ML20059G919

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Partially Deleted Ltr Expressing Appreciation of Recipient Willingness to Continue to Serve as Consultant to Agency. Notification Personnel Action (Form 50-B) & Declaration of Appointee Form Encl
ML20059G919
Person / Time
Issue date: 07/25/1986
From: Fox M
NRC OFFICE OF ADMINISTRATION (ADM)
To: Saenger E
AFFILIATION NOT ASSIGNED
Shared Package
ML20058A679 List:
References
FOIA-93-34 NUDOCS 9401260052
Download: ML20059G919 (10)


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UNITED STATES NUCLEAR REGULATORY COMMISSION

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Dear Mr. Saenger:

The Nuclear Reglatory Lc 1:ission appreciates your willingness to continue to serve as a Consultant to the agency.

The specific details of your appointment are indicated on the enclosed " Notification of Personnel Action," Standard Form 50-B.

This appointment is made with the understanding that either you, or the Nuclear Regulatory Commission, may terminate your services at any time by giving the other written notice.

To renew your appointment please sign the copy of this letter and complete the " Declaration of Appointee" form enclosed, and return the as soon as possible.

In addition, we have enclosed the current instructions on obtaining reimbursements and your employment conditions.

The original of this letter should be retained for your personal files.

If you have any questions, please feel free to contact Jude liimmelberg of my staff on our toll free number 1-800-368-5642, extension 28238.

We look forwrd to having you as a mmber of our Consultant staff.

Sinc erely, f

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Michae J.

ox, C tef Staffing and Position Evaluation Branch 1

Division of Organization and Personnel

Enclosure:

As stated J

Information in this tecctd was gg gggy ed0i'i of Information ct e on f01A-y 7

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s 9401260052 930514 PDR FOIA DAVIS 93-34 PDR

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Enclosures:

1.

Standard Form 50-B, " Notification of Personnel Action" 2.

Standard Form 61-B, " Declaration of Appointee" 3.

Instruction for Obtaining Reimbursements 4.

Employment Conditions of Consultants and Advisors 5.

Conflict of Interest Restrictions ACCEPTED:

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Furnish testimony as a neAfrat expert.

their euployees, or members of the public.

Participate ia selected conferences on aucets of radiation and radioactive 3.

mater 4=1m upon hT==n beings.

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REGION III='0FF 0F THE REGIONAL ADMIN.

GLEN ELL.YN, ILLINDIS GLEN ELLYN, ILLINOIS n

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INSTRUCTIONS f r officialauthorizedpersonalservices.

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FROM;NAME OF CLAIMANT As Eugene L. Saenger, M.D., Medical Consult 1

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U.S.N0 clear Regulatory Commissim K8010lSDLOPC ST REET ADDRESSUniversity of Cincinnati Bospita p

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AT-(49-24)-1567 DoLLA RS t

~i lTO 4 hours4.62963e-5 days <br />0.00111 hours <br />6.613757e-6 weeks <br />1.522e-6 months <br /> 0 $31.82/hr =

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'N 6-27-85 Y..e$j COVERED:

6-26-85

$127.28 1;8-13 9.5 to,,,,,

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federal Government or its cost reimbursable and performed;and that the expenses claimed we authorized.

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SERVICES PERFORMED R ATE Of COVPE NSATION PLACE tS) OF WORK PERFORME D g.N PT R D A Y PE R HOUR 0SM s 254.56 s 31.82 Cincinnati, OH Q,,

TIME WOR KE D OH IN AUT HOR 12E D ST ATUS Unmcare wo,ch and s m. or p.in./

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FROM TO TOTAL HOURS khih3 6-26-85 11:30 AM 12:30 AM 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> 6-27-85 9:15 AM 12:15 PM 3 hours3.472222e-5 days <br />8.333333e-4 hours <br />4.960317e-6 weeks <br />1.1415e-6 months <br /> WN (ADDITIONAL IKURS WORKED ON 8-21: 8-12 6 11-12-85 SHOWN ON APPENDED SHEET AT CORRECT Efg RATE OF PAY).

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/ e PRIVACY ACT STATEMENT Pursuant to 5 U.S C. 5L2afe) (3), enacted into law by section 3 of the Prevacy Act of 1974 (Public Law 93479), the fotf owing statement is

.M' furnished to ind.viduals v ho supply information to the Nuclear Regulatory Commins,on on Form NRC 148. This information is maintained in a system of recon ds designated as NRC-20 and described at 40 Federal Register 45341 (October 1,1975).

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1. AUTHORIT Y 31 U.S.C. 21. 22,24,49,54, and 66a. Solicitation of the social secur6ty number is authorised under Eascutive mat Order 9397 dated November 22,1943.

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2. PRINCIPAL PURPOSE (S)

Information entered on this form is used to secure payment for authorised claims for compensation.

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3. ROUTINE USES Inf ormation on this form is used for transmittal to t$e U1 Treasury for payment. The information may also

, p ],Q t>e disclosed to en approoriate Federal. State, or local agency in the event the information indicates a violation or potential violasson of s

sg la* and in the course of an admmistrative or judicial proceeding. In addition, this inf ormation may be transferred to a'n appropriate

' #pJd' Federal. State, and local agency to the entent relevant and necessary for en NRC decision or to an appropriate Federal agency to the entent relevant and necouary for that agency's decision about you,

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4. WHETHER DISCLOSURE IS M ANDATORY OR VOLUNTARY AND EFFECT ON INDIVIDUAL OF NOT PROVIDING p

INT OR MAT ION The supplying of this inf ormatio t en voluntary on your part. Failure to supply the information, however, i t $..

may result m the denial of your claim f or compensation. Your social security nurnber is und as an identifier and its use is necessary because

,.fg of the torpe number of present and former Federal emplovees with similar names and berth date's.

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5. SYSTEM M AN AGER(S) AND ADDRESS Contre,iler. Of fica of the Controller, U.S. Nuclear Repuistory Commission,

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This form shallbe completed by allNRC cohsultants for claiming compensation for officialauthorizedpersonalservices.

b A signed originaland two cceles should be submitted to the NRC offoce authorizing the service.

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ATTENTION. NRC OFFICE AUTHORIZING THIS SERVICE STREET ADDRESS M R D jo f So fpf c 6 fM - Mt. 83S 771 l y tt i AM b t'd tof '

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((Ih PERIOD l'80" lTO DOLLA RS CE NTS wa rass 9-l'b-I\\ - l 2 -85~

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F.4 M-PRIVACY ACT STATEMENT f

Purosent to 5 U.S.C. 652efel (3), enacted into low by section 3 of the Privacy Act of 1974 (Public Law 9.4-579), the following statement is furnished to individuals who supply inf ormation to the Nuclear Regulatory Commission on Form NRC.143. This inf ormation is rneintained in a system of secords designated as NRC 20 and described at 40 Federal Rep. ster 45341 (October 1,1975).

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1. AUTHORtTY 31 U.S.C. 21,22,24,49,54, and 66e. Solieltation of the social escurity number is authorised under Eascutive o

Order 9397 dated November 22,1943.

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2. PRINCIPAL PURPOSE (S)

Inf ormation entered on this form is used to secure payment for authorized claims for compensation.

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3. ROUTINE USES Information on this f orm is used for transmittal to the Ub.Transury for payment. The information may also g@j;?,

be disclosed to en appropriate Federal, State, or local agency in the event the inf ormation endicates a violation or potential violation of l

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Q law and en the course of an admmistrative or judecial proceedmg. In addition, this inf ormeteon enay be transferred to an approprsate gg

.{4gg Federat, State, and local agency to the eatent relevant and necessary for en NRC decision or to an appropriate Federal egency to the estent relevant end necesury for that agency's decision about you,

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4. WHETHER OtSCLOSURE IS MANDATORY OR VOLUNTARY AND EFFECT ON INDIVIDUAL OF NOT PROVIDING

. rdt IN F OR M AT ION The supplyme of this enf ormation is voluntary on your part. Feisure to supply the information, however,

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yff may result en the den 4et of your ciasm for compensation. Your sociai security number as used es an identsf er and its use as necessary becausa i

of the large number of present and f ormer Federsi employees with similar names and birth dates.

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5. SYSTEM M ANAGERt$1 AND ADDRESS Controller,0ffsce of the Controller,U.S. Nuclear Reputatory Commission, Washmpton, D.C. 20555 QM.

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.g NRCM 4139 VOUCHER FOR PROFESSIONAL SERVICES

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,.ig INSTRUCTIONS This form shallbe completed by all NRC consultants for claiming compensation for officialauthorisedpersonalservices.

A signedorigina!and two copies shouldbe submitted to the NRC office authorizing the service.

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FROM;NAME OF CLAIMANT O.S. Nuclear Regulatory Commission fut;e,yf 1 fo9exM e/2, N b.

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ATT E NTION : NRC OF FICE AUTHORIZING THtj SERVICE STREET ADDRESS J/7PJO4507'sy 446 # 4, # 5 D

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N l$l DESCRIPTION (WCLAIM

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NUMBER DATE (All blocks must be completed] :

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AMOUNT CLAIMED l'.1:55 A[- 0/*f- ) 9 ]-/S4 7 7///f4* " &/ */ W b3h.)]

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PERIOD DO LLA RS CENTS COVE R ED:

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<'N NUMBER OF DAYS SERVICES w

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l NUMBER OF HOURS l PER HOUR rev.,s.)

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$ 7 k. [2-ma

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hh OFFICE OF THE CONTROLLER USE ONLY CERTIFICATlON j,., -

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.Y.i l CER Tlf Y that the above account isjust and COR RE CT

}lQ'n true in allrespects; that my statement of services StGNATURE qi,Q correctly sets forth the services on official business; that the payment therefore has not

, f.i.y been received:and that no compensation for arry Appgoygt of the time shown above is payable from or

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willbe claimed from any other source of the I CERTIF Y that the above claim osjust; that

.S*W Federal Government or its cost te bursable Inform 300') ln n\\5 iCCCTd W35 dCICt:d the above services were officially requested contractors.

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irl BCCGrdEte wifn the freedam cf 1: formali:M'##"' '*'d; arid that the expenses claimed 9

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. @,5 PRtVACY ACT STATEMENT i

Pursuent to 5 U.S.C. 552a(e) (3), enacted mio law by section 3 of the Privacy Act of 1974 (Pubiac Law 93-579), the followmg statement is f

furnished to indsviduals who supply information to the Nuclear Regulatory Commission on F orm NrtC.148. This inf ormation is maintained in a system of records designated as NRC 20 and described at 40 Federal Register AS341 (October 1,1975).

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1. AUTHORITY 31 U.S C. 21,22,24. 49. 54, and 66a. Solicitation of the social encurity number is authorized under Esecutive l

Order 9397 dated November 22,1943.

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2. PRINCIPAL PURPOSE (S)

Inf ormation entered on this form is used to secure payment for authorized claims for compensation, e

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2

3. ROUTINE USES Information on this f orm is used for transmittal to the US. Treasury for payment. The information mer elao l

1s be disclosed to an appeopristo Federal, State, or local agency in the event the iniormation indicates e violation or potential violation of g

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law and in the course of an administratsve or judicial proceeding. In addition, this inf ormation may be transferred to en appropriate Federal. State. and local egency to the entent relevant and necessary for an NRC decision or to an appeopriate Federal egency to the eatent relevant and necessary for that agency's decision about you.

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4. WHETHER DISCLOSURE IS MANDATORY OR VOLUNTARY AND EFFECT ON INDIVIDUAL OF NOT PROVIDING l

?

INF ORMATION The supplyang of this inforenation is voluntary on your part. Feiture,to supply the information, however, T

eney result in the denial of your claim for compensatson. Your social secursty number as used as an identifier and its use is necessary because y

of the large number of present and former Federal employees wsth semslar names and barth dates.

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5. SYSTEM MANAGER (S) AND ADDRESS Control!er, Office of the Controtter, U.S. Nuclear Regulatory Commission,

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Washmgton, O.C. 20555 g.y s

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