Verification of Full-Time School Attendance

ICR 202011-3206-002

OMB: 3206-0215

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supplementary Document
2020-11-04
Supplementary Document
2020-11-04
Supplementary Document
2020-11-04
Supplementary Document
2020-11-04
Supporting Statement A
2020-11-10
IC Document Collections
ICR Details
3206-0215 202011-3206-002
Received in OIRA 201710-3206-002
OPM RI 25-49
Verification of Full-Time School Attendance
Reinstatement with change of a previously approved collection   No
Regular 03/04/2021
  Requested Previously Approved
36 Months From Approved
10,000 0
10,000 0
0 0

RI 25-49 is used to verify that adult student annuitants are entitled to payments. OPM must confirm that a full-time enrollment has been maintained. There Privacy Act Statement has been revised due to a systematic review by our Chief Privacy Officer.

US Code: 5 USC Chapter 83 Section 8341 Name of Law: Survivor Annuities
   US Code: 5 USC Chapter 84 Section 8441 Name of Law: Definitions
  
None

Not associated with rulemaking

  85 FR 23543 04/28/2020
85 FR 54434 09/01/2020
No

1
IC Title Form No. Form Name
Verification of Full-Time School Attendance RI 25-49 Verification of Full-Time School Attendance_Revised

  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 10,000 0 0 0 0 10,000
Annual Time Burden (Hours) 10,000 0 0 0 0 10,000
Annual Cost Burden (Dollars) 0 0 0 -268,750 268,750 0
No
No

$26,200
No
    Yes
    Yes
No
No
No
No
Charles Conyers 202 606-0125 charles.conyers@opm.gov

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
03/04/2021


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