Information Collection Request

Advanced Notice of Termination of Child's Benefits, and Student's Statement Regarding School Attendance

ICR 202005-0960-003 · OMB 0960-0105 · Historical Active

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
9072 SSA-1372-BK (Domestic)- Students Form ModifiedAdvanced Notice of Termination of Child's Benefits
9072 SSA-1372-BK (Domestic)- Students Other-Revised Privacy Act Statement Modified
243295 SSA-1372-BK (Foreign)- Representative Payees Form NewStudent's Statement Regarding School Attendance
243295 SSA-1372-BK (Foreign)- Representative Payees Form New
243295 SSA-1372-BK (Foreign)- Representative Payees Other-Revised Privacy Act Statement New
243294 SSA-1372-BK (Domestic)- Representative Payees Form NewAdvanced Notice of Termination of Child's Benefits
243294 SSA-1372-BK (Domestic)- Representative Payees Form New
243294 SSA-1372-BK (Domestic)- Representative Payees Other-Revised Privacy Act Statement New
182804 SSA-1372-BK-FC (Foreign Claims)--State/Local/Tribal Government Form ModifiedStudent's Statement Regarding School Attendance
182804 SSA-1372-BK-FC (Foreign Claims)--State/Local/Tribal Government Form Modified
182804 SSA-1372-BK-FC (Foreign Claims)--State/Local/Tribal Government Other-Revised Privacy Act Statement Modified
182797 SSA-1372-FC (Foreign Claims)-Students Form ModifiedStudent's Statement Regarding School Attendance
182797 SSA-1372-FC (Foreign Claims)-Students Form Modified
182797 SSA-1372-FC (Foreign Claims)-Students Other-Revised Privacy Act Statement Modified
182786 SSA-1372-BK (Domestic)--State/Local/Tribal Government Form ModifiedAdvanced Notice of Termination of Child's Benefits
182786 SSA-1372-BK (Domestic)--State/Local/Tribal Government Form Modified
182786 SSA-1372-BK (Domestic)--State/Local/Tribal Government Other-Revised Paperwork Reduction Act Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
04/30/2026 36 Months From Approved 04/30/2024
467,850 0 202,096
286,344 0 18,526
0 0 0





Reginfo record details
6
table that charts list of burden
IC Title Form No. Form Name
SSA-1372-BK (Domestic)- Representative Payees SSA-1372-BK
SSA-1372-BK (Domestic)- Students SSA-1372-BK
SSA-1372-BK (Domestic)--State/Local/Tribal Government SSA-1372-BK
SSA-1372-BK (Foreign)- Representative Payees SSA-1372-BK-FC
SSA-1372-BK-FC (Foreign Claims)--State/Local/Tribal Government SSA-1372-BK-FC
SSA-1372-FC (Foreign Claims)-Students SSA-1372-BK-FC

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 467,850 202,096 0 0 265,754 0
Annual Time Burden (Hours) 286,344 18,526 0 0 267,818 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No