Information Collection

Notice of Change in Student's Status

IC 33560 under ICR 202210-3206-002 · OMB 3206-0042.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3206-0042 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form RI 25-15 Notice of Change in Student's Status	Form and Instruction
RI 25-15 Notice of Change in Student's Status RI25-015_2023_02.pdf www.opm.gov	Form and Instruction

IC Title:

Notice of Change in Student's Status

Agency IC Tracking Number:

RI 25-15

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 843.410

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	RI 25-15	Notice of Change in Student's Status	RI25-015_2023_02.pdf	www.opm.gov	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title: OPM/Central-1

FR Citation: 73 FR 15013

Number of Respondents: 2,500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	2,500	2,500
Annual IC Time Burden (Hours)	835	835
Annual IC Cost Burden (Dollars)	19,543	19,543

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.