This version of the form is not currently in use and is provided for reference only. Download this version of Form HHS-990-1 for the current year.
This is a legal form that was released by the U.S. Department of Health and Human Services on March 1, 2022 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form HHS-990-1?
A: Form HHS-990-1 is the HHS Workplace Flexibilities Agreement.
Q: What is the purpose of Form HHS-990-1?
A: The purpose of Form HHS-990-1 is to document an agreement between an employee and their supervisor regarding workplace flexibilities.
Q: Who fills out Form HHS-990-1?
A: Both the employee and their supervisor fill out Form HHS-990-1.
Q: What are workplace flexibilities?
A: Workplace flexibilities are options that allow employees to have more control over how, when, and where they work.
Q: What is included in the HHS Workplace Flexibilities Agreement?
A: The agreement includes information about the types of flexibilities requested and agreed upon, as well as any conditions or restrictions.
Q: Is Form HHS-990-1 mandatory?
A: Yes, it is mandatory for employees and supervisors to complete Form HHS-990-1 if they agree to workplace flexibilities.
Q: Can I make changes to the agreement after submitting Form HHS-990-1?
A: Changes to the agreement can be made by submitting a revised Form HHS-990-1 with the updated information.
Q: What happens if the agreement is not followed?
A: If the agreement is not followed, it can result in disciplinary actions or the revocation of workplace flexibilities.
Form Details:
Download a fillable version of Form HHS-990-1 by clicking the link below or browse more documents and templates provided by the U.S. Department of Health and Human Services.