Student Reporting Form

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form SSA-1383 Student Reporting Form	Form and Instruction	Modified	Available
Form SSA-1383 Student Reporting Form	Form and Instruction	Modified	Repair queued
Form SSA-1383-FC Report to Social Security Administration by Student Outside the United States	Form and Instruction	Modified	Available
Form SSA-1383-FC Student Reporting Form (FC)	Form and Instruction	Modified	Repair queued
Justification for Non-Substantive Changes - 0960-0088.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-12-12	Available
Justification for Non-Substantive Changes - 0960-0088.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-12-12	Repair queued
Supporting Statement - 0088 (Clean Copy).docx	Supporting Statement A	Uploaded 2022-05-11	Repair queued
Supporting Statement - 0088 (Clean Copy).docx	Supporting Statement A	Uploaded 2022-05-11	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
9034	Student Reporting Form	Form and Instruction	Modified	Student Reporting Form
9034	Student Reporting Form	Form and Instruction	Modified
194169	Student Reporting Form (FC)	Form and Instruction	Modified	Report to Social Security Administration by Student Outside the United States
194169	Student Reporting Form (FC)	Form and Instruction	Modified

ICR Details

OMB Control No: 0960-0088	ICR Reference No: 202412-0960-006
Status: Historical Active	Previous ICR Reference No: 202004-0960-012
Agency/Subagency: SSA	Agency Tracking No:
Title: Student Reporting Form
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/13/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/12/2024
Terms of Clearance: Approved consistent with the agency's commitments under Sec. 4 (k)(iii) and (iv) of E.O. 14058.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2025	07/31/2025	07/31/2025
Responses	75,805	0	75,805
Time Burden (Hours)	7,581	0	7,581
Cost Burden (Dollars)	0	0	0

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Abstract: To qualify for Social Security Title II student benefits, student beneficiaries must be in full-time attendance status at an educational institution. In addition, SSA requires these beneficiaries to report events that may cause a reduction, termination, or suspension of their benefits. SSA collects such information on Forms SSA-1383 and SSA-1383-FC to determine if the changes or events the student beneficiaries report will affect their continuing entitlement to SSA benefits. SSA also uses the SSA-1383 and SSA-1383-FC to calculate the correct benefit amounts for student beneficiaries. The respondents are Social Security Title II student beneficiaries. We are submitting this non-substantive Change Request to remove the signature requirement for this form and making minor changes to the form (updated mailing addresses and contact for additional information).

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Authorizing Statute(s): US Code: 42 USC 402 Name of Law: Social Security Act
   US Code: 42 USC 403 Name of Law: Social Security Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 34703	06/05/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 51540	08/20/2020
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Student Reporting Form	SSA-1383	Student Reporting Form
Student Reporting Form (FC)	SSA-1383-FC	Report to Social Security Administration by Student Outside the United States

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ICR Summary of Burden

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	75,805	75,805	0	0	0	0
Annual Time Burden (Hours)	7,581	7,581	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: When we last cleared this IC in 2017, the burden was 7,614 hours. However, we are currently reporting a burden of 7,581 hours. This change stems from a decrease in the number of responses from 76,134 to 75,805. There is no change to the burden time per response. Although the number of responses changed, SSA did not take any actions to cause this change. These figures represent current Management Information data.

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Annual Cost to Federal Government: $189,700

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 12/12/2024

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