Originator: HSCA
Document date: 09/06/1977
Document type: PRINTED FORM

## Page 1

AGENCY

RECORD NUMBER

RECORD SERIES

AGENCY FILE NUMBER

Assassination Records Review Board

Final Determination Notification

HSCA

: 180-10070-10147

: STAFF PAYROLL RECORDS

Heleased under the John F.

Kennedy Assassination

Records Collection Act of

1992 (44 USC 2107 Note].

Case#:NW 68261 Date:

09.01-2022

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: 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

Board Review Completed: 10/24/95

NWV 68261

Docld:32244089 Page 1

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## Page 2

Date: 08/20/93

Page: 1

JFK ASSASSINATION SYSTEM

IDENTIFICATION FORM

AGENCY INFORMATION

AGENCY : HSCA

RECORD NUMBER: 180-10070-10147

RECORDS SERIES :

STAFF PAYROLL RECORDS

AGENCY FILE NUMBER :

DOCUMENT INFORMATION

ORIGINATOR : HSCA

FROM :

го :

TITLE :

DATE: 09/06/77

PAGES : 5

SUBJECTS:

HSCA; ADMINISTRATION

ROSE, HAROLD

DOCUMENT TYPE : PRINTED FORM

CLASSIFICATION

RESTRICTIONS

CURRENT STATUS

DATE OF LAST REVIEW : 07/16/93

OPENING CRITERIA :

COMMENTS :

BoX 3.

[R] - ITEM IS RESTRICTED

NW 68261

Docld:32244089 Page 2

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## Page 3

ROSE, Harold

Nimo or employce

Address

Addrass

Phone Number

Position Tisia

Position Number

-Lovel

July

AUg.

Sept.

Oct.

Nov.

Dec.

= 0.5 day annual leavo

= 1.0 day annual leavo

= 0,5 day sick leave

or

0r

gives

= 1.0 day sick leave

=

0.5 day administrative leavo

= 1.0 day administralive Icavo

= 0.5 day unsuthorized absenco

= 1,0 day unaulhoriaed absenço

= 0.5 day leave withous pay

==1.0 day leare without pay.

NV/ 68261

Docld:32244089 Page 3

OFFICE OF THE CLERX

U.S. HOUSE OF REPRESENTATIVES

PERSONAL LEAVE RECORD

1978

YEAK

DATE OF APPOINTMENT

9-6-77

ANNUAL LEAVE •

CATEGORY

1.0

PRIOR FEDERAL SERVICE

1,5

Stop

2.0

ACCRUED

THIS MONTH

DAY OF MONTH

73714T5T6777718T19 20 21 22 237 21 257 201

{27

29

30

31

Annual.

Leave

Sick

Leave

/

S

AVAILADLE

THIS MONTH

Annusi

Leave

Sick

Leare

THIS MONTH

Annual

Lcave

Sick

Leave

BALANCE DROUGHT

FORWARD

FROM

PRECEDING YEAR

Annesi

Sick

Lesic

Lears

4

4

BALANCE

CLOSE

OF MONIK

Annual

Leare

5

sick

Leave

9

EVPLOYLE

INITIALS

5

9

Juk 18,

1578

CERTIFIED CORRECT:

Employco's Signaluro

Dutc

1il employee reluses to sian, state reason below."

Chiel's Signaturo

Approved:

Date

Clerk of the Mouso

Dato

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.

EXHIBITE

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## Page 4

PAYROLL AUTHORIZATION FORM

(Please Use Typewriter

or Ballpoint Pen)

U.S. HOUSE OF REPRESENTATIVES

Washington, D.C. 20515

(Any erasures, corrections, or changes

on this form must be initialed by the

authorizing official.)

To the Clerk of the House of Representatives:

I hereby authorize the following payroll action:

Employee Name (First-Middle-Last)

Harold

Rose

Employee Social Security Number

220-20-0648

Employing Office or Committee/Subcommittee

Assassinations

Effective Date

7/15/78

Type of Action

• 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_

(If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.)

Position Title

Specify Date

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 95 Congress.

3. 0

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_

July ?

78

, 19_

(If appropriate, signature of Subcommittee Chairman or Ranking Minority Member)

(Signature of Authorizing Official)

LOUIS STORES,

CHAARMAN

(Type or print name of Authorizing Official)

(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.

APPROVED:.

Chairman, Committee on House Administration

Office of Finance use only:

Office Code.

ID

Benefits

Monthly Annuity S-

Payroll _

•00 as of

Copy for Initiating Office or Committee

(Revised: August 1, 1977)

NW 68261

Docld:32244089 Page 4

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## Page 5

PAYROLL AUTHORIZATION: FORM

(Please Use Typewriter

or Ballpoint Pen)

U:S. HOUSE OF REPRESENTATIVES

Washington, D.C. 20515

(Any erasures; corrections, or changes

on this form must be initialed by the

authorizing official:)

To the Clerk of the House of Representatives:

I hereby authorize the following payroll action:

Employee Name (First-Middle-Last)

Effective Date

Harold A. Rose

9/6/77

Employee Social Security Number

Type of Action

220 20 6648

Employing Office or Committee

Assassinations

F Appointment

• 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

Staff investigator

$24,000

(If. Committee Employee, complete appropriate item below.)

•1. D Standing Committee: Staff-• Clerical or E Professional:

2. L Special or Select Committee: Authority.- H: Res...

465

of 25th.

Congress. is:

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 UiS.C: 3110(b), prohibiting the employment of

relatives.

Date-

September 13

19

77

Louts Stokes

(Signature of Authorizing 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:

Office Code.

Monthly Annuity S.

.00

Copy for Initiating Office or Committee

NW 68261

Docld:32244089 Page 5

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## Page 6

220 28 1648

LOUIS STOKES, OHIO, CHAIRMAN

RICHAROSON PREYER, N.C.

SAMUEL L. DEVINE, OHIO

WALTER E. FAUNTROY, D.C.

JOHN B. ANDERSON, ILL.

YVONINE BRATHWAITE BURKE, CALIF.

STEWART B. MC KINNEY, CONN.

CHRISTOPHER J. DODD, CONN.

CHARLES THONE, NEaR.

HAROLD E. FORD. TENN.

FLOYD J. FITHIAN, IND.

ROBERT W. EDGAR, PA.

(202) 225-4624

Select Committee on Assassinations

M.D. House of Representatives

3342 HOUSE OFFICE BUILDING, ANNEX 2

WASHINGTON. D.C. 20515

MEMORANDUM

TO:

FROM:

DATE:

RE:

ROBERT BLAKEY

CLIFFORD A. FENTON, JR.

JULY 29, 1977

RECOMMENDATION FOR EMPLOYMENT OF

HAROLD A. ROSE

124000

It is recommended that Harold A. Rose be considered

for appointment to the position of Senior Investigator.

He is articulate and was very responsive to questions.

Mr. Rose, who has been a police officer in Baltimore,

Maryland for twenty years, served the last seven (7) years

in the Homicide Unit, both as an investigator and as a

supervisor. It is believed that he will be a capable

addition to the staff.

1191k

APPROVED

KENNETH KLEIN

NW 68261

Docld:32244089 Page 6

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## 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

daughter

brother

sister

uncle

aunt

first cousin

nephew

niece

husband

wife

father-in-law

mother-in-law

son-in-law

daughter-in-law

brother-in-law

sister-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

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.

[7 I am related to a current (95th Congress) Member of Congress.

(Please specify.)

Harved A

Rose

Signature

Employee

Sept. 6, 1977

Date

NW 68261

Docld:32244089 Page 7

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