[1]| ‘NW 88326
[2]| Docld:32244094
[4]Assassination Records Review Board
[5]Final Determination Notification
[7]AGENCY : HSCA.
[8]RECORD NUMBER : 180-10070-10152
[9]RECORD SERIES : STAFF PAYROLL RECORDS
[10]AGENCY FILE NUMBER :
[12]December 8, 1995
[13]Status of Document: Postponed in Part
[15]Number of releases of previously postponed information: 6
[17]Reason for Board Action: The Review Board's decision was premised on several factors
[18]including: (a) the significant historical interest in the document in question; (b) the
[19]absence of evidence that the release of the information would cause harm to.the United
[20]States or to any individual.
[22]Number of Postponements: 3
[24]Postponements: All the postponements in this document represent Social Security numbers.
[26]Reason for Board Action: The text is redacted because the public disclosure of the redaction could
[27]reasonably be expected to constitute an unwarranted invasion of personal privacy, and that invasion of
[28]privacy would be so substantial that it outweighs the public interest.
[30]Substitute Language: SSN
[32]Date of Next Review: 2017
[34]Board Review Completed: 10/24/95
[36]Page 1
[38]Date:08/20/93
[39]Page:1
[40]JFK ASSASSINATION SYSTEM
[42]IDENTIFICATION FORM
[44]AGENCY INFORMATION
[46], AGENCY : HSCA
[47]RECORD NUMBER : 180-10070~-10152
[49]RECORDS SERIES : |
[50]STAFF PAYROLL RECORDS
[52]DOCUMENT INFORMATION
[54]ORIGINATOR : HSCA
[55]FROM :
[56]TO :
[58]TITLE ;
[60]DATE
[62]8/25/77
[63]PAGES 7
[65]0
[66]6
[68]SUBJECTS :
[69]HSCA; ADMINISTRATION
[70]SCHLICHTMANN, JAN
[72]DOCUMENT TYPE PRINTED FORM
[74]CLASSIFICATION : U
[75]RESTRICTIONS : 3
[76]CURRENT STATUS : P
[78]DATE OF LAST REVIEW : 07/16/93
[80]OPENING CRITERIA
[82]COMMENTS
[84]oe
[86]Box 3.
[88][R] - ITEM IS RESTRICTED
[90]| NW 88326
[92]| Docld:32244094 Page 2
[94]SCHLICHTMANN, Jan OFFICE OF THE CLERK | re | |
[95]Popmrelpe mr pouty os eee. he area eel , : . . bobs . : _ - : , . i -
[96]humo of Employee Co ; ; : U.S, HOUSE OF REPRESENTATIVES: : re DALANCE fnOUGHT
[97]; , coe FORWARD FROM
[98]a PRECEDING YEAR >
[99]ig _, PERSONAL LEAVE RECORD © seepING YEAR
[100]| - 3 | po 976 7 :
[101]- weenie pom munpcemnmndeaiaatnent riences ant stnit Peveeern tty eaeaennnennneemenmmmmemnael ‘ . oo mo .
[102]: Address , Cos mo ; YEAK
[103]CT _ ANNUAL LEAVE - Ce,
[104]Jo Phone Number CATEGORY .
[105]. wg '.
[106]Re ee TN ANC | : : 4
[107]Position Tiila : oy _
[108]a PRIGR FEGERAL SCRVICE 45 60
[109]eerenannninecae sane enna Srapeeanennene ee POTereerayye rit . ACCRUED . AVAILASLE : : BALANAC . w
[110]bevel step Lame ttats Months 2.0 | THIS MONTH | THIS MONTH iid ou AT Gtase ]
[111], : " os
[112]pee “ 7 : Semen ge
[113]; : ; DAY OF MONTH sual} St Annual Sick Annual Sick Anaual Sick 2
[114]rt rare [43 (ICT 17. ‘ Leave Leave} Leave keave _leave
[115]pipe
[116]| 7] = 0.5 day annual leave ee "CERTIFIED CORRECT: ~
[117]><] = 1,0 day annual leave ae So : - a - a | Se
[118]1 : [57] = 0.5 day sick leave oo, co, mo, . . _ o ce
[119]\ . ae eterna nrc a AOR CARE ———— Leen en enn enema mamta Cae ee aamuneeenamane anager
[120]| ; or EAE 3.0 day sick Icave , ' Employeo's Signature. ‘Pate ; : . _Chiel's Signature : ; Date
[121]; : oo (if employes refuses $0 slen, state reason helow.: rr Ce _
[122]. cA o = 0.5 day administrative leave oo eT oo Se a es
[123][A}or (l= 1.0 day administrative leave : ee 7 - ; - vee ~ Approved: == —_———__—__
[124]Poot _ a ; : . i ; Clerk of the House - Date oo
[125]7 b fy = 0. 5 day unaulhorized absence .
[126]ae a This record will be forwarded to the Clerk of the House at the end of cach calendar year, or in case of termination, along
[127]fe |u| y] = 1.0 day unauthorized absence | oo vith the request for termination. Upon approva i, the record will be filed in the employee's § Official personnel folder. 7 ;
[128]Fag = 0.5 day leave without pay | , Be ; ;
[129]; Lo ss 1,0 doy leave without pay” ;
[132]INNER Fae Sg ITI Repco SAV RAR ami  TT ONOTN CR ae agree ne SRR tae ma
[134]PAYROLL AUTHORIZATION FORM
[135](Please Use Typewriter = --*. U. S. HOUSE OF REPRESENTATIVES - (Any erasures; corrections; or changes
[137]authorizing official.)
[139]| To the Clerk of the House of Representatives:
[141]| hereby authorize the following payroll action:
[143]Employee Name (First-Middle-Last) me [a ~ Effective Date’ :
[144]Poo Jan Richard Schlichtmann - . 4 f26778
[145]pL Employee Social Security.Number .
[147]029. 38.8535 C1 Appointment
[148]O Salary Adjustment
[149]1 Title Change ©
[150]‘Ts Termination (At close of business on effective date)
[151]C1 Leave without pay (Beginning with effective date above and ending
[153]close of business
[155]Gross Annual Salary*
[158]plus the salary received from the employing office. -
[160](If Committee Employee, complete appropriate item below.)
[162]-O _— Committee: Staff—E] Clerical or 0 Professional.
[164]256. 23 © Congress.
[165]3. 0) Joint Committee.
[167](if Employee of an Officer of the House, complete item below.)
[169]Ste pie
[171]Position Number If applicable, Level
[173]|. certify that. this .authorizationis. not in violation of 5 U.S.C. -3110(b), prohibiting the employment of
[174]relatives.
[178](Signature of Authorizing Official}
[180]LOUIS STOKES
[182]"(Type or print name of Authorizing Official) |
[184]wee eee CBALRBAN . °
[186](Type or print name and title of above official) ST Title= “if Member, District ond § ar ria =
[188]All appointments and salary adjustments for employees under. the House Classification Act and for Committee em-
[190]ployees, except those -of the .Committee.on Appropriations, the Committee on: the Budget, and thé Joint Committees, must:
[191]be approved by the Committee on House Administration.
[193]APPROVED:
[195]Choirman, Committee on House Administration
[197]Office of Finance use only:
[199]Office Code
[201](Revised: August 1 1977)
[203]Copy for Initiating Office or Committee.
[205]W 88326 oe
[207]of Ballpoint Pen) ~~ Washington, D.C. 20515 on this form must be initialed by the
[209]a * If employee i is a civil service annuitant (includes. U.S. House of ‘ Representatives}, the gross annual’salary shown: should-include.the annuity received by the employee -
[211]. —- . poe mae
[212]i:37244094 Page 4 / :
[215]PAYROLL AUTHORIZATION FORM
[217]-(Please Use Typewriter ~- US: HOUSE OF REPRESENTATIVES (Any erasures, corrections, or changes:
[219]‘or Ballpoint Pen) Washington, D.C. 20515 an this form must ° initialed by the
[221]To the Clerk of the House of Representatives:
[223]| hereby authorize the following payroll action:
[225]Employee Name (First-Middle-Last) oo | co a Effective Date
[227]Jan Richard Schiichtmann
[229]Enployee Soil Souly Number
[230]O29= 38-2526 CO Appointment
[231]. a Ld Salary Adjustment
[232]Employing Office or Committee/Subcommittee ( Title Change :
[233]: © Termination (At close of business on effective. date)
[234]+ ASSassinations C Leave without pay (Beginning with effective date above and ending |
[236]close of business
[237]Specify Date
[239]{If typeof action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.) “~~
[241]_ Position Title | Gross Annual Salary*
[243]we Assist
[245]plus the salary received from the employing office.
[247](If Committee Employee, complete appropriate item below.) -
[249]1.0 = Sending Committee: Staff—U Clerical or 0 Professional::
[251]3. O Joint Committee.
[253](If Employee of an Officer of the House, complete item below.)
[255]Position Number__.._ If applicable, Level
[259]relatives.
[261]All appointments and salary adjustments for-employees -under the House Classification Act and. for Committee em-
[263]be approved by the Committee on House Administration.
[265]APPROVED:
[267]Office of Finance use only:
[268]‘Office Code
[270]Monthly Annuity $_. 00 as of Payroll. _
[272](Revised: August 1 1977) ;
[274]. Copy for Initiating Office. or-Committee
[275]| NW 88326 : ee a
[276]| Decld:32244094 Page 5
[278]It emoloyee is-a civil service annuitant (includes U.S. House of Representatives), the ‘gross annual salary shown should include the annuity received: by the amployee vos,
[280]ployees, except those of the Committee on Appropriations, the Committee on the. Budget; and the Joint Committeés, must a
[282]|- certify that this ‘authorization is not in violation. of .5 Us.c. 3110(b, Prohibiting: the employment of *— 4
[284]pi bet
[286]iy Jeet
[288]PAYROLL. AUTHORIZATION: FORM nes : I
[289]» (Please‘Use Typewriter... 5 - U.S: HOUSE | OF. REPRESENTATIVES -. (Any. erasures, corrections, or-chariges-":
[291], - fos Hee Dey on ce, _on this form must: be. initialed by thes
[292]bo or Ballpoint Pen) os Washington: ‘D.C. 20515 - authorizing official.) - a
[294]To the Clerk of the House of Representatives:: : 2 00. S0le ce er
[296]| hereby authorize the following payroll.action: “98
[298]_Employee:-Name (First-Middle-Last) "=~. ee a8 z ‘ o 7 = z ~ Effective Date. ne Se hops
[299]. Jen F Richara Schlichtaana —_ os "9/28/77 _ cf.
[300]i 7 ae po ee “Employee Social Security: ‘Number: oe oa eae oe uo = a Ime of Faction Sone owe
[301]029. 32 3330 | . [R) Appointment
[302]Employing Office or Committee — on ; a wee ae} Salary Adjustment. ce _
[303]Assassinations oe -. +... |.) Termination (At close of business on effective date) -
[305]» (If type of action is.an Appointment-or'Salary Adjustment, complete the following-information)°: v.82 So vee Fa
[307]peson Tile Say)
[309]_ $19,500
[311](If Committee Employee, complete appropriate item below:)}:° +
[313]- 1. [] Standing Committee: Staff—[] Clerical or} Professional. ~~ ..~
[315]a
[316]4
[319]_
[321]i - 2. J Special or. Select. Committee: Authority.—H. Res. 485. .of S388. ‘Congress. .
[323]3. {_] Joint Committee.
[325]tog
[327]gps RN PY aN DEY COND ORUSHETE'T OC) Dts ON CO ST aan ese Ase
[329](If Employee of an Officer of the House, complete item'below.) =~:
[331]Position Number___) If applicable,-Level
[333]; | certify that: this authorization. isnot -in’ violation:-of 5 U.S.C.~3110(b);. prohibiting. the -employment.of 1."
[334]relatives.
[336]Date. August 25 | 1977
[338]iow of Authorizing Official)
[340]~ — LOUIS STOKE
[342]_ LOUIS STOKES es
[344](Type or print name of Authorizing Official) -
[346]CHAIRMAN oe . a
[348]‘All appointments and salary adjustments for ‘employees under the House Classification Act and’ for Committee em-
[349]ployees;..except those:of the Committee on-Appropriations, the Committee on: the:Budget; and the Joint Committees, must “- >”
[350]be approved by the Committee on House Administration. : oe ;
[354]Chairman, Committee on House Administration
[356]Office of Finance use only:
[358]Office Code
[360]| NW 88326 Oe ne
[361]ocld:32244094 Page 6 . | oo fo
[363]MEMORANODU Mo
[365]TO: ALL STAFE
[366]RE: Payroll] Certif ication
[368]The | Regulations and Accounting Precedures for Allowances. and
[370]Expenses of Committees, Members and Employees of the U.S. House of
[372]Repre resentatives require that, among other things, the Committee's
[373]monthly payroll certification include the relationship, if any » of
[374]each employee to any current Member of Congress. This certification
[375]is signed monthly by our Chairman.
[377]The following are the relationships ‘to be included in the.
[378]certification:
[380]father . . nephew brother-in-law —
[381]motner nd niece . ‘sister-in-law
[382]son . husband —— stepfather
[383]daughter wife. | stepmother
[384]brother father-in-law stepbrother
[385]ister ; mother-in-law ' stensister
[386]uncle. Son-in-law half-brother
[388]aunt . daughter-in-law - half-sister
[389]first cousin ; .
[391]Please complete the appropriate portion below, sign and date .
[393]this form, which will then become a part of your permanent personnel
[394]File. If this status changes, you must notify the Committee's Budget
[395]Office immediately of the change.
[397]I I am not related to any current (95th Congress) Member of Congress.
[399]{7 1 am related to a current (95th Congress) Member of Congress..
[400](Please specify.)
[402]ate
[404]__£ps/22.
[406]OT frente
[411]kw 68326
[413]DATE: “August 25, 1977
[415]MEMORANDUM
[417]TO: 7. Howarth, | Budget Officer 7
[418]. ee
[419]FROM: G. Robert Blakey, Chief Counsel and Director
[421]RE: Mr. Jan Schlichtmann
[423]This is to inform you. that Mr. Jan Schlichtmann,
[425]has accepted the position of Law Assistant/Legal unit with |
[426]‘the: Committee staff. Mr. Schlichtmann' Ss. effective starting
[427]date will be August 254 (1977, starting salary will be. $19, 500.
[429]“Your co- ~operation in familiarizing him with the |
[431]operation of the staff will be. greatly appreciated.
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