Fair Labor Standards Act $($FLSA$)$ Designation Worksheet $(5$ CFR Part $551)$

$($Complete Worksheet in conjunction with instructions for Completing the FLSA Designation Warksheet$)$

Position Titic$/$Pay Plan$/$Series$/$Grade:

Position Number$/$Organization$/$Organization Code:

Foreign Exemption $(5551\mathrm{.}212)$ and$/$or Exemption of employees receiving availability pay $($$$551\mathrm{.}213)$

If any of the boxps in this sectian are marked the emplayce$/$position is Exempt and the remairing sections need not be applied. See $5551\mathrm{.}104$ for definition of Exempt Area. Reter to $$551\mathrm{.}212$ when adrinistering employees$/$positions meeting. the criteria for foreign exemption.

The emplopee is permanenthy stationes if an esempt ares and spends all hours uf wok in a given workweck in one or more vximpt areas $($freien qumption$)$

The emplopee is not permanenths staticned in af exempt ares. but spends al hours of wark in a given workees in one or more exempt areas $($fortigr ewemption$]$

$11.$ Salary based Nonexemption $($$$551,203)$ and$/$or Nonexemption of certain employees $($$$551\mathrm{.}204)$ the employeefpos tion.

Annual rate arbacic eay is iess than $573\mathrm{.}860$

tquprtark oparating or protectiet occupations inonsupervison$)$