33. Part-Time Hours Per
Biweekly
Pay Period
Standard Form 50
Rev. 7/91
U.S. Offfice of Personnel Management
FPM Supp. 296-33, Subch. 4
NOTIFICATION OF PERSONNEL ACTION
1. Name (Last, First, Middle) 2. Social Security Number 3. Date of Birth 4. Effective Date
FIRST ACTION SECOND ACTION
7. FROM: Position Title and Number 15. TO: Position Title and Number
5-A. Code
5-C. Code
5-E. Code
5-B. Nature of Action
5-D. Legal Authority
5-F. Legal Authority
6-A. Code
6-C. Code
6-E. Code
6-B. Nature of Action
6-D. Legal Authority
6-F. Legal Authority
8. Pay Plan9.Occ. Code10.Grade or Level11.Step or Rate12. Total Salary 13.Pay Basis16. Pay
Plan
17. Occ.
Code
18.Grade or Level19.Step or Rate20. Total Salary/Award21. Pay
Basis
12A. Basic Pay 12B. Locality Adj. 12C. Adj. Basic Pay12D. Other Pay 20A. Basic Pay 20B. Locality Adj.20C. Adj. Basic Pay20D. Other Pay
14. Name and Location of Position's Organization 22. Name and Location of Position's Organization
EMPLOYEE DATA
23. Veterans Preference
1 - None 3 - 10-Point/Disability 5 - 10-Point/Other
2 - 5-Point 4 - 10-Point/Compensable 6 -
10-Point/Compensable/30%
24. Tenure
0 - None 2 - Conditional
1 - Permanent 3 - Indefinite
26. Veterans Pref for RIF
YES NO
27. FEGLI
30. Retirement Plan 31. Service Comp. Date (Leave)
28. Annuitant Indicator
32. Work Schedule
POSITION DATA
34. Position Occupied
1 - Competitive Service 3 - SES General
2 - Excepted Service 4 - SES Career
35. FLSA Category
E - Exempt
N - Nonexempt
36. Appropriation Code 37. Bargaining Unit Status
38. Duty Station Code 39. Duty Station (City - County - State or Overseas Location)
40. AGENCY DATA 41. 42. 43. 44.
25. Agency Use
29. Pay Rate Determinant
45. Remarks
46. Employing Department or Agency
47. Agency Code 48. Personnel Office ID49. Approval Date
50. Signature/Authentication and Title of Approving Official
TURN OVER FOR IMPORTANT INFORMATION
5-Part 1 - Employee Copy - Keep for Future Reference
Editions Prior to 7/91 Are Not Usable After
6/30/93
NSN 7540-01-333-6236RAY RICHARD C 573838367 05-26-1984 06-14-2015 702 Promotion N6M Reg 335.102 Career Prom PHYSICAL SCIENCE TECHNICIAN
32581-1330669
PHYSICAL SCIENCE TECHNICIAN
32580-1439696
GS 1311 09 04 $56,810.00 PA GS 1311 10 03 $60,665.00 PA $46,638.00 $10,172.00 $56,810.00 $49,803.00 $10,862.00 $60,665.00 RADIOLOGICAL CONTROL OFFICE
RADIOLOGICAL MONITORING DIVISION
PSNS & IMF
RADIOLOGICAL CONTROL OFFICE
RADIOLOGICAL MONITORING DIVISION
PSNS & IMF
2 1 X C0 Basic only 9 Not Applicable 0 K FERS and FICA 11-23-2003 F Full Time 1 N NAVY NV3748 530000035 KITSAP / KITSAP / WASHINGTON UIC: 4523A ORG: 105 3 CC: 355 PAY OFF: CY/LOC ID: 185650 Position is at the full performance level or band U.S. Pacific Fleet Command (NV 70) Haein Lee NV70 2416 06-15-2015 Human Resources Asst - Electronically Signed