Assassination Records Review Board Final Determination Notification AGENCY : HSCA RECORD NUMBER : 180-10070-10156 RECORD SFRIES : STAFF PAYROLL RECORDS AGENCY FILE NUMBER : A 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: 2 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 a Board Review Completed: 10/24/95
Date:08/20/93 Page:1 JFK ASSASSINATION SYSTEM IDENTIFICATION FORM AGENCY INFORMATION AGENCY : HSCA RECORD NUMBER : 180-10070-10156 RECORDS SERIES : STAFF PAYROLL RECORDS AGENCY FILE NUMBER ; ORIGINATOR : FROM : TO : TITLE : DATE : 08/22/77 PAGES : 4 SUBJECTS : HSCA; ADMINISTRATION SISSON, BETTY LOU DOCUMENT TYPE PRINTED FORM CLASSIFICATION : U RESTRICTIONS : 3 CURRENT STATUS : P DATE OF LAST REVIEW : 07/16/93 OPENING CRITERIA ; COMMENTS : Box 3. (R}] ~ ITEM IS RESTRICTED
SISSON, Blue __. . a _ OFFICE OF THE CLERK Nime of Employee . U.S. HOUSE OF REPRESENTATIVES DALANCE BROUGHT sug¢ _ PERSONAL LEAVE RECORD. Pieter sy ) a LEAVE sw a ann Se a SEES ny VATIT r " ' Y EAR ANNUAL LEAVE - DATE OF APPOINTMENT a et rn et an NE Phone Number “ 5 CATEGORY . | F- 22-77 1 q ——— Sa eme5G09 97mm ' , Position Titia . ; ' PRIGR FEGERAL SERVICE 15.0 a eee ar eeeerreansas NECISRRERSERRRS mesa EROENIROEES ‘ , BALANSE Position Number Level Step Years Months 20 9 sie oes eee tha Heer AT CLOSE wer ' ws ; OF MONTH 3x ; Ee DAY OF MONTH Angual.| Sick Annual Sick Annual Sick Anaual Sick 22 73 [ 6] 7) 819710 [23] ape fac{ a7] 1s Ey & 25] 26,21 [23] 2 31] Leave | Lesve | Leave Leave Leave | Leave Leave Leave ~ — me | oe | Conened ten | mere 3 “a = —— nae /\/\| &| f ARAY, = = — _ _— ie, é —|—— anREEE Wa | ran —|—j—1 | — == = f =e —— ; —{——- iS Ans i) 7i-o cL rl ¥ lr fe 3 “y fo a cit XK vie |i [a 7) 4 | f f\ f “) j _ _ a or \/| s;2z Atl] 2bat XX XX! a (| 7|2\7 - x home ae = es ee |e COCR Erna a a PCECer ra | | a = 0.5 day annual leave . CERTIFIED CORRECT; ><) c= 10 doy annual leave , . ($=) = 0.5 day sick leave . , : a. : c —_—S ae | omnaasteenneeenn tein amesaamemenen [8] Or 44 l= 1.0 day sick leave Employeo's Signature _ Cute Chief's Signatura Date é (i employee refuses to sign, state reason below.’ - , (jj = 0.5 doy administrative leave . Alor [A = 1,0 day administrative Iezve ‘ : A dt us Lend LAA} Pproveds; a) ey F Clerk of the House Date y| s 0.5 day unauthorized absence . : = : —_ This record will be forwarded to the Clerk of the House at the end of each cafendar year, or in case ef termination, along (ul or wa z= 1.0 day unauthorized absence ot with the request for te:mination. Upon approval, the record will be filed in the employee's official personne! folder, = 0.5 day leave without pay ce 4.0 day lesve without pay ORSAY SESE ZENE AY 9 nee fntcr etter paren to ren NERC qeeneeneasteinmarmaen etl h. a + a AEF RITE MET ST
PAYROLL AUTHORIZATION FORM sa (Please Use Typewriter U.S. HOUSE OF REPRESENTATIVE. (Any ering: eerteatomn, ar changes or Ballpoint Pen) Washington, D.C. 20515 é sainotizing official.) 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 0 Salary Adjustment Employing Office or Committee/Subcommittee C1 Title Change ( Termination (At close of business on effective date) 0 Leave without pay (Beginning with effective date above and ending i ee eR ee eee Oe ree ae eel * 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. b (If Committee Employee, complete appropriate item below.) 1. (1 Standing Committee: Staff—O) Clerical or 1 Professional. 2. 0 Special (Investigative staff of Standing Committee) or Select Committee: Authority—H. Res._____ a ena Congress. 3. O 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. Os ge ee a ge a ee TU en on eae bee Me Care OT 3 Riel oe ete eee kos omen (Signature of Authorizing Official) (if appropriate, signature of Subcommittee Chairman or Ranking Minority Member) Sipe oheimenatecr aeoidng OMOGL << : -eon (Type or print name and fitle of above official) === SS _-  . “ffiie= i Member, Disirictasd ice) == = =~ SOS i. 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. pees 5 8 Ed Ee EN ne MO es A “a Chairman, Committee on House Administration Office of Finance use only: Office Code... «se (Revised: August 1. 1977) Copy for Initiating Office or Committee
PAYROLL AUTHORIZATION FORM (Please Use Typewriter U.S. HOUSE OF REPRESENTATIVES (Any as og Biya or Ballpoint Pen) Washington, D.C. 20515 Sawer aoe te 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 (-] Appointment Employing Office or Committee J Salary Adjustment [-] Termination (At close of business on effective date) (If type of action is an Appointment or Salary Adjustment, complete the following information.) Gross Annual Salary Position Title (If Committee Employee, complete appropriate item below.) 1. [] Standing Committee: Staff—[_] Clerical or [] Professional. 2. [.] Special or Select Committee: Authority—H. Res. of____-__Congress. 3. [-] Joint Committee. (If Employee of an Officer of the House, complete item below.) Position Number Sip. 5. If applicable, Level | 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: Chairman, Committee on House Administration Office of Finance use only: Office Code 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 eacn 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: ather nepnew brother-in-law motner niece sister-in-law son husband stepfather daughter wife stepmother brother father-in-law stepbrotner sister mother-in-law stepsister uncle son-in-law half-brother aunt daughter-in-law half-sister first cousin Please complete the appropriate portion below, sign and date tnis form, whicn 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. /x/ I am not related to any current (95th Congress) Member of Congress. fj] 1 am related to a current (95th Congress) Member of Congress. (Please specify.) ~ . 4 ra are \ Ded) gekiler ye ~ Ff Employee