Report of Student Beneficiary About to Attain Age 19

ICR 200409-0960-007

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
37969 Migrated
ICR Details
0960-0274 200409-0960-007
Historical Active 200108-0960-002
SSA
Report of Student Beneficiary About to Attain Age 19
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 09/29/2004
Retrieve Notice of Action (NOA) 09/29/2004
  Inventory as of this Action Requested Previously Approved
09/30/2004 09/30/2004 10/31/2004
50,000 0 50,000
4,167 0 4,167
0 0 0

The information collected by SSA on form SSA-1390 is used to determine a student's eligibility for Social Security benefits for those attaining age 19. 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 4,167 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.
09/29/2004


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