Information Collection

Notice of Change in Student's Status

IC 33560 under ICR 200609-3206-001 · OMB 3206-0042.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3206-0042 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form RI 25-15 Notice of Change in Student's Status	Form and Instruction
RI 25-15 Notice of Change in Student's Status RI25-015.pdf www.opm.gov/forms/html/opm.asp	Form and Instruction
RI25-015 changes[1].pdf RI 25-15 Changes	IC Document

IC Title:

Notice of Change in Student's Status

Agency IC Tracking Number:

Is this a Common Form? Yes

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR 843.410 5 CFR 831.672

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	RI 25-15	Notice of Change in Student's Status	RI25-015.pdf	http://www.opm.gov/forms/html/opm.asp	Yes	No	Fillable Printable

Line of Business:

Subfunction:

Privacy Act System of Records

Title: OPM Central 1 - Retirement & Insurance

FR Citation: 65 FR 25775

Number of Respondents: 2,500

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	2,500	2,500
Annual IC Time Burden (Hours)	835	835
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
RI 25-15 Changes	RI25-015 changes[1].pdf	10/02/2006

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.