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Reporting Form - Establishing Telecommuting Policies

1. Total Number of Employees in your Agency: _______________



2. Does your agency have a telecommuting policy? Yes _____ No _____



3. Does your policy cover all agency employees? Yes _____ No _____



4. If your answer to Question 3 is No, what percentage of your total workforce is covered by the policy?
   • Percentage of Total Workforce Covered: _____
   • Number of Employees Covered: _____
   
   
   
5. Does your policy include the following basic elements?
   • Definition of "Telecommuting": Yes _____ No _____
   • Definition of "Eligible Employee": Yes _____ No _____
   • Provision for Union participation: Yes _____ No _____
   • Performance Issues: Yes _____ No _____
   • Time and Attendance Issues: Yes _____ No _____
   • References to telecommunications, equipment, services: Yes _____ No _____
   • Liability and responsibility issues: Yes _____ No _____
   • Reporting Requirements Yes _____ No _____
   • Conditions of a Pilot Program (if appropriate) Yes _____ No _____

NOTE: Please provide a narrative discussion of your plans for developing policies for covering 100 % of your workforce if your existing policy covers only a portion. If you wish, you may attach a copy of your policy.

RETURN BY APRIL 2, 2001, TO:
Office of Workforce Relations
(Attention: Mallie Burruss)
Office of Work/Life Programs
U.S. Office of Personnel Management
1900 E. Street, NW, Room 7316
Washington, DC 20415-2000
OR
FAX to: (202) 606-2091

Questions may be referred to Mallie Burruss at (202) 606-5529 (email: mtburrus@opm.gov).

OPM 1651 (01/01)

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