Information Collection Request
Advanced Notice of Termination of Child's Benefits, and Student's Statement Regarding School Attendance
ICR 202406-0960-005 · OMB 0960-0105 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0960-0105 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form SSA-1372-BK SSA-1372-BK (Domestic)- Students |
Form | Modified | Missing upstream |
| Form SSA-1372-BK-FC SSA-1372-BK (Foreign)- Representative Payees |
Form | Unchanged | Repair queued |
| Form SSA-1372-BK SSA-1372-BK (Domestic)- Representative Payees |
Form | Modified | Missing upstream |
| Form SSA-1372-BK-FC SSA-1372-BK-FC (Foreign Claims)--State/Local/Tribal Government |
Form | Unchanged | Repair queued |
| Form SSA-1372-BK-FC SSA-1372-FC (Foreign Claims)-Students |
Form | Unchanged | Repair queued |
| Form SSA-1372-BK SSA-1372-BK (Domestic)--State/Local/Tribal Government |
Form | Modified | Repair queued |
 Non-substantive change request 0960-0105.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2024-06-27 | Repair queued |
| Supporting Statement - 0960-0105 (final).docx |
Supporting Statement A | Uploaded 2024-04-17 | Repair queued |
| Addendum 0105.docx |
Supplementary Document | Uploaded 2020-08-25 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 9072 |  SSA-1372-BK (Domestic)- Students |
Form | Modified | |
| 243295 | SSA-1372-BK (Foreign)- Representative Payees |
Form | Unchanged | |
| 243294 | SSA-1372-BK (Domestic)- Representative Payees |
Form | Modified | |
| 182804 | SSA-1372-BK-FC (Foreign Claims)--State/Local/Tribal Government |
Form | Unchanged | |
| 182797 | SSA-1372-FC (Foreign Claims)-Students |
Form | Unchanged | |
| 182786 | SSA-1372-BK (Domestic)--State/Local/Tribal Government |
Form | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | SSA |
| OMB Control No | 0960-0105 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202005-0960-003 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |