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Student Reporting Form (FC)
Student Reporting Form
OMB: 0960-0088
IC ID: 194169
OMB.report
SSA
OMB 0960-0088
ICR 201804-0960-002
IC 194169
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0088 can be found here:
2020-08-26 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form SSA-1383-FC
Student Reporting Form (FC)
Form and Instruction
SSA-1383-FC Report to Social Security Administration by Student Outs
SSA-1383-FC (revised).pdf
Form and Instruction
SSA-1383-fc (current).pdf
SSA-1383-FC Current Version
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Student Reporting Form (FC)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
20 CFR 422.135
20 CFR 404.367
20 CFR 404.352 (B) (2)
20 CFR 404.415
20 CFR 404.368
20 CFR 404.434
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
SSA-1383-FC
Report to Social Security Administration by Student Outside the United States
SSA-1383-FC (revised).pdf
Yes
No
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
General Retirement and Disability
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,247
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,247
0
0
0
0
1,247
Annual IC Time Burden (Hours)
125
0
0
0
0
125
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
SSA-1383-FC Current Version
SSA-1383-fc (current).pdf
04/11/2018
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.