Information Collection

Student Reporting Form (FC)

IC 194169 under ICR 201701-0960-007 · 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⚠️ Notice: This information collection may be referencing outdated material.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-FC Student Reporting Form (FC)	Form and Instruction
Revised PA Statement - SSA-1383-FC.pdf	Other-Revised PA Statement
SSA-1383-FC Report to Social Security Administration by Student Outs SSA-1383-FC - Revised.pdf	Form and Instruction
SSA-1383-FC - Current.pdf SSA-1383-FC Current Version	IC Document

IC Title:

Student Reporting Form (FC)

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

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 and Instruction	SSA-1383-FC	Report to Social Security Administration by Student Outside the United States	SSA-1383-FC - Revised.pdf		Yes	No	Fillable Printable
Other-Revised PA Statement			Revised PA Statement - SSA-1383-FC.pdf		Yes	No	Fillable Printable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,247

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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,247	1,134	113
Annual IC Time Burden (Hours)	125	114	11
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA-1383-FC Current Version	SSA-1383-FC - Current.pdf	02/28/2017

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