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Statement from School Officials
Student Beneficiary Monitoring
OMB: 3220-0123
IC ID: 186682
OMB.report
RRB
OMB 3220-0123
ICR 202104-3220-001
IC 186682
( )
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 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
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
View Information Collection (IC)
IC Title:
Statement from School Officials
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
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
Federal Enterprise Architecture Business Reference Module
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
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
40
0
0
0
0
40
Annual IC Time Burden (Hours)
2
0
0
0
0
2
Annual IC Cost Burden (Dollars)
0
0
0
0
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.