Student Reporting Form

ICR 202004-0960-012

OMB: 0960-0088

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Form and Instruction
Modified
Supplementary Document
2020-08-26
Supporting Statement A
2020-08-26
IC Document Collections
ICR Details
0960-0088 202004-0960-012
Received in OIRA 201804-0960-002
SSA
Student Reporting Form
Revision of a currently approved collection   No
Regular 08/26/2020
  Requested Previously Approved
36 Months From Approved 01/31/2021
75,805 76,134
7,581 7,614
0 0

To qualify for Social Security Title II student benefits, student beneficiaries must be in full-time attendance status at an educational institution. In addition, SSA requires these beneficiaries to report events that may cause a reduction, termination, or suspension of their benefits. SSA collects such information on Forms SSA-1383 and SSA-1383-FC to determine if the changes or events the student beneficiaries report will affect their continuing entitlement to SSA benefits. SSA also uses the SSA-1383 and SSA-1383-FC to calculate the correct benefit amounts for student beneficiaries. The respondents are Social Security Title II student beneficiaries. We are making minor revisions on the SSA-1383-FC form to updated mailing addresses and contact for additional information.

US Code: 42 USC 402 Name of Law: Social Security Act
   US Code: 42 USC 403 Name of Law: Social Security Act
  
None

Not associated with rulemaking

  85 FR 34703 06/05/2020
85 FR 51540 08/20/2020
No

2
IC Title Form No. Form Name
Student Reporting Form (FC) SSA-1383-FC Report to Social Security Administration by Student Outside the United States
Student Reporting Form SSA-1383 Student Reporting Form

  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 75,805 76,134 0 0 -329 0
Annual Time Burden (Hours) 7,581 7,614 0 0 -33 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
When we last cleared this IC in 2017, the burden was 7,614 hours. However, we are currently reporting a burden of 7,581 hours. This change stems from a decrease in the number of responses from 76,134 to 75,805. There is no change to the burden time per response. Although the number of responses changed, SSA did not take any actions to cause this change. These figures represent current Management Information data.

$189,700
No
    Yes
    Yes
No
No
No
No
Faye Lipsky 410 965-8783 faye.lipsky@ssa.gov

  No

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.
08/26/2020


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