REPORT OF STUDENT BENEFICIARY ABOUT TO ATTAIN AGE 19

ICR 199209-0960-008

OMB: 0960-0274

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
115169 Migrated
ICR Details
0960-0274 199209-0960-008
Historical Active 198908-0960-002
SSA
REPORT OF STUDENT BENEFICIARY ABOUT TO ATTAIN AGE 19
Revision of a currently approved collection   No
Regular
Approved without change 12/01/1992
Retrieve Notice of Action (NOA) 09/16/1992
  Inventory as of this Action Requested Previously Approved
12/31/1995 12/31/1995 10/31/1992
50,000 0 50,000
4,167 0 2,500
0 0 0

THE INFORMATION COLLECTION BY THE USE OF FORM SSA-1390 IS NEEDED TO DETERMINE WHETHER A STUDENT BENEFICIARY IS ENTITLED TO BENEFITS FOR TH MONTH OF ATTAINMENT OF AGE 19 AND SUBSEQUENT MONTHS. THE AFFECTED PUBLIC IS COMPRISED OF STUDENT BENEFICIARIES ABOUT TO ATTAIN AGE 19.

None
None


No

1
IC Title Form No. Form Name
REPORT OF STUDENT BENEFICIARY ABOUT TO ATTAIN AGE 19 SSA-1390

  Total Approved 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 50,000 50,000 0 0 0 0
Annual Time Burden (Hours) 4,167 2,500 0 0 1,667 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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.
09/16/1992


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