Information Collection

Claim for Credit of Annual Leave

IC 28947 under ICR 200811-2900-010 · OMB 2900-0669.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0669 can be found here:

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Claim for Credit of Annual Leave

Agency IC Tracking Number:

2900-0669

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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	0862	Claim for Credit of Annual Leave	2900-0669 VA0862.pdf	http://www.va.gov/vaforms/va/pdf/VA0862.pdf	Yes	No	Fillable Printable

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 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	13,501	13,501
Annual IC Time Burden (Hours)	3,375	3,375
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.