This request, as
amended by the additional material provided to OMB on 6/11/91, is
approved for use through 4/92. This approval is conditional upon
the following: 1. These forms be used consistant with the manner
described in the memorandum of 5/3/91 from Carol Johnson and Joe
Lackey of OMB to Ellie Goodwin and Jim Freiert of OPM. 2. In its
title and all references the survey of adult student enrollment
will be called: "Student Enrollment Status Questionnaire." 3. That
a single Privacy Act and Public Burden Statement appear on the
cover letter accompanying both forms or that each form seperately
contain Privacy Act and Public Burden Statements. This request is
being given a limited term approval in order that the success of
this approach to identifying overpayments can be assessed prior to
the 1992-93 academic year.
Inventory as of this Action
Requested
Previously Approved
04/30/1992
04/30/1992
05/31/1991
14,000
0
14,000
6,300
0
2,800
0
0
0
RI 25-14 IS DESIGNED TO COLLECT
INFORMATION ABOUT MARITAL STATUS AND SCHOOL ENROLLMENT FOR STUDENT
SURVIVOR ANNUITANTS. THIS FORM IS USED B THE RETIREMENT AND
INSURANCE GROUP TO DETERMINE WHETHER A SURVIVING CHILD OF DECEASED
FEDERAL EMPLOYEE IS ELIGIBLE TO RECEIVE BENEFITS AS
STUDENT.
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.