T
Assassination Records Review Board
Final Determination Notification
AGENCY
:
RECORD NUMBER :
RECORD SERIES :
AGENCY FILE NUMBER :
HSCA
180-10070-10152
STAFF PAYROLL RECORDS
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: 3
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
Released under the John F. Kennedy Assassination Records Collection Act of 1992
[44 USC 2107 Note). Case#: NW 88326 Date: 2025
Board Review Completed: 10/24/95
'NW 88326
Docld:32244094 Page 1
JFK ASSASSINATION SYSTEM
IDENTIFICATION FORM
AGENCY INFORMATION
Date: 08/20/93
Page: 1
AGENCY : HSCA
RECORD NUMBER:
180-10070-10152
RECORDS SERIES :
STAFF PAYROLL RECORDS
AGENCY FILE NUMBER :
ORIGINATOR : HSCA
FROM:
ΤΟ :
TITLE :
DOCUMENT INFORMATION
DATE: 08/25/77
PAGES: 6
SUBJECTS :
HSCA; ADMINISTRATION
SCHLICHTMANN, JAN
DOCUMENT TYPE :
PRINTED FORM
CLASSIFICATION : U
RESTRICTIONS : 3
CURRENT STATUS: P
DATE OF LAST REVIEW : 07/16/93
OPENING CRITERIA :
Box 3.
COMMENTS :
NW 88326
Docld:32244094 Page 2
[R] - ITEM IS RESTRICTED
C
SCHLICHTMANN, Jan
Name of Employee
Address
Address
О
OFFICE OF THE CLERK
U.S. HOUSE OF REPRESENTATIVES:
PERSONAL LEAVE RECORD
1978
YEAR
BALANCE BROUGHT
FORWARD FROM
PRECEDING YEAR
Annual
Leave
Sick
Leave
44
Month
Position Number
Jan.
Feb.
Mar.
Apr.
May
June
July
Aug.
Sept.
Oct.
Nov.
ANNUAL LEAVE
DATE OF APPOINTMENT
Phone Number
CATEGORY
8-25-77
1.0
Position Title
1.5
PRIOR FEDERAL SERVICE
2.0
Lovel
Slop
Years
Months
ACCRUED
THIS MONTH
AVAILABLE
THIS MONTH
DAY OF MONTH
5
ü
7
9
10°
13
11/12
14 15 16 17 18 19
20
21 22 23 24
25 26 27
28.
Annual Sick
Leave
29 30 31 Leave
Annual
Leave
Sick
Leave
AAAA
☐ 1
USED
THIS MONTH
Annual Sick
Leave Leave
BALANCE
AT CLOSE
OF MONTH
Annual
Leave
Sick
Leave
55
6
E
7.7
T Į Į Žď ď ď l l l l 1 1 778 38
mated 4/26/18
Dec.
or
10
0.5 day annual leave
= 1.0 day annual leave
=0.5 day sick leave.
= 1.0 day sick leave
= 0.5 day administrative leave
CERTIFIED CORRECT:
Employee's Signature
Dutc
Chief's Signature
Date
(If employee refuses to sign, state reason below.
A
or ☑
= 1.0 day administrative leave
Approved:
+
Clerk of the House
Dato
= 0.5 day unauthorized absenco
or
= 1.0 day unauthorized absence
This record will be forwarded to the Clerk of the House at the end of each calendar year, or in case of termination, along
with the request for termination. Upon approval, the record will be filed in the employee's official personnel folder.
= 0.5 day leave without pay
= 1.0 day leave without pay
EXHIBIT
NW 88326
Docld:32244094 Page 3
EMPLOYEE
INITIALS
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)
Jan Richard Schlichtmann
Employee Social Security Number
029-38-8530
(Any erasures, corrections, or changes
on this form must be initialed by the
authorizing official.)
Effective Date
4/26/78
Type of Action
☐ Appointment
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
Gross Annual Salary*
$25,700
** 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.
s. 956 of 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.
Date 3/18
19_78
(Signature of Authorizing Official)
LOUIS STOKES
(If appropriate, signature of Subcommittee Chairman or Ranking Minority Member)
(Type or print name of Authorizing Official)
(Type or print name and title of above official)
COAIRMAN
(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 Initiating Office or Committee:
(Revised: August 1 1977)
Docld:32244094 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)
Jan Richard Schlichtmann
Employee Social Security Number
029-38-8530
(Any erasures, corrections, or changeste
on this form must be initialed by the
authorizing official.)
Effective Date
March 1,
1970
Salary Adjustment
☐ Appointment
Employing Office or Committee/Subcommittee
☐ Title Change
Assassinations
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.)
Law Assistant
Position Title
Gross Annual Salary*
$25,700
* 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. 256 of 950 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 March 14
19_7
(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:32244094 Page 5
APPROVED:
Chairman, Committee on House Administration
ID
.00
as of
Benefits
Payroll
Copy for Initiating Office or Committee
(Revised: August 1977)
PAYROLL AUTHORIZATION FORM A
(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)
Jan Richard Schlichtmann
(Any erasures, corrections, or changes
on this form must be initialed by the
authorizing official.)
Effective Date
8/25/77
Type of Action
Employee Social Security Number
029:38 8530
☑ Appointment
Employing Office or Committee
Assassinations
Salary Adjustment
Termination (At close of business on effective date)
(If type of action is an Appointment or Salary Adjustment, complete the following information.)
Position Title
Gross Annual Salary
$19,500
Law Assistant
(If Committee Employee, complete appropriate item below.)
1. Standing Committee: Staff -☐ Clerical or ☐ Professional.
2. ☑ Special 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 August 25
1977
(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:
Office Code..
Monthly Annuity $_.
.00
NW 88326
Docid:32244094 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:
father
mother
son
nephew
niece
brother-in-law
sister-in-law
stepfather
daughter
brother
sister
uncle
aunt
first cousin
husband
wife
father-in-law
mother-in-law
son-in-law
daughter-in-law
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.)
8/25/77
Signature of Employee
Date
Д
NW 88326
Docld:32244094 Page 7
MEMORANDUM
TO:
T. Howarth, Budget Officer
9838-25-77
FROM:
G. Robert Blakey, Chief Counsel and Director
DATE:
August 25, 1977
RE:
Mr. Jan Schlichtmann
This is to inform you that Mr. Jan Schlichtmann
has accepted the position of Law Assistant/Legal Unit with
the Committee staff. Mr. Schlichtmann's effective starting
date will be August 25, 1977, starting salary will be $19,500.
Your co-operation in familiarizing him with the
operation of the staff will be greatly appreciated.
jl
NW 88326
Docid:32244094 Page 8