Self-Certification of Full-Time School Attendance

ICR 201703-3206-008

OMB: 3206-0032

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Unchanged
Supplementary Document
2017-03-23
Supplementary Document
2017-03-23
Supporting Statement A
2017-03-23
IC Document Collections
ICR Details
3206-0032 201703-3206-008
Historical Active 201401-3206-005
OPM
Self-Certification of Full-Time School Attendance
Extension without change of a currently approved collection   No
Regular
Approved without change 10/02/2017
Retrieve Notice of Action (NOA) 03/27/2017
  Inventory as of this Action Requested Previously Approved
10/31/2020 36 Months From Approved 09/30/2017
14,000 0 14,000
2,800 0 2,800
0 0 0

RI 25-14 is used to survey survivor annuitants who are between the ages of 18 and 22 to determine if they meet the requirements of Section 8341(a)(4)(C), and Section 8441, title 5, U.S. Code, to receive benefits as a student.

US Code: 5 USC 83, Section 8341 Name of Law: Survivor Annuities
   US Code: 5 USC 84, Section 8441 Name of Law: Definitions
  
None

Not associated with rulemaking

  81 FR 64956 09/21/2016
82 FR 48 03/14/2017
No

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 14,000 14,000 0 0 0 0
Annual Time Burden (Hours) 2,800 2,800 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$35,300
No
    Yes
    Yes
No
No
No
Uncollected
Charles Conyers 202 606-0125 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
03/27/2017


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