OMB control number

Self-Certification of Full-Time School Attendance

OMB 3206-0032 · OPM.

OMB 3206-0032

RI 25-14 is used to survey survivor annuitants who are between the ages of 18 and 22 to determine if they meet the requirements of Section 8341(a)(4)(C), and Section 8441, title 5, U.S. Code, to receive benefits as a student. RI 25-14A provides instructions for completing the Self-Certification of Full-Time School Attendance For The School Year survey form. The Privacy Act Statement has been revised due to a systematic review by our Chief Privacy Officer.

The latest form for Self-Certification of Full-Time School Attendance expires 2023-11-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form RI 25-14 Self-Certification of Full-Time School Attendance Form
RI 25-014_2011_06_MarkUp.pdf Supplementary Document
RI 25-14A_2010_12_MarkUp.pdf Supplementary Document
E8-5659.pdf Supplementary Document
RI 25-014_60DayFRN_Published_2020_03_23.pdf Supplementary Document
RI25-014_30DayFRN_Published_2020_07_17.pdf Supplementary Document
RI 25-014_SupportingStatement..docx Supporting Statement A
Self-Certification of Full-Time School Attendance Form

All Historical Document Collections

202010-3206-001 Approved without change	Revision of a currently approved collection	2020-10-05
201703-3206-008 Approved without change	Extension without change of a currently approved collection	2017-03-27
201401-3206-005 Approved without change	Extension without change of a currently approved collection	2014-02-18
201102-3206-001 Approved without change	Revision of a currently approved collection	2011-02-23
201003-3206-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2010-03-22
200712-3206-007 Approved without change	Revision of a currently approved collection	2007-12-27
200411-3206-002 Approved without change	Revision of a currently approved collection	2004-11-22
200109-3206-003 Approved without change	Revision of a currently approved collection	2001-09-21
199807-3206-002 Approved without change	Extension without change of a currently approved collection	1998-07-06
199502-3206-001 Approved without change	Revision of a currently approved collection	1995-02-23
199210-3206-003 Approved with change	No material or nonsubstantive change to a currently approved collection	1992-10-20
199207-3206-004 Approved without change	Reinstatement with change of a previously approved collection	1992-07-14
199107-3206-012 Approved with change	No material or nonsubstantive change to a currently approved collection	1991-07-23
199105-3206-001 Approved without change	Extension without change of a currently approved collection	1991-05-10
199005-3206-001 Approved without change	Reinstatement with change of a previously approved collection	1990-05-15
198904-3206-002 Disapproved	Revision of a currently approved collection	1989-04-17
198903-3206-002 Approved with change	No material or nonsubstantive change to a currently approved collection	1989-03-07
198607-3206-004 Approved with change	No material or nonsubstantive change to a currently approved collection	1986-07-10
198602-3206-001 Approved without change	Revision of a currently approved collection	1986-02-27
198302-3206-002 Approved without change	Revision of a currently approved collection	1983-02-16
198110-3206-023 Approved with change	No material or nonsubstantive change to a currently approved collection	1981-10-01
198101-3206-004 Approved with change	No material or nonsubstantive change to a currently approved collection	1981-01-30
197802-3206-004 Approved without change	Extension without change of a currently approved collection	1978-02-07