Information Collection

Statement from School Officials

IC 186682 under ICR 201801-3220-003 · OMB 3220-0123.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

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	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 %

table that charts list of burden
	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

table that charts IC Documents
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.