RI 25-37, Evidence to Prove Dependency of a Child

Evidence to Prove Dependency of a Child

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3206-0206 can be found here:

Documents and Forms

Document Name Document Type
RI 25-37 December 2011.pdf Instruction
RI 25-37 2005 Markup.pdf RI 25-037 2005 Markup IC Document
RI 25-37 December 2011 Markup.pdf RI 25-37 December 2011 Markup IC Document

Information Collection (IC) Details

IC Title:	RI 25-37, Evidence to Prove Dependency of a Child	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 5 CFR 831.671 5 CFR 843.401

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			RI 25-37 December 2011.pdf		Yes	No	Printable Only

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title: OPM /Central-1	FR Citation: 73 FR 15013

Number of Respondents: 250	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	250	250
Annual IC Time Burden (Hours)	250	250
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
RI 25-037 2005 Markup	RI 25-37 2005 Markup.pdf	08/18/2011
RI 25-37 December 2011 Markup	RI 25-37 December 2011 Markup.pdf	08/18/2011

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