Information Collection

Student Reporting Form

IC 9034 under ICR 201804-0960-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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 and Instruction
Revised PA Statement - SSA-1383.pdf	Other-Revised PA Statement
SSA-1383 Student Reporting Form SSA-1383 - Revised.pdf	Form and Instruction
SSA-1383 - Current.pdf Current SSA-1383	IC Document

IC Title:

Student Reporting Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 404.415 20 CFR 404.368 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 and Instruction	SSA-1383	Student Reporting Form	SSA-1383 - Revised.pdf		Yes	No	Fillable Printable
Other-Revised PA Statement			Revised PA Statement - SSA-1383.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: 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
Current SSA-1383	SSA-1383 - Current.pdf	02/28/2017

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