Assassination Records Review Board
Final Determination Notification
AGENCY :
RECORD NUMBER :
RECORD SERIES :
AGENCY FILE NUMBER :
HSCA
180-10068-10321
STAFF PAYROLL RECORDS
December 8, 1995
Status of Document:
Postponed in Part
Number of releases of previously postponed information: 5
Reason for Board Action: The Review Board's decision was premised on several factors
including: (a) the significant historical interest in the document in question; (b) the
absence of evidence that the release of the information would cause harm to the United
States or to any individual.
Number of Postponements: 4
Postponements: All the postponements in this document represent Social Security numbers.
Reason for Board Action: The text is redacted because the public disclosure of the redaction could
reasonably be expected to constitute an unwarranted invasion of personal privacy, and that invasion of
privacy would be so substantial that it outweighs the public interest.
Substitute Language: SSN
Date of Next Review: 2017
Board Review Completed: 10/24/95
NW 88326
Docld:32243287 Page 1
Released under the John F.
Kennedy Assassination
Records Collection Act of
1992 (44 USC 2107 Note).
Case#:NW 88326 Date:
2025
JFK ASSASSINATION SYSTEM
IDENTIFICATION FORM
AGENCY INFORMATION
Date: 08/20/93
Page: 1
AGENCY: HSCA
RECORD NUMBER :
180-10068-10321
RECORDS SERIES :
STAFF PAYROLL RECORD
AGENCY FILE NUMBER :
ORIGINATOR : HSCA
FROM:
TO :
TITLE :
DOCUMENT INFORMATION
DATE: 08/18/77
PAGES: 5
SUBJECTS :
HSCA, ADMINISTRATION
DOCUMENT TYPE:
PRINTED FORM
CLASSIFICATION : U
RESTRICTIONS : 3
CURRENT STATUS : P
DATE OF LAST REVIEW : 07/07/93
OPENING CRITERIA :
Box #:1.
COMMENTS :
'NW 88326
Docld:32243287 Page 2
[R]
-
ITEM IS RESTRICTED
PAYROLL AUTHORIZATION FORM
(Please Use Typewriter
or Ballpoint Pen)
U.S. HOUSE OF REPRESENTATIVES
Washington, D.C. 20515
To the Clerk of the House of Representatives:
I hereby authorize the following payroll action:
Employee Name (First-Middle-Last)
Oliver J. Champion
Employee Social Security Number
प
(Any erasures, corrections, or changes
on this form must be initialed by the
authorizing official.)
Effective Date
8/31/78
Type of Action
086-40-9505
Employing Office or Committee/Subcommittee
Accarsinations
☐ Appointment
☐ Salary Adjustment
☐ Title Change
☐ Termination (At close of business on effective date)
☐ Leave without pay (Beginning with effective date above and ending
close of business_.
Specify Date
(If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.)
Position Title
Gross Annual Salary*
* If employee is a civil service annuitant (includes U.S. House of Representatives), the gross annual salary shown should include the annuity received by the employee
plus the salary received from the employing office.
(If Committee Employee, complete appropriate item below.)
1. ☐ Standing Committee: Staff -☐ Clerical or ☐ Professional.
2. ☐ Special (Investigative staff of Standing Committee) or Select Committee: Authority-H. Res. 956 of 95th Congress.
3. ☐ Joint Committee.
(If Employee of an Officer of the House, complete item below.)
Position Number__
If applicable, Level_
Step
I certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of
relatives.
Date_
September 14
19.78
(If appropriate, signature of Subcommittee Chairman or Ranking Minority Member)
(Type or print name and title of above official)
(Signature of Authorizing Official)
LOUIS STOKES, CHAIRMAN
(Type or print name of Authorizing Official)
(Title If Member, District and State)
All appointments and salary adjustments for employees under the House Classification Act and for: Committee em-
ployees, except those of the Committee on Appropriations, the Committee on the Budget, and the Joint Committees, must
be approved by the Committee on House Administration.
Office of Finance use only:
Office Code
Monthly Annuity $_.
NW 88326
Docld:32243287 Page 3
APPROVED:__
Chairman, Committee on House Administration
ID
.00 as of
Benefits
Payroll
(Revised: August 1, 1977)
Copy for Initiating Office or Committee
PAYROLL AUTHORIZATION FORM
(Please Use Typewriter
or Ballpoint Pen)
U.S. HOUSE OF REPRESENTATIVES
Washington, D.C. 20515
To the Clerk of the House of Representatives:
I hereby authorize the following payroll action:
Employee Name (First-Middle-Last)
Oliver J. Champion
(Any erasures, corrections, or changes
on this form must be initialed by the
authorizing official.)
Effective Date
March 1, 1978
Employee Social Security Number
086-46-9508
☐ Appointment
Employing Office or Committee/Subcommittee
☐ Title Change
Apcoscinations
20Salary Adjustment
Type of Action
☐ Termination (Af close of business on effective date)
☐ Leave without pay (Beginning with effective date above and ending
close of business_.
Specify Date
(If type of action is an Appointment; Salary Adjustment, or Title Change, complete appropriate information below.)
Position Title
Clerical Assistant
Gross Annual Salary*
$12,000
* If employee is a civil service annuitant (includes U.S. House of Representatives), the gross annual salary shown should include the annuity received by the employee
plus the salary received from the employing office.
(If Committee Employee, complete appropriate item below.)
1. ☐ Standing Committee: Staff -☐ Clerical or ☐ Professional.
2.
Special (Investigative staff of Standing Committee) or Select Committee: Authority-H. Res. 956 of 5 Congress.
3. ☐ Joint Committee.
(If Employee of an Officer of the House, complete item below.).
Position Number ___
If applicable, Level _
Step
I certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of
relatives.
March 14,
Date_
78
.19
(If appropriate, signature of Subcommittee Chairman or Ranking Minority Member)
(Type or print name and title of above official)
(Signature of Authorizing Official)
_LOWLS_STOKES_
(Type or print name of Authorizing Official)
Chairmen
(Title If Member, District and State)
All appointments and salary adjustments for employees under the House Classification Act and for Committee em-
ployees, except those of the Committee on Appropriations, the Committee on the Budget, and the Joint Committees, must
be approved by the Committee on House Administration.
Office of Finance use only:
NW 88326
Office Code ____
Monthly Annuity $.
Docld:32243287 Page 4
.00
as of
APPROVED:
Chairman, Committee on House Administration
Copy for Initiating Office or Committee
ID
Benefits
Payroll
(Revised: August 1 1977)
PAYROLL AUTHORIZATION FORM
(Please Use Typewriter
or Ballpoint Pen)
U.S. HOUSE OF REPRESENTATIVES
Washington, D.C. 20515
To the Clerk of the House of Representatives:
I hereby authorize the following payroll action:
Employee Name (First-Middle-Last)
(Any erasures, corrections, or changes
on this form must be initialed by the
authorizing official.)
Effective Date
December 1,
1977
Type of Action
011ver J. Champion
Employee Social Security Number
☐ Appointment
086-46-9506
Employing Office or Committee/Subcommittee
☐ Title Change
Assassinations
☑Salary Adjustment
☐ Termination (At close of business on effective date)
☐ Leave without pay (Beginning with effective date above and ending
close of business _ _
Specify Date
(If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.)
Position Title
Clerical Assistant
Gross Annual Salary*
$11,000
* If employee is a civil service annuitant (includes U.S. House of Representatives), the gross annual salary shown should include the annuity received by the employee
plus the salary received from the employing office.
(If Committee Employee, complete appropriate item below.)
1. ☐ Standing Committee: Staff -☐ Clerical or ☐ Professional.
2. Special (Investigative staff of Standing Committee) or Select Committee: Authority-H. Res. 465 of
3. ☐ Joint Committee.
(If Employee of an Officer of the House, complete item below.)
95th
*Congress.
Position Number __
If applicable, Level __
_. Step
I certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of
relatives.
December 1
Date_
1977
(Signature of Authorizing Official)
Louis Stokes
(If appropriate, signature of Subcommittee Chairman or Ranking Minority Member)
(Type or print name of Authorizing Official)
Chairman
(Type or print name and title of above official)
(Title If Member, District and State)
All appointments and salary adjustments for employees under the House Classification Act and for Committee em-
ployees, except those of the Committee on Appropriations, the Committee on the Budget, and the Joint Committees, must
be approved by the Committee on House Administration.
Office of Finance use only:
NW 88326
Office Code
Monthly Annuity $.
Docld:32243287 Page 5
.00
as of
APPROVED:
Chairman, Committee on House Administration
Copy for Initiating Office or Committee
ID
Benefits
Payroll
(Revised: August 1, 1977)
PAYROLL AUTHORIZATION FORM
(Please Use Typewriter
or Ballpoint Pen).
U.S. HOUSE OF REPRESENTATIVES
Washington, D.C. 20515
To the Clerk of the House of Representatives:
I hereby authorize the following payroll action::
Employee Name (First-Middle-Last) -
(Any erasures, corrections, or changes
on this form must be initialed by the
authorizing official.)
Oliver J. Champion
Employee Social Security Number
086-46-9506
Employing Office or Committee
Effective Date
8/18/77
Type of Action
Appointment
Salary Adjustment
Assassinations
Termination (At close of business on effective date)
(If type of action is an Appointment or Salary Adjustment, complete the following information:)
Position Title
Clerical Assistant
(If Committee Employee, complete appropriate item below.)
1. ☐ Standing Committee: Staff - Clerical or ☐ Professional.
2. ☑ Special or Select Committee: Authority-H. Res. 465
3. ☐ Joint Committee.
(If Employee of an Officer of the House, complete item below.)
Position Number.
Gross Annual Salary
$9,500
kebaya
of 95th Congress
If applicable, Level Step __
"
I certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of
relatives.
Date August 22
77
19
(Signature of Authorizing Official)
(Type or print name of Authorizing Official).
LOUIS STORKS, CHAIRMAN
ૐ
(Title If Member, District and State)
All appointments and salary adjustments for employees under the House Classification Act and for Committee em-
ployees, except those of the Committee on Appropriations; the Committee on the Budget, and the Joint Committees, must
be approved by the Committee on House Administration.
Office of Finance use only:
Office Code..
Monthly Annuity $_.
.00
NW 88326
Docld:32243287 Page 6
APPROVED:
Chairman, Committee on House Administration
Copy for Initiating Office or Committee
MEMORANDUM
TO:
ALL STAFF
RE:
Payroll Certification
The Regulations and Accounting Procedures for Allowances and
Expenses of Committees, Members and Employees of the U.S. House of
Representatives require that, among other things, the Committee's
monthly payroll certification include the relationship, if any, of
each employee to any current Member of Congress. This certification
is signed monthly by our Chairman.
The following are the relationships to be included in the
certification:
nephew
niece
brother-in-law
sister-in-law
father
mother
son
daughter
brother
sister
uncle
aunt
first cousin
husband
wife
father-in-law
mother-in-law
son-in-law
daughter-in-law
stepfather
stepmother
stepbrother
stepsister
half-brother
half-sister
Please complete the appropriate portion below, sign and date
this form, which will then become a part of your permanent personnel
file. If this status changes, you must notify the Committee's Budget
Office immediately of the change.
☑ I am not related to any current (95th Congress) Member of Congress.
☐ I am related to a current (95th Congress) Member of Congress.
(Please specify.)
Oliver
Aug. 18, 1977
Signat
Signature 
of Employee
NW 88326
Docld:32243287 Page 7