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Claim for Credit of Annual Leave
Claim for Credit of Annual Leave
OMB: 2900-0669
IC ID: 28947
OMB.report
VA
OMB 2900-0669
ICR 201111-2900-010
IC 28947
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0669 can be found here:
2015-01-27 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 0862
Claim for Credit of Annual Leave
Form
0862 Claim for Credit of Annual Leave
2900-0669 VA0862.pdf
www.va.gov/vaforms/va/pdf/VA0862.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Claim for Credit of Annual Leave
Agency IC Tracking Number:
2900-0669
Is this a Common Form?
No
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
0862
Claim for Credit of Annual Leave
2900-0669 VA0862.pdf
http://www.va.gov/vaforms/va/pdf/VA0862.pdf
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Legislative Functions
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
13,501
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
13,501
0
0
0
0
13,501
Annual IC Time Burden (Hours)
3,375
0
0
0
0
3,375
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.