**ACTUAL WAGE INFORMATION SHEET - FOR H-1B NONIMMIGRANT EMPLOYEE**

In compliance with the Immigration Act of 1990, employers are required
to pay H-1B non-immigrants the higher of the prevailing wage and the
**actual wage**. The actual wage is defined as the wage rate paid by the
employer to all other individuals with similar experience and
qualifications for the specific employment in question. Employers may
take into consideration \"objective standards relating to experience,
qualifications, education, specific job responsibility and function,
specialized knowledge, and other legitimate business factors\" in
establishing this actual wage rate.

Federal regulations require that employers maintain documentation in the
H-1B nonimmigrant employee\'s file indicating how, based on these
objective standards, the employee\'s wage rate was determined (a copy
must also accompany the H-1B request submitted to International
Researchers & Scholars Office, MS65). This documentation must be
available to authorities of the U.S. Department of Labor in the case of
a review of the employer\'s H-1B procedures.

**Keep this completed form in the H-1B employee\'s departmental
personnel file. You must include a [completed copy]{.underline} of this
form and any attachments to the \"Request for H-1B (Temporary Employee)
Status\"**

**[IMPORTANT]{.underline}: Hiring Division must complete information on
the reverse of this sheet if, during the validity of the employee\'s
H‑1B status, there are any adjustments to the H-1B employee\'s wage rate
[or]{.underline} more generally to the wage rate of employees with the
same payroll title (i.e. merit increase, cost of living increase, salary
range adjustments, etc.). According to federal guidelines for H-1B
status, in the event that the employer gives employees a raise, or if
the compensation system provides for other adjustments in wages, H-1B
employees must be given the raise, consistent with Berkeley Lab's
legitimate established criteria.**

**[The original of the updated form must be kept in the H-1B employee\'s
personnel file. A copy of the updated form (both sides) must be sent to:
International Researchers & Scholars Office, MS 65.]{.underline}**

<table style="width:100%;">
<colgroup>
<col style="width: 5%" />
<col style="width: 13%" />
<col style="width: 4%" />
<col style="width: 2%" />
<col style="width: 5%" />
<col style="width: 2%" />
<col style="width: 3%" />
<col style="width: 0%" />
<col style="width: 2%" />
<col style="width: 13%" />
<col style="width: 16%" />
<col style="width: 0%" />
<col style="width: 6%" />
<col style="width: 21%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="3"><ol type="1">
<li><p>H-1B Employee's Name</p></li>
</ol></td>
<td colspan="11"></td>
</tr>
<tr class="even">
<td colspan="7"></td>
<td colspan="7">(FAMILY NAME) (Other Names)</td>
</tr>
<tr class="odd">
<td colspan="6"><ol start="2" type="1">
<li><p>Employing Department/Division at LBNL</p></li>
</ol></td>
<td colspan="8"></td>
</tr>
<tr class="even">
<td colspan="14"></td>
</tr>
<tr class="odd">
<td colspan="4"><ol start="3" type="1">
<li><p>LBNL Title (including step)</p></li>
</ol></td>
<td colspan="10"></td>
</tr>
<tr class="even">
<td colspan="14"></td>
</tr>
<tr class="odd">
<td colspan="2"><ol start="4" type="1">
<li><p>Wages per YEAR</p></li>
</ol></td>
<td colspan="7"></td>
<td>(100% rate)</td>
<td>Percentage time</td>
<td colspan="3"></td>
</tr>
<tr class="even">
<td colspan="14"></td>
</tr>
<tr class="odd">
<td colspan="14"><ol start="5" type="1">
<li><p>If the payroll title used is <strong>Postdoctoral
Researcher</strong> complete items 6a and 6b:</p></li>
</ol></td>
</tr>
<tr class="even">
<td colspan="14"><blockquote>
<p>a. Give equivalent title and salary that <u>does</u> appear on
Postdoctoral Fellow Salary Range scales</p>
</blockquote></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="13"></td>
</tr>
<tr class="even">
<td colspan="14"></td>
</tr>
<tr class="odd">
<td colspan="14"><blockquote>
<p>b. Give explanation if salary does not match step that appears on
posted rates:</p>
</blockquote></td>
</tr>
<tr class="even">
<td></td>
<td colspan="13"></td>
</tr>
<tr class="odd">
<td colspan="14"></td>
</tr>
<tr class="even">
<td colspan="14"><ol start="6" type="1">
<li><p>State objective standards used to set the H-1B employee's wage
for this position</p></li>
</ol></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="13"></td>
</tr>
<tr class="even">
<td colspan="14"></td>
</tr>
<tr class="odd">
<td colspan="14"><ol start="7" type="1">
<li><p>Attach a copy of the page from the applicable Salary
Administration Manual listing the job title and salary.</p></li>
</ol></td>
</tr>
<tr class="even">
<td colspan="14"><strong>I hereby certify that the information on this
form is correct and complete</strong></td>
</tr>
<tr class="odd">
<td colspan="5"></td>
<td colspan="3"></td>
<td colspan="4"></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td colspan="5"><strong>Name</strong></td>
<td colspan="3"></td>
<td colspan="4"><strong>Signature</strong></td>
<td></td>
<td><strong>Date</strong></td>
</tr>
</tbody>
</table>

**\[CHANGES IN H-1B EMPLOYEE\'S WAGE RATE MUST BE RECORDED ON THE
REVERSE OF THIS SHEET\]**

**[UPDATE 1]{.underline}: DOCUMENTATION OF H-1B EMPLOYEE\'S WAGE RATE AS
A RESULT OF CHANGES IN Lab WAGE RATES AND/OR EMPLOYEE\'S WAGE RATE.**
Keep the original in H-1B employee\'s Division personnel file to comply
with Department of Labor guidelines. Send a completed copy (both sides)
to IRSO.

<table style="width:100%;">
<colgroup>
<col style="width: 5%" />
<col style="width: 13%" />
<col style="width: 7%" />
<col style="width: 5%" />
<col style="width: 2%" />
<col style="width: 3%" />
<col style="width: 2%" />
<col style="width: 13%" />
<col style="width: 1%" />
<col style="width: 14%" />
<col style="width: 0%" />
<col style="width: 6%" />
<col style="width: 21%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="5"><ol type="1">
<li><p>Effective date of changes in wage rate</p></li>
</ol></td>
<td colspan="4"></td>
<td colspan="4"></td>
</tr>
<tr class="even">
<td colspan="13"></td>
</tr>
<tr class="odd">
<td colspan="13"><ol start="2" type="1">
<li><p>State nature of changes in wage rate (e.g., merit increase in
employee's payroll category, wage range adjustment)</p></li>
</ol></td>
</tr>
<tr class="even">
<td></td>
<td colspan="12"></td>
</tr>
<tr class="odd">
<td colspan="13"></td>
</tr>
<tr class="even">
<td colspan="3"><ol start="3" type="1">
<li><p>LBNL Title (including step)</p></li>
</ol></td>
<td colspan="10"></td>
</tr>
<tr class="odd">
<td colspan="13"></td>
</tr>
<tr class="even">
<td colspan="2"><ol start="4" type="1">
<li><p>Wages per YEAR</p></li>
</ol></td>
<td colspan="5"></td>
<td>(100% rate)</td>
<td colspan="2">Percentage time</td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="13"></td>
</tr>
<tr class="even">
<td colspan="13"><ol start="5" type="1">
<li><p>Attach a copy of the page from the applicable Berkeley Lab Salary
Scale listing the job title and salary. If the payroll title used is
<strong>Postdoctoral Researcher</strong> give range that does appear in
Postdoctoral Fellow Salary scales. Attach a copy of applicable page for
this payroll title and salary level.</p></li>
</ol></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="12"></td>
</tr>
<tr class="even">
<td colspan="13"><ol start="6" type="1">
<li><p>State criteria used to set the H-1B employee’s adjusted wage for
this position</p></li>
</ol></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="12"></td>
</tr>
<tr class="even">
<td colspan="13"></td>
</tr>
<tr class="odd">
<td colspan="13"><strong>I hereby certify that the information on this
form is correct and complete</strong></td>
</tr>
<tr class="even">
<td colspan="4"></td>
<td colspan="2"></td>
<td colspan="5"></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="4"><strong>Name</strong></td>
<td colspan="2"></td>
<td colspan="5"><strong>Signature</strong></td>
<td></td>
<td><strong>Date</strong></td>
</tr>
</tbody>
</table>

**[UPDATE 2]{.underline} DOCUMENTATION OF H-1B EMPLOYEE\'S WAGE RATE AS
A RESULT OF CHANGES IN Lab WAGE RATES AND/OR EMPLOYEE\'S WAGE RATE.**
Keep the original in H-1B employee\'s Division personnel file to comply
with Department of Labor guidelines. Send a completed copy (both sides)
to IRSO.

<table style="width:100%;">
<colgroup>
<col style="width: 5%" />
<col style="width: 13%" />
<col style="width: 7%" />
<col style="width: 5%" />
<col style="width: 2%" />
<col style="width: 3%" />
<col style="width: 2%" />
<col style="width: 13%" />
<col style="width: 1%" />
<col style="width: 14%" />
<col style="width: 0%" />
<col style="width: 6%" />
<col style="width: 21%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="5"><ol type="1">
<li><p>Effective date of changes in wage rate</p></li>
</ol></td>
<td colspan="4"></td>
<td colspan="4"></td>
</tr>
<tr class="even">
<td colspan="13"></td>
</tr>
<tr class="odd">
<td colspan="13"><ol start="2" type="1">
<li><p>State nature of changes in wage rate (e.g., merit increase in
employee's payroll category, wage range adjustment)</p></li>
</ol></td>
</tr>
<tr class="even">
<td></td>
<td colspan="12"></td>
</tr>
<tr class="odd">
<td colspan="13"></td>
</tr>
<tr class="even">
<td colspan="3"><ol start="3" type="1">
<li><p>LBNL Title (including step)</p></li>
</ol></td>
<td colspan="10"></td>
</tr>
<tr class="odd">
<td colspan="13"></td>
</tr>
<tr class="even">
<td colspan="2"><ol start="4" type="1">
<li><p>Wages per YEAR</p></li>
</ol></td>
<td colspan="5"></td>
<td>(100% rate)</td>
<td colspan="2">Percentage time</td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="13"></td>
</tr>
<tr class="even">
<td colspan="13"><ol start="5" type="1">
<li><p>Attach a copy of the page from the applicable Berkeley Lab Salary
Scale listing the job title and salary. If the payroll title used is
<strong>Postdoctoral Researcher</strong> give range that does appear in
Postdoctoral Fellow Salary scales. Attach a copy of applicable page for
this payroll title and salary level.</p></li>
</ol></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="12"></td>
</tr>
<tr class="even">
<td colspan="13"><ol start="6" type="1">
<li><p>State criteria used to set the H-1B employee’s adjusted wage for
this position</p></li>
</ol></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="12"></td>
</tr>
<tr class="even">
<td colspan="13"></td>
</tr>
<tr class="odd">
<td colspan="13"><strong>I hereby certify that the information on this
form is correct and complete</strong></td>
</tr>
<tr class="even">
<td colspan="4"></td>
<td colspan="2"></td>
<td colspan="5"></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="4"><strong>Name</strong></td>
<td colspan="2"></td>
<td colspan="5"><strong>Signature</strong></td>
<td></td>
<td><strong>Date</strong></td>
</tr>
</tbody>
</table>