REQUEST FOR PERSONNEL ACTION - COLLINS, CHARLES P.

• Document Type: FOIA
• Keywords: PERSONNEL FILES
• Keywords: COLLINS CHARLES
• Collection: FOIA Collection
• Document Number (FOIA) /ESDN (CREST): 0001426178
• Release Decision: RIPPUB
• Original Classification: U
• Document Page Count: 2
• Document Creation Date: June 22, 2015
• Document Release Date: March 20, 2008
• Case Number: F-2007-01041
• Publication Date: May 6, 1971

(b) (2)
(b) (3)
(b) (6)
DATE PREPARED
REQUEST FOR PERSONNEL ACTION
6 May 1971
1. SERIAL NUMBER
NAME (Last-First-Middle)
COLLINS, Charles P.
3. NATURE OF PERSONNEL ACTION
4. EFFECTIVE DATE REQUESTED
5. CATEGORY OF EMPLOYMENT
MONTH DAY YEAR
RESIGNATION
05 28 71
REGULAR
7. FINANCIAL ANALYSIS NO.
8. LEGAL AUTHORITY (Completed by Office of
6. FUNDS
CHARGEABLE
C
Personnel)
9. ORGANIZATIONAL DESIGNATIONS
ICIAL STATION
DEPUTY DIRECTOR (SCIENCE & TECHNOLOGY)
OFFICE OF COMPUTER SERVICES
1 ::1
WASHINGTON, D. C.
11. POSITION TITLE 12. POSITION NUMBER 13. CAREER SERVICE DESIGNATION
i0 GENERAL
14. CLASSIFICATION SCHEDULE (GS, LB, etc.) 15. OCCUPATIONAL SERIES 16. GRADE AND STEP 17. SALARY OR RATE
a
GS 16 8 g 34,695 6
v%
18. REMARKS
This resignation is submitted pursuant to a request from the APPROVED FOR RELEASE
Executive Director-Comptroller. DATE: DEC 2007
Subject's LWD: 28 May 1971
CONCUR.; /3 7,
I DATE SIGNED 18 LIIPR~.V.N. OFFICER . DATE SIGNED
John D. lams
7 MAY 1971
Personnel Officer, OCS Director, Computer Services
SPACE BELOW FOR EXCLUSIVE USE OF THE OFFICE OF PERSONNEL
19. ACTION
20. EMPLOY.
.21. OFFICE CODING
22. STATION
23.
24. HDQTRS.
25. DATE,OF BIRTH
26. DATE OF GRADE
27. DATE OF LEI
CODE
CODE
NUMERIC ALPHABETIC
CODE
CODE
CODE
MO. DA. YR.
MO. DA. YR.
MO. DA. YR.
28. NTE EXPIRES
29. SPECIAL
30. RETIREMENT DATA
31. SEPARATION
32. CORRECTION/CANCELLATION DATA
33. SECURITY
34. SEX
MO. DA. YR.
REFERENCE
_
2-ORGN
CODE DATA CODE TYPE
MO. DA. YR.
EOD DATA
REQ. NO.
3-FICA
5-NONE
35. YET. PREFERENCE
36. SERV. COMP. DATE
37. LONG. COMP. DATE
38. CAREER C TE RY
39. FEGLI/HEALTH INSURANCE
40. SOCIAL SECURITY NO.
CODE
0-NONE
1-5 P
MO. DA. YR.
MO. DA. YR.
CAR/RESV
CODE
CODE
0-WAIVER
HEALTH INS. CODE
.
PROV/TEMP
1-YES
2-10 PT.
41. PREVIOUS CIVILIAN GOVERNMENT SERVICE
42. LEAVE CAT.
43. FEDERAL TAX DATA
44. STATE TAX DATA
CODE
0-NO PREVIOUS SERVICE
CODE
FORM EXECUTED
CODE
NO. TAX EXEMPTIONS
FORM EXECUTED
CODE
NO. TAX
STATE CODE
I-NO BREAK IN SERVICE
2
BREAK IN SERVICE
LES
2
NO
5
EXEMP,
-
(
S THAN 3 YEARS)
1
/
2-NO
3-BREAK IN SERVICE (MORE THAN 3 YEARS)
45. POSITION CONTROL CERTI
FICATION
46. O.P.-APPROVAL
DATE APPROVED
FOR
M 1152 USE PREVIOUS EDITION
1-67
SECRET
SECRET
 SEGKET
EMPLOYEE NOTICE OF RESIGNATIVII
28 May 1971
FOR THE FOLLOWING REASON:
I RESIGN EFFECTIVE
(Date)
This resignation is submitted pursuant to a request from the
Executive D i rector- Compt rol 1 er.
MY LAST WORKING DAY WILL BE-
DATE SIGNED
SIGNATURE OF EMPLOYEE
xe .
28 May 1971
6 May 1971
a
!1' Ni
FORWARD COMMUNICATIONS, INCLUDING SALARY CHECKS AND BONDS, TO THE FOLLOWING A DRESS (]Numbe Stree City, State, Zif fo,7!) ,.-.
142 Pawkannawkut Drive, Bass River, Cape Cod, Mass. 02664 r r_
INSTRUCTIONS cn
Items 1 thru 7 The initiating office should fill in each of the referenced items. Items 3 thru 7 and 9 thru
and - 18 require information which pertains only to the action requested, and NOT to the current
Items 9 thru 18a status of the employee unless specific items remain unchanged.
Item 5 - "Category of Employment" should show one of the following entries:
- Regular Summer WAE==
Part Time Detail Out Consultant ~..
Temporary Detail In Military
Temporary-Part Time r-.
Item 9 - "Organizational Designations" should show all levels of organizatiorrperti ent to identify-
ing the location of the position:
i Major Component '(Director, Deputy Director,-etc.)
Office, Major Staff, etc.
Foreign Field or U.S. Field (if pertinent)
Division or Staff (subordinate to first line)
Branch
Section
Unit
Items i i i and 15 -- '`Position 't'itle" and "Occupational Series" should be the standard abbreviated title and
corresponding occupational. series in Handbook of Official Occupational Titles and Codes
for the duties actually to be performed by the employee. If different from the title and
series of the position occupied as shown on the most current edition of the Position Con.
trol Register or Form 261, Staffing Complement Change Authorization, explain under Item
18-Remarks.
Item '1~8b - Signature should be that of the official authorized to approve for the Career Service to which
the employee belongs. If more than one Career Service is involved, the gaining Career Serv-
ice should approve and the other Career Service should concur in Item 18, Remarks..
ROUTING- The original only of this form will be forwarded to the Office of Personnel through the appropriate
Career Service official(s). In the case of requests specified in which require advance
approval of or notification to the Office of Security or the Office o Finance, one copy only will
be sent to the Office(s) concerned.
(Whet~/Filled In)