Information Collection

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

IC 33579 under ICR 202404-3206-006 · OMB 3206-0099.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form RI25-041 RI 25-41, Initial Certification of Full-time School Attendance	Form and Instruction
RI25-041 Initial Certification of Full-Time School Attendance RI25-041_2024.pdf	Form and Instruction
RI25-041 Initial Certification of Full-Time School Attendance RI25-041_2024.pdf	Form and Instruction

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:

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	RI25-041	Initial Certification of Full-Time School Attendance	RI25-041_2024.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 %

table that charts list of burden
	Approved	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

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.