.210 

City 

Cartthis residenee·beconsidete<:1tempo 

• (;ov.ernmenttluties'? lfYesi disregard this 

Yes No 

Note± If the current loc:a warethatthe .appointee may nott?e 

eligib!efC)f{oreign 11111 ayannua[leaveapc:~1111; ho~ leave, 

renewal agreement authorities an r~ufre current 

residents of foreign residence onlytemporarily, pursuarit only to 

contlnuotJs U ymeot. and Sllpported bY,ii ctocumented transpprtation 

agte:eii'lent that.stipulltes eventual return transportation ti) an 

anno tl'!eU:$. \M'ile B--1~7~. Novell'lller 4, 1$55,·~ 

C() e r$ciprocity to Job ~ntlidll\tes: appointed by transfer 

from circumstance$, such appointees are insteaid foreign "locaf' 

hires, ~nt jurisclictional con11e¢t1ons to the Uniteci .States al'ld are 

unable requitements>ofthose authorities (i,e. continu()us u.s; 

employmeot t tC) a documented tJiinsportatjon l!lgree:merit}. In situatk)n~ 

where a. docu rtatlon agl'.eel'ti&nt\lVas known.toexi$t, and has l:)een 

stibsequentty I be located, the job candidate's resume can be used instead to 

sup1X,1r,t '¢1:>.ntin.UQμs: eo,pk>yme,rt OVfilf'$eas by tbe U.$,Go~rnflll9nt an~the ~nsportati<,n 

agreement re:quire:mentcan be supfi<)rte:d by obtaining a copy of the origlnai retoeation 

P!11ckage used to Slilnd. ttieJ1>Q <:a11di~.ate over$tras by the !()sing agen~y uhderthe 

Administrative Expenses,Act of 1946. 

GSA Form 5047 (.02IXX/2024J page 3 
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Residence ProVided in Agency Records 

(e.i;t, Mailing Address forW-2 and Leave andEamings Statements) 

B-125293, October 28, 1955, 35 Comp .. Gen; 244 

Country (U.S. or Foreign) 

City State (if u:S.) 

Historical Residence While Employed 

(i.e,, r~idel'I~ during ttle prior5year$) 

B-125293, October 28, 1955; 35 c:on,p'. Gen. 244 

Country (U.S. or Foreign) 

Fa . · 

S-140748", 39 Comp, GEi 

Does youffar'nily. (e:g., 

historical or affinlty<conn 

whe plan to retire 

Yes 

ere you maintain a 

burial plotl'lndlor 

8 and B-125293, October28, 1955; 35 bon,p. Gen. 244 

not sure 

2. e past in U.S. election$; eitlietin perstjn, or by rnali (e:g.; 

t historically has been your voting jurisdicl:ion? • • 

3, Doyovcurrentlypl'ly U.S. incometax?Yes No . . ... . ..... 

4. Do you currently pay l).$; State and/or local Income ta>t:?Yes 1:,4 No 11.1 .. · 

5. If you currentrypay U;S. State tax and/or local tax, whatstate and/or localjurisdlction? 

State 

·GSA E<>cm504:r (021X>®lW ·page 4 
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Local Jurisdiction (County; City, etc,) 

6. . Do you pay income tax to a foreign country?. . . No 

7. lfyQu. payrf'leome taxto aforelgncountry, what country'? 

Long-standing connections through birth, where y<:>u spent youryoutb, education {te~, 

second~ry schooling arid/orcolleg~). andfor maniage • '?" 

B-15754$, 45 comp. Gim, 136 (1985) 

D<> yot1 identify with a particular u .$; S~te ofTerritory due to aJ~~ 

connection, such as through birth, marriage and/or education,? ,ff'' 

Yes No 

If yes, what State or Territory: 

Date 

lnfor purs1.1antfo federal law, in pal'tk:ular: 5 U.$.C; § 3301 

[rules Meli;\] and 5U,S.C:§: 3302[rutes for the competitive 

servi facilitates th~ correct benefits determination decisions 

forth U;S.C. § 6304(b)), home leave and related renewal 

agree ' 305( nd 5 U.$.C, § 5728(a)), and permanent change of 

statio , emd 5724(d)); Disclosure ofinforrnatic:m reltted to the 

candidate datory undet thE!se authorities so thalthe correct payand 

benefits can appointment; transfer, orreassignmentto a foreign area. Use 

ofthis infor lied by Civil Service regulations found Within 5 U .s.c. Part 630 and 

the Federal Ttav • 1ations under 41 C.F.R Part 302. The information collected via this 

formwill Qnly be used bythe GSA Offic:e offluman Resources Ma:nagementand the 

11Hnp10,iee's newsupetvisot under the provisions of5 u.s.c'. § 552a(b)(3) [routine use]. Such 

information is not releasable to the public dye to 5 U.S;C. § 552(b)(6) 11i,d will be stored 

within the Office of Personnel Management's Electronic Personnel Folder(eOPf) application, 

tinder Systemof Record Notice (SORN) "OPM/GOVT-1" at 77 FR 73694(December 11, 

2012). An employee's failure to provide the inforrnation requested on this form mayiead to the 

erroneous paymentof eornpensatiort and benefits, t)t the non-pa~nt of eligible 

compensation and bene,fits. 

GSA form 6047 (P2/XX{2024) Page 5 
13348 Federal Register / Vol. 89, No. 36 / Thursday, February 22, 2024 / Notices 

[FR Doc. 2024–03606 Filed 2–21–24; 8:45 am] 

BILLING CODE 6820–FM–C 


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Instructions for Human Resources Offices 

1. Interview the eanclidate and collect the OoO Fotm 1617 (if applicable) and demographic 

informetion. 

2, Complete the Section B Worksneet (if necessary). 

3. Based upon tne totality of the evidence collected and all available facts (B-157548; Sept. 

13; 1965;,iis comp. Gen. 136), document via tne W:lrksheet.and complete the co.vet 

Sheet The place constituting the actual place of residence must be determined UJ>Qli the 

fact& and circumstances ofeach individual case (EM 24663, Aug , 1955, 35 Comp. 

Gen. f01 andSeptember21,·1955, ~124492). 

4. Sign and:date bottltheSectionBVVorksheet(itapplicable)a 

Sheet 

5, SubmitJotht:SOff~ 1;>ftheChi1:Sf fitl!lriCitll Offi~r ( 

for use in theird!l~rrninatiqn andJnctusion within 

GSA form 5047 (Q2tXX/2Q24l Page 8