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REQUEST, AUTHORIZATION, AND REPORT OF COMPENSATORY TIME

The proponent agency is NGB-ARC-F. The prescribing directive is NGR (AR) 37-105.

PRIVACY ACT STATEMENT

1. AUTHORITY: Executive Order 9397; 5 USC Section 6311; and 31 USC Section 7701. 2. PURPOSE: A standardized management record of request, authorization, and reporting of compensatory time earned for National Guard (NG) Title 32 Dual Status and Non Dual Status (NDS) Technicians and Title 5 Civilians. Used as the substantiating document for entering of compensatory time earned in the civilian pay system. 3. ROUTINE USES: None. 4. DISCLOSURE: Voluntary; However, failure to furnish requested information may result in delayed, impeded, or erroneous posting of compensatory time earned.

FROM: (OFFICE SYMBOL) THRU: (IF APPLICABLE) TO: (APPROVING OFFICIAL) UIC / ORGANIZATION CODE: PAY PERIOD ENDING (PPE):

COMPENSATORY TIME REQUESTED

COMPENSATORY TIME EARNED

EMPLOYEE NAME (LAST, FIRST, MI)

SSN

CIVILIAN GRADE

DATE REQUESTED

NUMBER OF HOURS REQUESTED

DATE COMPENSATORY TIME WORKED

HOURS FROM

HOURS TO

TOTAL HOURS WORKED

EMPLOYEE SIGNATURE (After Duty Is Performed)

TOTAL HOURS REQUESTED

TOTAL HOURS WORKED

NATURE OF DUTIES AND JUSTIFICATION WHY COMPENSATORY TIME WORK CANNOT BE ACCOMPLISHED DURING NORMAL DUTY HOURS:

DATE OF REQUEST:

NAME, GRADE, AND TITLE OF REQUESTER:

SIGNATURE OF REQUESTER:

DATE OF APPROVAL / DISAPPROVAL (CIRCLE):

NAME, GRADE, AND TITLE OF APPROVING OFFICIAL:

SIGNATURE OF APPROVING OFFICIAL:

NGB 46-14, 20050617 (EF) (Adobe v6.0)

(PREVIOUS EDITIONS ARE OBSOLETE.)

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