Information Collection

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

IC 33579 under ICR 202011-3206-004 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form RI 25-41 RI 25-41, Initial Certification of Full-time School Attendance Form and Instruction
RI 25-41 Initial Certification of Full-Time School Attendance_Rev RI25-041_2021_01_Revised.pdf Form and Instruction
RI 25-41 Initial Certification of Full-Time School Attendance_Rev RI25-041_2021_01_Revised.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	RI 25-41	Initial Certification of Full-Time School Attendance_Revised	RI25-041_2021_01_Revised.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 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,200	0	1,200
Annual IC Time Burden (Hours)	1,800	0	1,800
Annual IC Cost Burden (Dollars)	48,375	48,375	0

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.