Survey of Student's Eligibility to Receive Benefits

OMB 3206-0042

RI 25-15 is used to collect sufficient information from adult children of deceased Federal employees or annuitants to assure that the child continues to be eligible for payments from OPM. The Privacy Act Statement has been revised due to a general systematic review by our Chief Privacy Officer.

The latest form for Survey of Student's Eligibility to Receive Benefits expires 2022-08-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form RI 25-15 Notice of Change in Student's Status Form and Instruction
RI25-015_Citations.pdf Supplementary Document
RI25-015_2023_02_MarkUp.pdf Supplementary Document
RI25-015_2018_08_MarkUp.pdf Supplementary Document
RI25-015_30dayFRNPublished_2022_10_20.pdf Supplementary Document
2022-10880.pdf Supplementary Document
RI25-015_OMBSupptStmt_2022_10_27.docx Supporting Statement A
Notice of Change in Student's Status Form and Instruction

All Historical Document Collections

202210-3206-002 Approved with change	Reinstatement with change of a previously approved collection	2022-10-28
201905-3206-001 Approved with change	Revision of a currently approved collection	2019-05-28
201602-3206-003 Approved without change	Revision of a currently approved collection	2016-02-23
201301-3206-001 Approved without change	Revision of a currently approved collection	2013-01-23
200911-3206-003 Approved without change	Revision of a currently approved collection	2009-11-06
200609-3206-001 Approved without change	Revision of a currently approved collection	2006-10-02
200305-3206-001 Approved without change	Reinstatement with change of a previously approved collection	2003-05-01
200001-3206-001 Approved without change	Revision of a currently approved collection	2000-01-31
199605-3206-002 Approved without change	Revision of a currently approved collection	1996-05-23
199406-3206-005 Approved without change	Revision of a currently approved collection	1994-06-16
199305-3206-002 Approved without change	Extension without change of a currently approved collection	1993-05-20
199211-3206-004 Approved with change	No material or nonsubstantive change to a currently approved collection	1992-11-24
199211-3206-003 Approved without change	Extension without change of a currently approved collection	1992-11-25
199108-3206-010 Approved without change	Revision of a currently approved collection	1991-08-22
199005-3206-003 Approved without change	Revision of a currently approved collection	1990-05-29
198903-3206-005 Approved with change	No material or nonsubstantive change to a currently approved collection	1989-03-07
198704-3206-008 Approved without change	Extension without change of a currently approved collection	1987-04-22
198403-3206-005 Approved without change	Revision of a currently approved collection	1984-03-26
197904-3206-001 Approved without change	Revision of a currently approved collection	1979-04-04
197411-3206-001 Approved without change	New collection (Request for a new OMB Control Number)	1974-11-11