Information Collection Request

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

ICR 202604-0960-005 · OMB 0960-0105 · Received in OIRA

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
9072 SSA-1372-BK (Domestic) - Students Form ModifiedAdvanced Notice of Termination of Child's Benefits
280134 SSA-1372-BK (Foreign) Students Form NewAdvance Notice of Termination of Child’s Benefits
279973 SSA-1372-BK-FC (Representative payees) Form NewAdvance Notice of Termination of Child's Benefits
243295 SSA-1372-BK (Foreign)- Representative Payees Form ModifiedStudent's Statement Regarding School Attendance
243294 SSA-1372-BK (Domestic)- Representative Payees Form ModifiedAdvanced Notice of Termination of Child's Benefits
182804 SSA-1372-BK-FC (Foreign Claims)--State/Local/Tribal Government Form ModifiedStudent's Statement Regarding School Attendance
182797 SSA-1372-FC (Foreign Claims)-Students Form ModifiedStudent's Statement Regarding School Attendance
182786 SSA-1372-BK (Domestic)--State/Local/Tribal Government Form ModifiedAdvanced Notice of Termination of Child's Benefits

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 05/31/2026
434,928 467,850
188,044 286,344
0 0





Reginfo record details
8
table that charts list of burden
IC Title Form No. Form Name
SSA-1372-BK (Domestic) - Students SSA-1372-BK
SSA-1372-BK (Domestic)- Representative Payees SSA-1372-BK
SSA-1372-BK (Domestic)--State/Local/Tribal Government SSA-1372-BK
SSA-1372-BK (Foreign) Students SSA-199
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-BK-FC (Representative payees) SSA-1372-BK-FC
SSA-1372-FC (Foreign Claims)-Students SSA-1372-BK-FC

table that charts list of burden
  Total Request 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 434,928 467,850 0 0 -32,922 0
Annual Time Burden (Hours) 188,044 286,344 0 0 -98,300 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No