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Staff Manual Guide 3113.14 Attachment B

GROUP AWARD NOMINATION

Prepare a data sheet.

The instructions in parentheses describe the information to be entered. Use 8-1/2" x 11" paper. Do not exceed one page, and do not photo reduce. Left margin must be no smaller than 1.5 inches.

NOMINATION FOR FDA (NAME OF AWARD) 
GROUP

1. Name of group:

 

2. Proposed citation:

 

3. Identification of award criterion/criteria under which nominated:

 

4. Group member information:

Name, Degree
Position Title
Pay Plan, Series, Grade
Social Security Number
  Organization   Current Summary
Rating of Record

1.

 

       

2.

 

       

3. (etc.)

 

 

       

 


Prepare a narrative justification.

The instructions in parentheses describe the information to be entered. Use 8-1/2" x 11" paper. Do not exceed one page, and do not photo reduce. Left margin must be no smaller than 1.5 inches.

Page 2 - Narrative Justification - (Insert name of group)

(Describe the nominees' achievement(s) or distinguished service, showing clearly the manner in which the nominees have met the award criterion/criteria identified on page one. The justification must include sufficient detail to provide reviewing/recommending committees with enough information to effectively evaluate the nominees' contribution(s). Some points to include, if applicable, are: impact of the achievement on Agency mission, function, or activity affected; level of effectiveness before and after the nominees' action(s); results obtained by the nominees' action(s), including any quantifiable evidence of improvement; and degree of ingenuity, innovation, or exceptional skill demonstrated by the nominees. The contributions of each member of the group need not be listed separately, but should be discussed in the narrative to clearly show what role each member played, e.g., "Archibald Arch and Barbara Brother were the primary scientific reviewers on this project, and they contributed to the noted achievement by...." DO NOT EXCEED ONE SINGLE-SPACED PAGE FOR THE ENTIRE GROUP.)

INSTRUCTIONS FOR COMPLETING NOMINATION OF A GROUP FOR THE FDA AWARD OF MERIT, FDA COMMENDABLE SERVICE AWARD, FDA EQUAL OPPORTUNITY ACHIEVEMENT AWARD.

Page 1 - General - Left margin must be no smaller than 1.5 inches. - Do not exceed one page unless necessary to list all group members. If more than one page is needed for list, type name of group at top of sheet.

Item 1. Provide name of group exactly as it should appear on award token/certificate/ letter/memorandum.  Examples:

Research and Review Branch
Special Survey Group
James O. Bond and Suzanne E. Light

Item 2. Provide a proposed citation of 25 words or less which summarizes the service or achievement which serves as the basis for this nomination. Begin the citation with words like, "In recognition of...," or "For..." and do not use personal pronouns such as his, her, their, etc. When formulating the proposed citation, take special care to ensure that it not only states what the award recognizes, but also that it is identifiable with the award criterion/criteria cited in Item 3.

Item 3. Refer to the pertinent FDA Staff Manual Guide on the award for which the nomination is being made and cite appropriate criterion/criteria. Examples:

Criterion B.
Criteria B and C.

Item 4. Take care to ensure that all who should be included in the group are included in the listing so that all names can be included in awards ceremony booklet. Number the name entries, and provide names (including any degrees used by the nominees) in alphabetical order exactly as they should appear on the award certificate.  Example:

Name, Degree
Position Title
Pay Plan, Series, Grade
Social Security Number
  Organization   Current Summary
Rating of Record
1. Archibald A. Arch
Clerk-Typist
GS-322-4
000-00-000
  CVM   FM
2. Barbara B. Brother
Clerk-Typist
GS-322-4
000-00-000
  CDRH   E
3. Calvin C. Carton, Ph.D.
Consumer Safety Officer
GS-696-11
000-00-000
  ORA
Region III
Philadelphia
  FM

Page 2 - General - Page 2 may be a continuation of item 4 from page one or the beginning of the narrative justification. If a second page is needed for the listing, begin the narrative on page 3. Limit narrative to one page single-spaced, and do not photo reduce. Left margins must be no smaller than 1.5 inches. Transmit each group nomination separately under cover of its own transmittal memorandum -- see sample at Attachment D to this Guide.