Student Reporting Form

Documents and Forms

Document Name Document Type
Form SSA-1383 Student Reporting Form Form and Instruction
SSA-1383 Student Reporting Form SSA-1383 - Revised.pdf Form and Instruction
SSA-1383 - Current.pdf Current SSA-1383 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Student Reporting Form	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 404.415 20 CFR 404.368 20 CFR 404.434 20 CFR 404.367 20 CFR 404.352(b)(2) 20 CFR 422.135

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	Student Reporting Form	SSA-1383 - Revised.pdf		Yes	No	Fillable Printable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 75,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	75,000	113	74,887
Annual IC Time Burden (Hours)	7,500	11	7,489
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Current SSA-1383	SSA-1383 - Current.pdf	08/26/2020

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