OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

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

OMB 0960-0105 · SSA.

OMB 0960-0105

SSA uses the information collected on Forms SSA-1372-BK and SSA-1372-BK-FC to determine whether children of an insured worker are eligible for student benefits. The data allows SSA to determine student entitlement and whether entitlement will end. The respondents are student claimants for Social Security benefits, their respective schools and, in some cases, their representative payees. We are making non-substantive changes to change the font of the form to meet the agency’s accessibility standards.

The latest form for Advanced Notice of Termination of Child's Benefits, and Student's Statement Regarding School Attendance expires 2026-07-31 and is listed under ICR 202406-0960-005.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form SSA-1372-BK Advanced Notice of Termination of Child's BenefitsForm
Form SSA-199 Advance Notice of Termination of Child’s BenefitsForm
Form SSA-1372-BK-FC Advance Notice of Termination of Child's BenefitsForm
Form SSA-1372-BK-FC Student's Statement Regarding School AttendanceForm
Form SSA-1372-BK Advanced Notice of Termination of Child's BenefitsForm
Form SSA-1372-BK-FC Student's Statement Regarding School AttendanceForm
Form SSA-1372-BK-FC Student's Statement Regarding School AttendanceForm
Form SSA-1372-BK Advanced Notice of Termination of Child's BenefitsForm
Supporting Statement - 0105 (Final).docxSupporting Statement A
Addendum - 0105 (Final).docxSupplementary Document
SSA-1372-BK (Domestic) - Students Form
SSA-1372-BK (Foreign) Students Form
SSA-1372-BK-FC (Representative payees) Form
SSA-1372-BK (Foreign)- Representative Payees Form
SSA-1372-BK (Domestic)- Representative Payees Form
SSA-1372-BK-FC (Foreign Claims)--State/Local/Tribal Government Form
SSA-1372-FC (Foreign Claims)-Students Form
SSA-1372-BK (Domestic)--State/Local/Tribal Government Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202604-0960-005 Revision of a currently approved collection 2026-04-29
202406-0960-005 No material or nonsubstantive change to a currently approved collection 2024-06-27 Approved without change
202005-0960-003 Revision of a currently approved collection 2020-08-25
201803-0960-001 No material or nonsubstantive change to a currently approved collection 2018-05-04 Approved without change
201701-0960-009 Revision of a currently approved collection 2017-05-01 Approved without change
201603-0960-008 No material or nonsubstantive change to a currently approved collection 2016-03-16 Approved without change
201312-0960-001 Revision of a currently approved collection 2014-03-10 Approved without change
201111-0960-015 No material or nonsubstantive change to a currently approved collection 2011-11-30 Approved without change
201009-0960-003 Revision of a currently approved collection 2011-02-04 Approved without change
200810-0960-010 No material or nonsubstantive change to a currently approved collection 2008-10-20 Approved without change
200805-0960-001 No material or nonsubstantive change to a currently approved collection 2008-05-07 Approved without change
200711-0960-004 Revision of a currently approved collection 2008-02-06 Approved without change
200509-0960-004 Revision of a currently approved collection 2005-09-16 Approved without change
200401-0960-004 Revision of a currently approved collection 2004-01-09 Approved without change
200011-0960-002 Revision of a currently approved collection 2000-11-09 Approved without change
199806-0960-010 Extension without change of a currently approved collection 1998-06-16 Approved without change
199505-0960-005 Revision of a currently approved collection 1995-05-19 Approved without change
199203-0960-006 Revision of a currently approved collection 1992-03-27 Approved without change
199103-0960-002 Revision of a currently approved collection 1991-03-04 Approved without change
199001-0960-003 Revision of a currently approved collection 1990-01-30 Approved without change
198709-0960-015 No material or nonsubstantive change to a currently approved collection 1987-09-01 Approved with change
198703-0960-005 Extension without change of a currently approved collection 1987-03-16 Approved without change
198404-0960-008 Revision of a currently approved collection 1984-04-20 Approved without change
198107-0960-007 No material or nonsubstantive change to a currently approved collection 1981-07-17 Approved with change
198002-0960-001 Reinstatement with change of a previously approved collection 1980-02-26 Approved without change
197912-0960-006 No material or nonsubstantive change to a currently approved collection 1979-12-31 Approved with change
197909-0960-002 No material or nonsubstantive change to a currently approved collection 1979-09-28 Approved with change
197906-0960-003 No material or nonsubstantive change to a currently approved collection 1979-06-26 Approved with change
197803-0960-002 Revision of a currently approved collection 1978-03-09 Approved without change
197803-0960-001 Revision of a currently approved collection 1978-03-09 Approved without change
197802-0960-002 Reinstatement with change of a previously approved collection 1978-02-28 Approved without change

OMB Details

SSA-1372-BK (Domestic)- Students

Federal Enterprise Architecture: Income Security - General Retirement and Disability

Information collection instruments
FormNameElectronic accessType
Form SSA-1372-BKAdvanced Notice of Termination of Child's BenefitsPaper OnlyForm

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.