Student's Statement Regarding Resumption of School Attendance

ICR 200105-0960-012

OMB: 0960-0143

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0960-0143 200105-0960-012
Historical Active 199805-0960-003
SSA
Student's Statement Regarding Resumption of School Attendance
Extension without change of a currently approved collection   No
Regular
Approved without change 07/26/2001
Retrieve Notice of Action (NOA) 05/30/2001
  Inventory as of this Action Requested Previously Approved
07/31/2004 07/31/2004 07/31/2001
133,000 0 133,000
13,300 0 13,300
0 0 0

The information collected on form SSA-1386 is used by the Social Security Administration to verify full-time attendance at educational institutions and to determine continuing eligibility to student benefits. The respondents are students beneficiaries currently receiving Social Security benefits.

None
None


No

1
IC Title Form No. Form Name
Student's Statement Regarding Resumption of School Attendance SSA-1386

  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 133,000 133,000 0 0 0 0
Annual Time Burden (Hours) 13,300 13,300 0 0 0 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.
05/30/2001


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