SSA-1372-BK-FC (Foreign Claims)--State/Local/Tribal Government

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

OMB: 0960-0105

IC ID: 182804

Documents and Forms
Document Name
Document Type
Form
Other-Revised Privacy Act Statement
Other-Revised Paperwork Reduction Ac
Form
IC Document
Information Collection (IC) Details

View Information Collection (IC)

SSA-1372-BK-FC (Foreign Claims)--State/Local/Tribal Government
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 404.367-404.368 20 CFR 404.350-404.352

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-1372-BK-FC Student's Statement Regarding School Attendance SSA-1372-BK-FC (revised).pdf No   Fillable Printable
Other-Revised Privacy Act Statement 0105 Privacy Act Statement (revised).docx No   Paper Only
Other-Revised Paperwork Reduction Act PRA 0105.docx No   Paper Only

Income Security General Retirement and Disability

 

671 0
   
State, Local, and Tribal Governments
 
   0 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 671 0 0 -527 0 1,198
Annual IC Time Burden (Hours) 34 0 0 -26 0 60
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-1372-BK-FC - Current SSA-1372-BK-FC (current).pdf 08/25/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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