Office of Governmentwide Policy; Cancellation of an Optional Form by the Department of State
---
identifier: "/us/fr/04-5879"
source: "fr"
legal_status: "authoritative_unofficial"
title: "Office of Governmentwide Policy; Cancellation of an Optional Form by the Department of State"
title_number: 0
title_name: "Federal Register"
section_number: "04-5879"
section_name: "Office of Governmentwide Policy; Cancellation of an Optional Form by the Department of State"
positive_law: false
currency: "2004-03-16"
last_updated: "2004-03-16"
format_version: "1.1.0"
generator: "[email protected]"
agency: "General Services Administration"
document_number: "04-5879"
document_type: "notice"
publication_date: "2004-03-16"
agencies:
- "General Services Administration"
fr_citation: "69 FR 12330"
fr_volume: 69
effective_date: "2004-03-16"
fr_action: "Notice."
---
# Office of Governmentwide Policy; Cancellation of an Optional Form by the Department of State
**AGENCY:**
General Services Administration.
**ACTION:**
Notice.
**SUMMARY:**
The Department of State has cancelled the following Optional Form: OF 141, Application for Service Credit. This form is now a State Department form (DS-5001). You can request copies of the new form from: Department of State, A/RPS/DIR, SA-22, 18th and G Streets, NW., Room 2400, Washington, DC 20522-2201.
**FOR FURTHER INFORMATION CONTACT:**
Mr. Charles Cunningham, Department of State, 202 312-9605.
**DATES:**
Effective March 16, 2004.
Dated: March 5, 2004.
Barbara M. Williams,
Deputy Standard and Optional Forms Management Officer, General Services Administration.