RI 25-41, Initial Certification of Full-time School Attendance

Initial Certification of Full-time School Attendance

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3206-0099 can be found here:

Documents and Forms

Document Name Document Type
Form RI 25-41 RI 25-41, Initial Certification of Full-time School Attendance Form and Instruction
Form RI 25-41 RI 25-41, Initial Certification of Full-time School Attendance Form and Instruction
RI 25-41 Initial Certification of Full-Time School Attendance_Rev RI25-041_2024_05.pdf Form and Instruction
RI 25-41 Initial Certification of Full-Time School Attendance_Rev RI25-041_2024_05.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	RI 25-41, Initial Certification of Full-time School Attendance	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 Ch I 831.672 5 CFR Ch I 843.410 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	RI 25-41	Initial Certification of Full-Time School Attendance_Revised	RI25-041_2024_05.pdf		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: 1,200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	1,200	1,200
Annual IC Time Burden (Hours)	1,800	1,800
Annual IC Cost Burden (Dollars)	48,375	48,375

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.