Assassination Records Review Board
Final Determination Notification
AGENCY : HSCA
RECORD NUMBER :
RECORD SERIES :
180-10070-10170
STAFF PAYROLL RECORDS
AGENCY FILE NUMBER :
December 8, 1995
Status of Document:
Postponed in Part
Number of releases of previously postponed information: 6
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:32244112 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 :
180-10070-10170
RECORDS SERIES :
STAFF PAYROLL RECORDS
AGENCY FILE NUMBER :
ORIGINATOR : HSCA
FROM:
TO :
TITLE :
DOCUMENT INFORMATION
DATE : 12/30/77
PAGES: 6
SUBJECTS :
HSCA; ADMINISTRATION
WELBURN, BRENDA L.
DOCUMENT TYPE :
CLASSIFICATION
PRINTED FORM
: U
RESTRICTIONS : 3
CURRENT STATUS : P
DATE OF LAST REVIEW : 07/16/93
OPENING CRITERIA :
COMMENTS :
Box 3.
[R]
ITEM IS RESTRICTED
'NW 88326
Docld:32244112 Page 2
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, 1978
Salary Adjustment
Type of Action
☐ Termination (At close of business on effective date)
☐ Leave without pay (Beginning with effective date above and ending
close of business __
Brenda L. Welburn
Employee Social Security Number
☐ Appointment
102-40-6872
Employing Office or Committee/Subcommittee
Assassinations
☐ Title Change
Specify Date
(If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.)
Position Title
Gross Annual Salary*
$16,000.00
* 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..
3. ☐ Joint Committee.
.956
95th,
Congress.
(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.
December 11
Date_
1978
(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
(Type or print nome of Authorizing Official)
Chairman
(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
APPROVED:..
Chairman, Committee on House Administration
ID
Office Code
Benefits
Monthly Annuity $_
.00
as of
Payroll
(Revised: August 1, 1977)
Copy for Initiating Office or Committee.
Docid:32244112 Page 3
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)
Brenda L. Welburn
(Any erasures, corrections, or changes
on this form must be initialed by the
authorizing official.)
Effective Date
12/31/78
Type of Action
Employee Social Security Number
☐ Appointment.
☐ Title Change
102-40-6872
Employing Office or Committee/Subcommittee
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
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
3. ☐ Joint Committee.
(If Employee of an Officer of the House, complete item below.)
of.
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.
Date_
January 2
79
19
(Signature of Authorizing Official)
LOUIS STOKES
(if appropriate, signature of Subcommittee Chairman or Ranking Minority Member)
(Type or print name and title of above official)
(Type or print name of Authorizing Official)
CHAIRMAN
(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.
APPROVED:..
Chairman, Committee on House Administration
Office of Finance use only:
ID
Office Code.
Monthly Annuity $_.
.00
as of
Benefits
Payroll
(Revised: August 1, 1977)
Copy for Initiating Office or Committee
NW 88326
Docid:32244112 Page 4
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.)
Brenda L. Welbarn
Employee Social Security Number
102-40-6872
Employing Office or Committee/Subcommittee
Assassinations
Appointment
Effective Date:
December 30, 1977
☐ Salary Adjustment
☐ Title Change
Type of Action
☐ 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.).
eb
Researcher
Position Title
Gross Annual Salary*
$15,000
* 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.)
2
1. ☐ Standing Committee: Staff - Clerical or ☐ Professional.
Special (Investigative staff of Standing Committee) or Select Committee: Authority-H. Res._.
3. ☐ Joint Committee.
465
of
❁
Congress.
(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.
December 30
Date_
Армыс
77
19
(Signature of Authorizing Official)
Louis Stokes
(Type or print name of Authorizing Official)
Chairman
(If appropriate, signature of Subcommittee Chairman or Ranking Minority Member)
(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 $.
Docid:32244112 Page 5
.00
as of
APPROVED:
Chairman, Committee on House Administration
•Copy for Initiating Office or Committee
ID
Benefits
Payroll ___
(Revised: August 1, 1977)
eb
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.)
Brenda L. Welburn
Employee Social Security Number
102-40-6872
Employing Office or Committee/Subcommittee
Assassinations
Appointment
Effective Date
December 30, 1977
☐ Salary Adjustment
☐ Title Change
Type of Action
☐ 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.)
Researcher
Position Title
Gross Annual Salary*
$15,000
* 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.
Special (Investigative staff of Standing Committee) or Select Committee: Authority H: Res. 465 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 December 30
1977
Fomis Stokes
(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
(Type or print name of Authorizing Official)
Chairman
(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
APPROVED:
Chairman, Committee on House Administration
ID
Office Code.
Monthly Annuity $
.00
as of
Benefits
Payroll
Copy for Committee on House Administration
(Revised: August 1; 1977):
Docld:32244112 Page 6
MEMORANDUM
TO:
FROM:
DATE:
RE:
Thomas Howarth, Budget Officer
Elizabeth Berning, Chief Clerk ✓
I. Charles Mathews, Special Counsel I.C.M.
December 30, 1977
Ms. Brenda Welburn
This memorandum is to advise you that Ms. Brenda
Welburn as accepted the position of Researcher with
the Select Committee. Her effective starting date is
December 30, 1977, and her starting salary, $15,000.00.
Your cooperation will be appreciated in familiarizing
Ms. Welburn with staff procedures and welcoming her
aboard.
ICM: jl
NW 88326
Docld:32244112 Page 7
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:
father
mother
son
nephew
niece
brother-in-law
sister-in-law
daughter
brother
sister
uncle
aunt
first cousin
husband
stepfather
wife
stepmother
father-in-law
stepbrother
mother-in-law
stepsister
half-brother
half-sister
son-in-law
daughter-in-law.
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.)
Be a un
Signature of Employee
NW 88326
Docid:32244112 Page 8
12/30/77
Date