Information Collection

Student Reporting Form

IC 9034 under ICR 201008-0960-005 · OMB 0960-0088.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0088 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-1383 Student Reporting Form	Form
T2 Student Screen.doc	Other-Screen Shots
SSA-1383 Student Reporting Form SSA-1383 (revised).pdf	Form

IC Title:

Student Reporting Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 404.367 20 CFR 404.368 20 CFR 404.415 20 CFR 404.434 20 CFR 404.352(b)(2) 20 CFR 422.135

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-1383	Student Reporting Form	SSA-1383 (revised).pdf		No		Fillable Printable
Other-Screen Shots			T2 Student Screen.doc		Yes	No	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 74,887

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	74,887	-113	75,000
Annual IC Time Burden (Hours)	7,489	-11	7,500
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.