Form NIH-1962-2 "Overtime Request and Approval Record"

What Is Form NIH-1962-2?

This is a legal form that was released by the U.S. Department of Health and Human Services - National Institutes of Health on October 1, 2012 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on October 1, 2012;
  • The latest available edition released by the U.S. Department of Health and Human Services - National Institutes of Health;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form NIH-1962-2 by clicking the link below or browse more documents and templates provided by the U.S. Department of Health and Human Services - National Institutes of Health.

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Download Form NIH-1962-2 "Overtime Request and Approval Record"

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DEPARTMENT OF HEALTH AND HUMAN SERVICES
DATE OF REQUEST
PUBLIC HEALTH SERVICE, NATIONAL INSTITUTES OF HEALTH
TIMEKEEPER NO.
PAY PERIOD
OVERTIME REQUEST AND APPROVAL RECORD
NUMBER
ENDING DATE
INSTRUCTIONS: Approval of OVERTIME should be obtained in advance whenever possible. Deviations to this policy are permitted only in cases of
emergency. The authorization for paid OVERTIME for employees above GS-10 maximum must state that it would not be in the interest of economy
and efficiency to grant compensatory time off and that the funds are available. Initiating supervisors are required to review all available Time and
Attendance data to ensure that the overtime was actually worked. They should then initial this form in the column provided below for "Supervisor
Verification."
COPY REQUIREMENTS: Timekeepers will retain this form and all other supporting documentation for 3 years after the end of the calendar year in
which the work was performed.
NO. OF HOURS
SUPV.
NAME OF EMPLOYEE
TITLE
ORGANIZATIONAL
GRADE
DATE(S) WORKED
NAME OF EMPLOYEE
TITLE
GRADE
DATE(S) WORKED
VERI.
UNIT
Actually
Requested
INITIALS
Worked
DUTIES TO BE PERFORMED AND JUSTIFICATION FOR EACH EMPLOYEE (Attach additional sheet if necessary)
ALL OVERTIME should be approved by the initiating supervisor of the organizational unit. If the initiating supervisor is below the
CLEARANCE
Branch Chief level, the request must be submitted to the next higher authority authorized to approve overtime. In NO case should
ACTION
final approval be at a level below that of Branch Chief.
NAME AND TITLE
SIGNATURE
DATE
Initiating Supervisor
Approving Official
Approving Official
NIH-1962-2 (10/12)
Pt. 1 White: Timekeeper
COPY DISTRIBUTION: Pt. 2 - Yellow : Admin. Office
DEPARTMENT OF HEALTH AND HUMAN SERVICES
DATE OF REQUEST
PUBLIC HEALTH SERVICE, NATIONAL INSTITUTES OF HEALTH
TIMEKEEPER NO.
PAY PERIOD
OVERTIME REQUEST AND APPROVAL RECORD
NUMBER
ENDING DATE
INSTRUCTIONS: Approval of OVERTIME should be obtained in advance whenever possible. Deviations to this policy are permitted only in cases of
emergency. The authorization for paid OVERTIME for employees above GS-10 maximum must state that it would not be in the interest of economy
and efficiency to grant compensatory time off and that the funds are available. Initiating supervisors are required to review all available Time and
Attendance data to ensure that the overtime was actually worked. They should then initial this form in the column provided below for "Supervisor
Verification."
COPY REQUIREMENTS: Timekeepers will retain this form and all other supporting documentation for 3 years after the end of the calendar year in
which the work was performed.
NO. OF HOURS
SUPV.
NAME OF EMPLOYEE
TITLE
ORGANIZATIONAL
GRADE
DATE(S) WORKED
NAME OF EMPLOYEE
TITLE
GRADE
DATE(S) WORKED
VERI.
UNIT
Actually
Requested
INITIALS
Worked
DUTIES TO BE PERFORMED AND JUSTIFICATION FOR EACH EMPLOYEE (Attach additional sheet if necessary)
ALL OVERTIME should be approved by the initiating supervisor of the organizational unit. If the initiating supervisor is below the
CLEARANCE
Branch Chief level, the request must be submitted to the next higher authority authorized to approve overtime. In NO case should
ACTION
final approval be at a level below that of Branch Chief.
NAME AND TITLE
SIGNATURE
DATE
Initiating Supervisor
Approving Official
Approving Official
NIH-1962-2 (10/12)
Pt. 1 White: Timekeeper
COPY DISTRIBUTION: Pt. 2 - Yellow : Admin. Office