Information Collection

Student Reporting Form

IC 9034 under ICR 201111-0960-010 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form SSA-1383 Student Reporting Form Form
SSA-1383 Student Reporting Form SSA-1383 (revised).pdf Form
SSA-1383 (current).pdf SSA-1383 (current) IC Document

Information Collection (IC) Details

View Information Collection (IC)

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

Information Collection 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

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 %

	Approved	Previously Approved
Annual Number of Responses for this IC	74,887	74,887
Annual IC Time Burden (Hours)	7,489	7,489
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SSA-1383 (current)	SSA-1383 (current).pdf	12/05/2011

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