Worksheet For Special Salary Rate Annual Review
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Worksheet For Special Salary Rate Annual Review Form. This is a Official Federal Forms form and can be use in OPM US Office Of Personnel Management.
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U.S. OFFICE OF PERSONNEL MANAGEMENT
WORK SHEET FOR SPECIAL SALARY RATE ANNUAL REVIEW
Use this OPM Form 1397B for the annual review of special salary rates only when your agency is requesting an
increase EQUAL to the across-the-board General Schedule (GS) increase and is not requesting any type of
change in table coverage. Use OPM Form 1397 for all other requests.
1. List the table numbers for all special rate tables for which you are requesting an increase EQUAL to the GS increase:
2. Complete the following certification:
CERTIFICATION FOR INCREASE EQUAL TO THE ACROSS-THE-BOARD GENERAL SCHEDULE INCREASE
Print clearly the name of the certifying official in the blank space provided in the text of the certification.
I,
certify that the special rates requested are necessary to
ensure staffing adequate to accomplish the agency's mission. This agency has made reasonable efforts to overcome
the staffing problems in other ways, including use of some or all of the available human resources flexibilities.
Position of certifying official:
Date of signature:
Signature of certifying official:
Name of submitting agency:
E-mail address:
Name of preparer:
Telephone:
Form authorized for local reproduction
Date sent to OPM:
OPM Form 1397B
January 2004
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