Standard Form 50-B
Rev. 7/91
U.S. Office of Personnel Management
FPM Supp. 296-33, Subch. 4

Notification of Personnel Action

1. Name (Last,First, Middle)

2. SSN

3. DOB

4. Effective Date

FIRST ACTION SECOND ACTION
5-A. Code


5-B. Nature of Action


6-A. Code


6-B. Nature of Action


5-C. Code


5-D. Legal Authority


6-C. Code


6-D. Legal Authority


5-E. Code


5-F. Legal Authority


6-E. Code


6-F. Legal Authority


7. From: Position Title and Number



15. To: Position Title and Number




8.Pay Plan


9. Occ. Code


10.Grade/Level


11.Step/Rate


12. Total Salary


13.Pay Basis


16.Pay Plan


17. Occ. Code


18.Grade/Level


19.Step/Rate


20.Total Salary/Award


21.Pay Basis


12A. Basic Pay


12B. Locality Adj.


12C. Adj. Basic Pay


12D. Other Pay


20A. Basic Pay


20B. Locality Adj.


20C. Adj. Basic Pay


20D. 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
2 - 5 Point
3 - 10 Point/Disability
4 - 10 Point/Compensable
5 - 10 Point/Other
6 - 10 Point/Compensable/30% 		24. Tenure
0 - None
1 - Permanent
2 - Conditional
3 - Indefinite 		25. Agency Use

This block not used by the Department of Commerce

26. Veterans Preference for RIF
27. FEGLI

28. Annuitant Indicator 29. Pay Rate Determinant

30. Retirement

31. Service Comp. Date(Leave)

32. Work Schedule

33. Part time hours Per Biweekly Pay Period

POSITION DATA
34. Position Occupied
1 - Competitive Service
2 - Excepted Service
3 - SES General
4 - SES Career Reserved 		35. FLSA Category
E - Exempt
N- Nonexempt 		36. Appropriation Code

This block not used by the Department of Commerce

37. Bargaining Unit Status

38. Duty Station Code

39. Duty Station (City - County - State or Overseas Location

40. Agency Data

41.

42.

43.

44.

45 Remarks











46. Employing Department or Agency

50. Signature and Title of Approving Official



47. Agency Code

48. Personnel Office ID

49. Approval Date