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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form SSA-1383 Student Reporting Form Student Reporting Form	Form
SSA-1383 Student Reporting Form SSA-1383 (revised).pdf	Form
SSA-1383 (current).pdf SSA-1383 (current)	IC Document

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:

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				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 %

table that charts list of burden
	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

table that charts IC Documents
Title	Document	Date Uploaded
SSA-1383 (current)		12/05/2011

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

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