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HHS Workplace Flexibilities Agreement

DEPARTMENT OF HEALTH AND HUMAN SERVICES. HHS Workplace Flexibilities Agreement section 1 ARRANGEMENT AND ELIGIBILITY (To be completed by the employee ). PROPOSED ARRANGEMENT: (Supervisors should familiarize themselves with HHS and PROPOSED TYPE OF WORK SCHEDULE. Division-specific policies and practices before approving Workplace Flexibility Agreements. ). Please select type of work schedule: Temporary Workplace Flexibility Start Date* (mm/dd/yyyy): End Date* (mm/dd/yyyy): * Start and end dates are only required for temporary Workplace Flexibilities . NAME AND ADDRESS OF ALTERNATIVE WORKSITE (Street, Suite Number, City, State and Zip Code location determines pay). section 2 EMPLOYEE INFORMATION (To be completed by the employee ).

situation (as indicated in Section 2 of this agreement), the work hours may be subject to change. ... Personnel Action (Standard Form 50 or equivalent) and determines the employee’s special salary rates, locality pay adjustments, and travel. The ... hours or longer, the employee may be entitled to Per Diem. Refer to the HHS Travel Policy for ...

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  Section, Rates, Special, Medi, Per diem

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