Request To Change Nih Directory Information To Add, Change, Or Delete A Listing Page 2
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1
2Instructions for Updating Personnel Listings
(Form NIH 433)
To ensure a correct listing in the NIH Telephone and Service
Item 8: See Privacy Act statement below.
Directory and the telephone information files, please request all
Item 9: Use this item to indicate name changes needed in the
changes, additions, and deletions on Form NIH 433. Return com-
Personnel Listing of the Directory. Do not use Item 9 for adding a
pleted form to:
new employee.
Telephone Directory Unit
Executive Plaza South, Suite 300
Item 11: Check "Add to listing" for employees new to NIH (not
currently listed). Check "Change existing listing" for employees
Your Administrative Officer's signature is required.
transferring within NIH (and listed under previous job). Do not use
"Delete from listing" for employees transferring within NIH.
Complete the entire form. Note that the administrative officer
receiving a new employee is responsible for submitting this form.
Stay-in-schools, Summer Aides, and non-Federal employees are
not to be listed in the Directory. These employees, however, will be
listed: physicians-6 months and non-permanent employees hired
for one year or longer.
Questions may be directed to the Telephone Directory Unit at 594-
Privacy Act Statement
9448.
5 U.S.C. 301, 40 U.S.C. 486(c) authorizes collection of the information on this
form. NIH will use this information to correct and update its telephone directory.
Specific Instructions for Completing Form:
The information may be disclosed to a congressional office at your request. It
Please indicate whether you want the Personnel Alphabetical
may also be disclosed to the Department of Justice to present an effective
defense in the event that the Department becomes involved in litigation.
Listing or Organizational Listing updated (or both).
Collection of your Social Security Number (SSN) is authorized by Executive
Item 4: To ensure proper mail delivery, indicate your four digit mail
Order 9397. Your SSN will only be used as a means of accurate identification
stop.
and will not be printed in the NIH Telephone and Service Directory. Furnishing
the information on this form, including your SSN, is voluntary, but failure to do
Item 7: You MUST use the abbreviations (developed especially for
so may result in recording your name, NIH address, and NIH telephone number
the Directory) listed in the front of your ICD section of the NIH
incorrectly in the NIH Telephone and Service Directory.
Telephone Directory.
NIH 433 (12/12) BACK
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