Statement from School Officials

Student Beneficiary Monitoring

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3220-0123 can be found here:

Documents and Forms

Document Name Document Type
Form G-315A Statement from School Officials Form and Instruction
G-315A Statement of School Official Form G-315A (10-17).pdf Form and Instruction
G-315A.1 School Official's Notice of Cessation of Full-Time Atten Form G-315A1 (10-17).pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Statement from School Officials	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 219.54

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	G-315A	Statement of School Official	Form G-315A (10-17).pdf		No		Paper Only
Form and Instruction	G-315A.1	School Official's Notice of Cessation of Full-Time Attendance	Form G-315A1 (10-17).pdf		No		Paper Only

Line of Business: Income Security

Subfunction: Survivor Compensation

Privacy Act System of Records
Title: RRB 22 - Railroad Retirement, Survivor, and Pension Benefit System	FR Citation: 79 FR 58874

Number of Respondents: 40	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	2	2
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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