Notice of Change in Student's Status

Survey of Student's Eligibility to Receive Benefits

Documents and Forms

Document Name Document Type
Form RI25-15 Notice of Change in Student's Status Form and Instruction
RI25-15 Self-Certification of Full-Time School Attendance for th RI 25-15_2025 Updated.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Notice of Change in Student's Status	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 843.410 5 CFR 831.672

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	RI25-15	Self-Certification of Full-Time School Attendance for the School Year	RI 25-15_2025 Updated.pdf	opm.gov	Yes	No	Printable Only

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: 4,264	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	4,264	1,764	2,500
Annual IC Time Burden (Hours)	1,421	586	835
Annual IC Cost Burden (Dollars)	51,191	31,648	19,543

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.