Information Collection

Self-Certification of Full-Time School Attendance

IC 33544 under ICR 202010-3206-001 · OMB 3206-0032.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form RI 25-14 Self-Certification of Full-Time School Attendance	Form
RI 25-14 Self-Certification of Full-Time School Attendance For Th RI 25-014_2020_07_Revised.pdf	Form
RI 25-14A Information and Instructions for Completing the Self-Cer RI25-014A_2020_07_Revised.pdf	Form and Instruction

IC Title:

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 831.672 5 CFR 831.673

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	RI 25-14	Self-Certification of Full-Time School Attendance For The School Year_Revised	RI 25-014_2020_07_Revised.pdf		Yes	No	Fillable Printable
Form and Instruction	RI 25-14A	Information and Instructions for Completing the Self-Certification of Full-Time School Attendance For The School Year_Revised	RI25-014A_2020_07_Revised.pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Central Personnel

Privacy Act System of Records

Title: OPM/Central 1

FR Citation: 73 FR 15013

Number of Respondents: 14,000

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	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	14,000	0	0	14,000
Annual IC Time Burden (Hours)	2,800	0	0	2,800
Annual IC Cost Burden (Dollars)	0	-75,250	75,250	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.