Attachment 2 to CPM 97-8

U.S. OFFICE OF PERSONNEL MANAGEMENT
WORK SHEET FOR SPECIAL SALARY RATE REQUESTS
SHORT FORM FOR 1997 ANNUAL REVIEW

ATTENTION: This short form version of OPM Form 1397 is to be used only when the agency is requesting an increase EQUAL to the 1997 General Schedule increase and is not requesting any type of change in table coverage.

1. Enter special rate table number:                   

2. Complete the ending snapshot: Ending date 06 / 01 / 97

Definitions of categories (at ending date)
On Board Total filled positions in the grade and occupation at that time.
Vacant Positions Total positions you were trying to fill in the grade and occupation, at that time, with appropriate authority and funding.
Total Positions The sum of the on board and vacant positions, at that time.

GS
Grade

Ending Snapshot

On
Board

Vacant
Positions

Total
Positions

x x x x
x x x x
x x x x
x x x x
x x x x
x x x x
x x x x
x x x x

3. Complete the following certification:

CERTIFICATION FOR INCREASE EQUAL TO THE 1998 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 and that this agency has the funds required to pay the increased salaries and benefits that would result from approval of the request. This agency has made all possible efforts to overcome the staffing problems in other ways, including use of some or all of the recommended techniques such as conducting an aggressive recruiting program, using appropriate appointment authorities, redesigning jobs, establishing training programs, and improving working conditions.

Position of certifying official                                                                                             

Signature of certifying official                                                           Date                         

Name of submitting agency:
   		 Location:
   
Name of preparer:
   		 Telephone:
  		 Date prepared:
   


Interagency Report Control Number 0080 OPM-AN                                                           OPM Short Form 1397

Page created 3 July 1997