Student Reporting Form (FC)

Student Reporting Form

Documents and Forms

Document Name Document Type
Form SSA-1383-FC Student Reporting Form (FC) Form and Instruction
Revised PA & PRA Statements for SSA-1383 and SSA-1383-FC (0960-0088).pdf Other-Revised Privacy Act and PRA St
SSA-1372 - POS-MACADE screens.pdf Other-Internal Screens
SSA-1383-FC Report to Social Security Administration by Student Outs SSA-1383 - Revised Version.pdf Form and Instruction
SSA-1383-FC - Current Version.pdf SSA-1383-FC Current Version IC Document

Information Collection (IC) Details

IC Title:	Student Reporting Form (FC)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 404.367 20 CFR 404.415 20 CFR 422.135 20 CFR 404.352 (B) (2) 20 CFR 404.368 20 CFR 404.434

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SSA-1383-FC	Report to Social Security Administration by Student Outside the United States	SSA-1383 - Revised Version.pdf	Yes	No	Fillable Fileable
Other-Revised Privacy Act and PRA Statements			Revised PA & PRA Statements for SSA-1383 and SSA-1383-FC (0960-0088).pdf	No		Paper Only
Other-Internal Screens			SSA-1372 - POS-MACADE screens.pdf	Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 557	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	557	-248	805
Annual IC Time Burden (Hours)	1,281	1,200	81
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
SSA-1383-FC Current Version	SSA-1383-FC - Current Version.pdf	06/26/2025

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.