Information Collection

Procedures for Submitting Compensation and Leave Claims

IC 33743 under ICR 200810-3206-005 · OMB 3206-0232.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form OPM 1673 Procedures for Submitting Compensation and Leave Claims	Form and Instruction
OPM 1673 Claims Coversheet OPM 1673_32060232_2008 10 31.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	OPM 1673	Claims Coversheet	OPM 1673_32060232_2008 10 31.pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title: OPM/GOVT-9, File on Position Classification Appeals, Job Grading Appeals,Retained Grade or Pay Appeals, and FLSA Claims and Complaints

FR Citation: 71 FR 35358

Number of Respondents: 40

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	40	40
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.