Assassination Records Review Board Final Determination Notification AGENCY : HSCA RECORD NUMBER : 180-10068-10354 RECORD SERIES : STAFF PAYROLL RECORDS AGENCY FILE NUMBER : December 8, 1995 Status of Document: Postponed in Part Number of releases of previously postponed information: 4 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 Board Review Completed: 10/24/95
Date: 08/20/93 Page:1 JFK ASSASSINATION SYSTEM IDENTIFICATION FORM AGENCY INFORMATION AGENCY : HSCA RECORD NUMBER : 180~-10068-10354 RECORDS SERIES : STAFF PAYROLL RECORDS AGENCY FILE NUMBER : ae eee ee A Sy A SEY See A SD GE SSD OO Ss SIND SED SP SED RAR SE RI DS GED OY SNP ED END mh mnAOD SDA UY SUL SD ED AL SD SD SG SAO Se SN cE SY St SORE SED GND SD SS NN GR SG SS SY SD EN th see GED te ss DOCUMENT INFORMATION ORIGINATOR : HSCA FROM : TO TITLE ; DATE PAGES 08/29/77 4 SUBJECTS : HSCA, ADMINISTRATION GENZMAN, ROBERT W. DOCUMENT TYPE PRINTED FORM CLASSIFICATION : U RESTRICTIONS : 3 CURRENT STATUS : P DATE OF LAST REVIEW : 07/07/93 OPENING CRITERIA COMMENTS : Box #:1. [R] - ITEM IS RESTRICTED
PAYROLL AUTHORIZATION FORM ne ~ (Please Use Typewriter U.S. HOUSE GF REPRESENTATIVES (Any erasures, corrections, or changes or Ballpoint Pen) Washington, D.C. 20515 sathertses etnieely initialed by the To the Clerk of the House of Representatives: | hereby authorize the following payroll action: Employee Name (First-Middle-Last) Effective Date Employee Social Security Number a O Appointment 0) Salary Adjustment O Title Change O Termination (At close of business on effective date) Employing Office or Committee/Subcommittee 0 Leave without pay (Beginning with effective date above and ending ONE NNER, 5 3 ea tee ea ) Specify Date (If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.) Position Title Gross Annual Salary* * If emoloyee 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. 1 Standing Committee: Staff—C] Clerical or 0) Professional. 2. 1 Special (Investigative staff of Standing Committee) or Select Committee: Authority—H. Res.20___ of 2Ea_ Congress. 3. C1 Joint Committee. (If Employee of an Officer of the House, complete item below.) Position Number__.._ If applicable, Level. Step____ | certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of relatives. DE eee Ty ine wi te oP rainisdaegr 2. enteipndlsjatg lg Mlaghdlalacenaaieimteas gee, tpn a as (Signature of Authorizing Official) (if appropriate, signature of Subcommittee Chairman or Ranking Minority Member). | Cer pion d tinkicgGiak Tt (Type or print name and fitle of above official) === 2 iii edhe, Geeta ag oe = 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. PC OR eins nimi seine atte i hernias Sige or eee = Office of Finance use only: a a a ee es ewe ee Office Code... — Benefits . Monthly Annuity $______ Oe wet ee _ Payroll (Revised: August 1, On _ Copy for Initiating Office or Committee
PAYROLL AUTHORIZATION FORM (Please Use Typewriter U.S. HOUSE OF REPRESENTATIVES (Any erasures, corrections, or changes or Ballpoint Pen) Washington, D.C. 20515 ‘oun To the Clerk of the House of Representatives: | hereby authorize the following payroll action: Employee Name (First-Middle-Last) Effective Date Employee Social Security Number Type of Action O) Appointment 0) Salary Adjustment O Title Change 0 Termination (At close of business on effective date) Employing Office or Committee/Subcommittee C Leave without pay (Beginning with effective date above and ending Close OF USO SS i ccrenssmier ec acewcwn web wacacwien eae ) Specify Date (If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.) Position Title * 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. Gross Annual Salary * (If Committee Employee, complete appropriate item below.) 1. O Standing Committee: Staff—O] Clerical or 0 Professional. 2. (1 Special (Investigative staff of Standing Committee) or Select Committee: Authority—H. Res._____ (6) erin do Congress. 3. 0 Joint Committee. (If Employee of an Officer of the House, complete item below.) Position Number If applicable, Level_ | certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of relatives. Date. Maren 14 eee ht oe ae Soe SR ee (Signature of Authorizing Official) (if appropriate, signature of Subcommittee Chairman or Ranking Minority Member) x = -™ Cuigtttud tteiagtiia oo. (Type or print name and title of above official) = — |” dint ine, GikkdedSas = 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: Office of Finance use only: Office Code (Revised: August 1 19771 Copy for Initiating Office or Committee
PAYROLL AUTHORIZATION FORM aa (Please Use Typewriter U.S. HOUSE OF REPRESENTATIVES (Any erasures, corrections, or changes or Ballpoint Pen} Washington, D.C. 20515 hentai aoa” initialed by the To the Clerk of the House of Representatives: | hereby authorize the following payroll action: Employee Name (First-Middle-Last) Effective Date Employee Social Security Number Type of Action Employing Office or Committee LJ Salary Adjustment (J 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 (If Committee Employee, complete appropriate item below.) 1. [J Standing Committee: Staff—[_] Clerical or [-] Professional. 2. [_] Special or Select Committee: Authority—H. Res.________ ro peat daa Congress. 3. [_] Joint Committee. (If Employee of an Officer of the House, complete item below.) Position Number___.___ applicable, Level 2. © Steps se | certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of relatives. 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: Office of Finance use only: Office Code / ds ] Copy for Initiating Office or Committee
MEMORANDUM TO: ALL STAFF RE: Payroll Certification The R Expenses of Cor Representative and ‘Employees of the U.S. Hous egulations and Accounting Procedures for Allowances and C QBS presentatives require that, ‘aitong other things, the Committee’ Ss monthly payroll certification include the relationship, if any, of each employee to aly current Member of Congress. This certification is signed monthly by our Chairman. The follewing are the relationships to be included in the certification: father nephew brother-in-law mother niece sister-in-law son husband stepfather daughter wife stepmother brather father-in-law stepbrother sister mother-in-law Stepsister uncle son-in-law _ half-brother auc daughter-in-law half-sister first cousin Please complete the appropri iate 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 Oftice immediately of the change. LY i ain not related to any current (95th Congress) Member of Congress. /-/ 1 am related to a current (95th Congress) Meinber of Congress. (Please specify. } a Signature“oF F imployee