**\<\<Payroll Specialist, Formal Title\>\>**

**\<\<Address Line 1\>\>**

**\<\<Address Line 2\>\>**

**\<\<Address Line 3\>\>**

**\<\<City\>\>, \<\<State.\>\> \<\<ZIP\>\>**

EMPLOYEE IS RESPONSIBLE FOR VERIFICATION OF PAY, DEDUCTIONS, AND LEAVE.

  ------------------------------------------------------------------------------------------------------------------------- --------- ------- -- ---------- -- -- ----------- ----------- -- ---------- ----- ------------ ---------- -- -- ----------- --- ----------------- --------- ----------------- --------- ------------ --------- -- ----------- --------- ----------- ----------- -- ------------------------------ ---------- --------- -- ------------- ------------ ---------- -- ----------
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               

                                                                                                                                                                              **CURRENT                                                                                                 **ADJUSTMENTS**                                       **TOTAL**                                                                                                                                        
                                                                                                                                                                              P/P**                                                                                                                                                                                                                                                                                                            

  **\*\*\*DESCRIPTION\*\*\***                                                                                                                                                 **HRS**                         **AMOUNT**                                                                **HRS**                     **AMOUNT**                **YTD**                                          **\*\*\*BASIC                                                                                   
                                                                                                                                                                                                                                                                                                                                                                                               INFORMATION\*\*\***                                                                             

  =========================================================================================================                                                                                                                                                                                                                                                                                                                                                                                    

  **EARNINGS/OTHER PAY**                                                                                                                                                                                                                                                                                                                                                                       SSN                                                    XXX-XX-6789                              

  REG                                                                                                                                 \$                                      80.00                           \$1352.00                                                                                                                                                                        PAY- PLN/GR/ST                                                                    GS/08/07      
                                                                                                                                      16.90                                                                                                                                                                                                                                                                                                                                                    
                                                                                                                                      PH                                                                                                                                                                                                                                                                                                                                                       

  OVT                                                                                                                                 \$                                      12.00                           \$202.80                                                                                                                                                                         SALARY - (PA)                                                                     \$35261       
                                                                                                                                      16.90                                                                                                                                                                                                                                                                                                                                                    
                                                                                                                                      PH                                                                                                                                                                                                                                                                                                                                                       

  FLSA PREM                                                                                                                                                                   12.00                           \$101.41                                                                                                                                                                         SCD (LEAVE)                                                          75- 01-02                  

  **GROSS PAY**                                                                                                                                                                                               \$1656.21                                                                                                                                             \$5774.48                  FLSA CLASS                                             NON-EXEMPT                               

                                                                                                                                                                                                                                                                                                                                                                                               CUM RET AGENC                                                        \$55616.28                 

  **DEDUCTIONS**                                                                                                                                                                                                                                                                                                                                                                               TSP (AMT/PTC)                                                        2%                         

  RETIREMENT CSRS                                                                                                                                                             7.000%                          \$94.64                                                                                                                                               \$376.26                   CAN#:                                                                4000113                    

  MEDICARE                                                                                                                                                                    1.450%                          \$24.02                                                                                                                                               \$83.73                                                                                                                    

  FEDERAL TAXES                                                                                                                                                                                               \$144.86                                                                                                                                              \$453.13                                                                                                                   

  MARRIED/4 EXEMPT/0 EXTRA                                                                                                                                                                                                                                                                                                                                                                                                                                                                     

  STATE TAXES MD                                                                                                                                                                                              \$103.57                                                                                                                                              \$348.70                                                                                                                   

  MARRIED/4 EXEMPT/0 EXTRA                                                                                                                                                                                                                                                                                                                                                                                                                                                                     

  HLTH INS 105                                                                                                                                                                                                \$56.58                                                                                                                                               \$219.77                                                                                                                   

  BOND                                                                                                                                                                                                        \$15.00                                                                                                                                               \$60.00                                                                                                                    

  UNION                                                                                                                                                                                                       \$6.00                                                                                                                                                \$24.00                                                                                                                    

  CHARITY                                                                                                                                                                                                     \$1.00                                                                                                                                                \$4.00                     **\*\*YTD TAXABLE                                                                               
                                                                                                                                                                                                                                                                                                                                                                                               EARNINGS\*\***                                                                                  

  DISCRET ALLOT                                                                                                                                                                                               \$25.00                                                                                                                                               \$100.00                   ============================                                                                    

  SAVINGS ALLOT                                                                                                                                                   999888777                                                \$158.00                                                                                                                                                            FEDERAL                                                              \$5666.98                  

  THRIFT LOAN                                                                                                                                                     9612345-Z                                                \$37.44                                                                                                                                                             STATE MD                                                             \$5666.98                  

  TSP. FUND                                                                                                                                                                                                   \$27.04                                                                                                                                               \$107.50                                                                                                                   

  **TOTAL DEDUCTIONS**                                                                                                                                                                                        \$693.15                                                                                                                                              \$1777.09                  **\*\*\*\*\*\*\*SAVINGS BONDS                                                                   
                                                                                                                                                                                                                                                                                                                                                                                               \*\*\*\*\*\*\*\***                                                                              

                                                                                                                                                                                                                                                                                                                                                                                               NO ISSUED P/P BALANCE                                                                           

                                                                                                                                                                                                                                                                                                                                                                                               ============================                                                                    

  \*\*\*AGENCY CONTRIBUTIONS\*\*\*                                                                                                                                                                                                                          **\*\*CHECK                                                                                                                        1                                                                    \$22.50                    
                                                                                                                                                                                                                                                            MAILING                                                                                                                                                                                                                            
                                                                                                                                                                                                                                                            ADDRESS\*\***                                                                                                                                                                                                                      

  ITEM                                                                                                                                           P/P                                                    YTD                                                                                                                                                                                    2                                                                    \$22.50                    

  =================================                                                                                                                                                                                                                                                                                                                                                            3                                                                    100.00                     

  CSR REGULAR                                                                                                                                    \$115.06                                    \$454.44                                                                                                                                                                                                                                                                                          

  MEDICARE                                                                                                                                       \$24.02                                     \$83.73                                                                                                                                                                                                                                                                                           

  HLTH INS                                                                                                                                       \$142.27                                    \$561.75                                                                                                                                                                                                                                                                                          

                                                                                                                                                                                                                                                            **\*\*\*W-2                                                                                                                                                                                                                        
                                                                                                                                                                                                                                                            MAILING                                                                                                                                                                                                                            
                                                                                                                                                                                                                                                            ADDRESS\*\*\***                                                                                                                                                                                                                    

                                                                                                                                                                                                                                                            1234 ANY STREET                                                                                                                                                                                                                    

                                                                                                                                                                                                                                                            BALTIMORE MD                                                                                                                                                                                                                       
                                                                                                                                                                                                                                                            21201                                                                                                                                                                                                                              

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               

  **LEAVE**                                                                                                                 **CAT**              **LVYR**                                                                                   **ACCRD**                                                     **USD**                                                               **BAL**                                       **PROJ**   **MAX**                                               **USE /**

  **TYPE**                                                                                                                  **(8)**              **C/0**                                     **ADJ**                                        **PP**                            **YTD**                     **PP**                 **YTD**                  **ADV**               **AVAIL**                                     **YR END** **C/O**                                               **LOSE**

  =======================================================================================================================                                                                                                                                                                                                                                                                                                                                                                      

  ANN                                                                                                                       240.00                                                                                                          8.00                              24.00                       9.00                   27.00                                          237.00                                        184.00     240.00                                                181.00

  SICK                                                                                                                      468.45                                                                                                          4.00                              12.00                       9.00                   9.00                                           471.45                                                                                                         

  CREDIT                                                                                                                                                                                                                                                                                                                                                                        1.00                                                                                                           

  RST AN                                                                                                                                                                                                                                                                                                                         16.00                                          54.00                                                                                                          

  ADMIN                                                                                                                                                                                                                                                                                                                          1.15                                                                                                                                                          

  REL CT                                                                                                                                                                                                                                                                                                                         8.00                                           -8.00                                                                                                          

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               

  **REMARKS/MESSAGES: PAY/LEAVE QUESTIONS? CALL PAYROLL HOTLINE (303) 969-7732; FROM HOME 1-800-662-4324**                                                                                                                                                                                                                                                                                                                                                                                     
  ------------------------------------------------------------------------------------------------------------------------- --------- ------- -- ---------- -- -- ----------- ----------- -- ---------- ----- ------------ ---------- -- -- ----------- --- ----------------- --------- ----------------- --------- ------------ --------- -- ----------- --------- ----------- ----------- -- ------------------------------ ---------- --------- -- ------------- ------------ ---------- -- ----------

**\<\<Payroll Specialist, Formal Title\>\>**

**\<\<Address Line 1\>\>**

**\<\<Address Line 2\>\>**

**\<\<Address Line 3\>\>**

**\<\<City\>\>, \<\<State.\>\> \<\<ZIP\>\>**

EMPLOYEE IS RESPONSIBLE FOR VERIFICATION OF PAY, DEDUCTIONS, AND LEAVE.

  ------------------------------------------------------------------------------------------------------------------------- --------- ------- -- ---------- -- -- ----------- ----------- -- ---------- ----- ------------ ---------- -- -- ----------- --- ----------------- --------- ----------------- --------- ------------ --------- -- ----------- --------- ----------- ----------- -- ------------------------------ ---------- --------- -- ------------- ------------ ---------- -- ----------
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               

                                                                                                                                                                              **CURRENT                                                                                                 **ADJUSTMENTS**                                       **TOTAL**                                                                                                                                        
                                                                                                                                                                              P/P**                                                                                                                                                                                                                                                                                                            

  **\*\*\*DESCRIPTION\*\*\***                                                                                                                                                 **HRS**                         **AMOUNT**                                                                **HRS**                     **AMOUNT**                **YTD**                                          **\*\*\*BASIC                                                                                   
                                                                                                                                                                                                                                                                                                                                                                                               INFORMATION\*\*\***                                                                             

  =========================================================================================================                                                                                                                                                                                                                                                                                                                                                                                    

  **EARNINGS/OTHER PAY**                                                                                                                                                                                                                                                                                                                                                                       SSN                                                    XXX-XX-6789                              

  REG                                                                                                                                 \$                                      80.00                           \$1352.00                                                                                                                                                                        PAY- PLN/GR/ST                                                                    GS/08/07      
                                                                                                                                      16.90                                                                                                                                                                                                                                                                                                                                                    
                                                                                                                                      PH                                                                                                                                                                                                                                                                                                                                                       

  OVT                                                                                                                                 \$                                      12.00                           \$202.80                                                                                                                                                                         SALARY - (PA)                                                                     \$35261       
                                                                                                                                      16.90                                                                                                                                                                                                                                                                                                                                                    
                                                                                                                                      PH                                                                                                                                                                                                                                                                                                                                                       

  FLSA PREM                                                                                                                                                                   12.00                           \$101.41                                                                                                                                                                         SCD (LEAVE)                                                          75- 01-02                  

  **GROSS PAY**                                                                                                                                                                                               \$1656.21                                                                                                                                             \$5774.48                  FLSA CLASS                                             NON-EXEMPT                               

                                                                                                                                                                                                                                                                                                                                                                                               CUM RET AGENC                                                        \$55616.28                 

  **DEDUCTIONS**                                                                                                                                                                                                                                                                                                                                                                               TSP (AMT/PTC)                                                        2%                         

  RETIREMENT CSRS                                                                                                                                                             7.000%                          \$94.64                                                                                                                                               \$376.26                   CAN#:                                                                4000113                    

  MEDICARE                                                                                                                                                                    1.450%                          \$24.02                                                                                                                                               \$83.73                                                                                                                    

  FEDERAL TAXES                                                                                                                                                                                               \$144.86                                                                                                                                              \$453.13                                                                                                                   

  MARRIED/4 EXEMPT/0 EXTRA                                                                                                                                                                                                                                                                                                                                                                                                                                                                     

  STATE TAXES MD                                                                                                                                                                                              \$103.57                                                                                                                                              \$348.70                                                                                                                   

  MARRIED/4 EXEMPT/0 EXTRA                                                                                                                                                                                                                                                                                                                                                                                                                                                                     

  HLTH INS 105                                                                                                                                                                                                \$56.58                                                                                                                                               \$219.77                                                                                                                   

  BOND                                                                                                                                                                                                        \$15.00                                                                                                                                               \$60.00                                                                                                                    

  UNION                                                                                                                                                                                                       \$6.00                                                                                                                                                \$24.00                                                                                                                    

  CHARITY                                                                                                                                                                                                     \$1.00                                                                                                                                                \$4.00                     **\*\*YTD TAXABLE                                                                               
                                                                                                                                                                                                                                                                                                                                                                                               EARNINGS\*\***                                                                                  

  DISCRET ALLOT                                                                                                                                                                                               \$25.00                                                                                                                                               \$100.00                   ============================                                                                    

  SAVINGS ALLOT                                                                                                                                                   999888777                                                \$158.00                                                                                                                                                            FEDERAL                                                              \$5666.98                  

  THRIFT LOAN                                                                                                                                                     9612345-Z                                                \$37.44                                                                                                                                                             STATE MD                                                             \$5666.98                  

  TSP. FUND                                                                                                                                                                                                   \$27.04                                                                                                                                               \$107.50                                                                                                                   

  **TOTAL DEDUCTIONS**                                                                                                                                                                                        \$693.15                                                                                                                                              \$1777.09                  **\*\*\*\*\*\*\*SAVINGS BONDS                                                                   
                                                                                                                                                                                                                                                                                                                                                                                               \*\*\*\*\*\*\*\***                                                                              

                                                                                                                                                                                                                                                                                                                                                                                               NO ISSUED P/P BALANCE                                                                           

                                                                                                                                                                                                                                                                                                                                                                                               ============================                                                                    

  \*\*\*AGENCY CONTRIBUTIONS\*\*\*                                                                                                                                                                                                                          **\*\*CHECK                                                                                                                        1                                                                    \$22.50                    
                                                                                                                                                                                                                                                            MAILING                                                                                                                                                                                                                            
                                                                                                                                                                                                                                                            ADDRESS\*\***                                                                                                                                                                                                                      

  ITEM                                                                                                                                           P/P                                                    YTD                                                                                                                                                                                    2                                                                    \$22.50                    

  =================================                                                                                                                                                                                                                                                                                                                                                            3                                                                    100.00                     

  CSR REGULAR                                                                                                                                    \$115.06                                    \$454.44                                                                                                                                                                                                                                                                                          

  MEDICARE                                                                                                                                       \$24.02                                     \$83.73                                                                                                                                                                                                                                                                                           

  HLTH INS                                                                                                                                       \$142.27                                    \$561.75                                                                                                                                                                                                                                                                                          

                                                                                                                                                                                                                                                            **\*\*\*W-2                                                                                                                                                                                                                        
                                                                                                                                                                                                                                                            MAILING                                                                                                                                                                                                                            
                                                                                                                                                                                                                                                            ADDRESS\*\*\***                                                                                                                                                                                                                    

                                                                                                                                                                                                                                                            1234 ANY STREET                                                                                                                                                                                                                    

                                                                                                                                                                                                                                                            BALTIMORE MD                                                                                                                                                                                                                       
                                                                                                                                                                                                                                                            21201                                                                                                                                                                                                                              

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               

  **LEAVE**                                                                                                                 **CAT**              **LVYR**                                                                                   **ACCRD**                                                     **USD**                                                               **BAL**                                       **PROJ**   **MAX**                                               **USE /**

  **TYPE**                                                                                                                  **(8)**              **C/0**                                     **ADJ**                                        **PP**                            **YTD**                     **PP**                 **YTD**                  **ADV**               **AVAIL**                                     **YR END** **C/O**                                               **LOSE**

  =======================================================================================================================                                                                                                                                                                                                                                                                                                                                                                      

  ANN                                                                                                                       240.00                                                                                                          8.00                              24.00                       9.00                   27.00                                          237.00                                        184.00     240.00                                                181.00

  SICK                                                                                                                      468.45                                                                                                          4.00                              12.00                       9.00                   9.00                                           471.45                                                                                                         

  CREDIT                                                                                                                                                                                                                                                                                                                                                                        1.00                                                                                                           

  RST AN                                                                                                                                                                                                                                                                                                                         16.00                                          54.00                                                                                                          

  ADMIN                                                                                                                                                                                                                                                                                                                          1.15                                                                                                                                                          

  REL CT                                                                                                                                                                                                                                                                                                                         8.00                                           -8.00                                                                                                          

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               

  **REMARKS/MESSAGES: PAY/LEAVE QUESTIONS? CALL PAYROLL HOTLINE (303) 969-7732; FROM HOME 1-800-662-4324**                                                                                                                                                                                                                                                                                                                                                                                     
  ------------------------------------------------------------------------------------------------------------------------- --------- ------- -- ---------- -- -- ----------- ----------- -- ---------- ----- ------------ ---------- -- -- ----------- --- ----------------- --------- ----------------- --------- ------------ --------- -- ----------- --------- ----------- ----------- -- ------------------------------ ---------- --------- -- ------------- ------------ ---------- -- ----------

  -----------------------------------------------------------------------
  **[NBC Leave And Earnings Statements (LES)]{.smallcaps}**

  -----------------------------------------------------------------------

The most noticeable difference about the new pay slip will be its
appearance. It is divided into three main sections: the **header**, the
**body**, and the **remarks/messages**. Below are brief descriptions of
the three sections. The descriptions are keyed to the attached mock
sample of the pay slip. (The letters only appear on the sample as a
reference guide.)

**Header**

A. *Return Address*. All undeliverable pay slips will be returned to
this address.

B. *Leave & Earnings Box*. Displays the pay period number, the ending
date, and the page count. Pay slips can consist of multiple pages, each
mailed in a separate envelope, if necessary.

C. *Net Pay Box*. Indicates the amount of the employee\'s net check and
the place of disbursement, i.e., BANK, HOME, AGENT. If check mailing
information is not present, the check will be sent to the Designated
Agent. All employees will receive a pay slip even if there is no net
pay. If the net pay amount displays all zeros, and a salary payment was
received, call your Payroll Liaison immediately.

D.  *Name and Address*. The employee\'s name will appear as it is stored
    in the system. The address will be the employee\'s home address.

**Body**

The body is divided into nine distinct categories that include the
employee\'s pay and leave data and basic personnel information. These
sections provide a brief description of the employee\'s specific type of
payment or deduction; current pay period hours worked and amounts; the
year-to-date (YTD) totals since paid by FPPS; and prior pay period
adjustments.

E. *Earnings/Other Pay*. Indicates the pay rate per hour (PH), the
number of hours worked \[regular, overtime, and Fair Labor Standards Act
(FLSA) premium\], the gross amount and total year-to-date (YTD) since
paid by FPPS gross payments. All other types of payments will be
displayed separately. If there is an adjustment from a prior pay period,
those hours and/or amounts will be displayed under \"Adjustments.\"

F. *Deductions.* Displays the deduction types and amounts. Only those
deduction types that are subtracted from the gross amount will be
printed on the current pay slip. The total YTD since paid by FPPS
figures will be displayed for any deduction types that may be needed for
tax preparation purposes.

> Every employee can have up to four discretionary allotments and up to
> sixteen savings allotments. Discretionary allotments may be sent to a
> mailing address or through electronic funds transfer (EFT); whereas,
> savings allotments MUST be sent through EFT. The pay slip will only
> have one line for the discretionary allotment field. If there is more
> than one discretionary allotment, the total amount will be shown. For
> savings allotments, a routing number will be displayed next to the
> corresponding dollar amount. For a Thrift Loan, the reference number
> will be displayed next to the loan amount.

G. *Basic Information*. Displays critical data from FPPS, including the
Social Security Number, salary information, service computation date,
FLSA code, cumulative retirement balance, and Thrift biweekly deduction
amount or percentage. The cumulative retirement will only display
retirement deductions made since implementation to the new system. Your
retirement ending balances have been transferred to the Office of
Personnel Management.

H. *YTD Taxable Earnings*. Includes all earnings that were subject to
Federal, State, or local taxes for the current pay year since paid by
FPPS.

I. *Savings Bonds*. Lists all of the active bonds. If a bond has been
issued in the current pay period, the purchase price of that particular
bond will be displayed. The pay slip will indicate the current bond
balance, if applicable.

J. *Agency Contributions*. The LES displays an amount for all the
employee\'s benefits to which the Agency also contributes (such as Civil
Service Retirement, health insurance, etc.). The description, pay period
amount, and YTD totals since paid by FPPS will be printed.

K. *Check Mailing Address/W-2 Mailing Address*. If the employee\'s net
salary payment is not electronically sent to a financial institution or
back to DOI, as signified by \"BANK\" or \"AGENT\" in the Net Pay Box,
an address will be displayed to show where the net check was sent. The
\"W-2 Mailing Address\" is the same as the address in \"D\" above. (Only
66 NASA employees with special situations take advantage of this
option.)

L. *Leave.* Displays the leave the employee currently has. This includes
the types of leave that the employee has available, the leave balances,
the employee\'s leave category, maximum carry-over and the use/lose
amount.

> The leave section includes an adjustment (ADJ) column, which displays
> the leave to be added or deducted as a result of prior leave
> correction(s); and the projected-year-end (PROJ YR END) column, which
> estimates the amount of annual leave that will be accrued from the
> current pay period through the end of the leave year. The leave types
> that can be printed on the pay slips will include annual, sick, credit
> hours, restored annual leave, administrative leave, regular
> compensatory time, religious compensatory time, leave share
> (transfer), and military. However, only those types of leave
> applicable to the employee will be displayed.

*Remarks/Messages.* The message section will provide any general
information that will be useful to the agency or specific information to
the employee, such as advance notice of compensatory time expiration.