Advanced Notice of Termination of Child's Benefits, and Student's Statement Regarding School Attendance

OMB 0960-0105

OMB 0960-0105

SSA uses the information collected on Forms SSA-1372-BK and SSA-1372-BK-FC to determine whether children of an insured worker are eligible for student benefits. The data allows SSA to determine student entitlement and whether entitlement will end. The respondents are student claimants for Social Security benefits, their respective schools and, in some cases, their representative payees. This is a non-substantive Change Request to make minor language changes to the SSA-1372-BK-FC.

The latest form for Advanced Notice of Termination of Child's Benefits, and Student's Statement Regarding School Attendance expires 2021-01-31 and can be found here.

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Revision of a currently approved collection 1978-03-09
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Revision of a currently approved collection 1978-03-09
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Reinstatement with change of a previously approved collection 1978-02-28
OMB Details

SSA-1372-BK (Domestic)--Individuals/Households

Federal Enterprise Architecture: Income Security - General Retirement and Disability

Form SSA-1372-BKAdvanced Notice of Termination of Child's BenefitsPaper OnlyForm

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