Information Collection

SSA-1372-BK (Foreign) Students

IC 280134 under ICR 202604-0960-005 · OMB 0960-0105.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-199 Advance Notice of Termination of Child’s Benefits SSA-1372-BK (Foreign) Students	Form
SSA-199 Advance Notice of Termination of Child’s Benefits SSA-1372-BK.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-199				No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 198,351

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	198,351	198,351
Annual IC Time Burden (Hours)	99,176	99,176
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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