Student Reporting Form

Student Reporting Form

OMB: 0960-0088

IC ID: 9034

Documents and Forms
Document Name
Document Type
Form and Instruction
Other-Revised Privacy Act and PRA St
Other-Revised Privacy Act and PRA St
Other-Internal Screens
Other-Internal Screens
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Student Reporting Form
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 422.135 20 CFR 404.415 20 CFR 404.367 20 CFR 404.352(b)(2) 20 CFR 404.368 20 CFR 404.434

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction SSA-1383 Student Reporting Form SSA-1383 - Revised Version.pdf Yes No Fillable Printable
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

Income Security General Retirement and Disability

 

8,158 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 8,158 0 0 -66,842 0 75,000
Annual IC Time Burden (Hours) 18,763 0 0 11,263 0 7,500
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Current SSA-1383 SSA-1383 - Current Version.pdf 06/25/2025
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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