Initial Certification of Full-time School Attendance

OMB 3206-0099

RI 25-41 is used to determine whether a child is unmarried and a full-time student in a recognized school. OPM must determine this in order to pay survivor annuity benefits to children who are age 18 or older.

The latest form for Initial Certification of Full-time School Attendance expires 2021-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
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
RI25-041_OMBSuppStmt_Final.docx Supporting Statement A
RI25-041_OMBSuppStmt_Final.docx Supporting Statement A
ARS PIA Final 12212017signed.pdf Supplementary Document
ARS PIA Final 12212017signed.pdf Supplementary Document
RI25-041_60DayFRNPublished_2023_05_03.pdf Supplementary Document
RI25-041_60DayFRNPublished_2023_05_03.pdf Supplementary Document
RI25-041_30DayFRNPublished_2023_12_06.pdf Supplementary Document
RI25-041_30DayFRNPublished_2023_12_06.pdf Supplementary Document
RI 25-41, Initial Certification of Full-time School Attendance Form and Instruction
RI 25-41, Initial Certification of Full-time School Attendance Form and Instruction

All Historical Document Collections

202403-3206-005 Improperly submitted and continue	Revision of a currently approved collection	2024-03-29
202011-3206-004 Approved without change	Revision of a currently approved collection	2021-01-29
201712-3206-010 Approved with change	Revision of a currently approved collection	2017-12-29
201606-3206-002 Approved without change	Reinstatement without change of a previously approved collection	2016-06-28
201212-3206-001 Approved without change	Revision of a currently approved collection	2012-12-04
200911-3206-004 Approved without change	Revision of a currently approved collection	2009-11-06
200610-3206-002 Approved without change	Revision of a currently approved collection	2006-10-30
200308-3206-001 Approved without change	Revision of a currently approved collection	2003-08-05
200007-3206-002 Approved without change	Reinstatement with change of a previously approved collection	2000-07-05
199612-3206-002 Approved without change	Extension without change of a currently approved collection	1996-12-04
199307-3206-004 Approved without change	Extension without change of a currently approved collection	1993-07-30
199207-3206-005 Approved without change	Revision of a currently approved collection	1992-07-24
199005-3206-002 Approved without change	Revision of a currently approved collection	1990-05-29
198904-3206-007 Approved with change	No material or nonsubstantive change to a currently approved collection	1989-04-04
198903-3206-009 Approved with change	No material or nonsubstantive change to a currently approved collection	1989-03-07
198801-3206-007 Approved with change	No material or nonsubstantive change to a currently approved collection	1988-01-05
198704-3206-013 Approved without change	Extension without change of a currently approved collection	1987-04-24
198405-3206-001 Approved without change	Extension without change of a currently approved collection	1984-05-31
198104-3206-002 Approved without change	Extension without change of a currently approved collection	1981-04-21
197909-3206-002 Approved with change	No material or nonsubstantive change to a currently approved collection	1979-09-11
197906-3206-004 Approved without change	New collection (Request for a new OMB Control Number)	1979-06-18