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
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
0960-0105 202604-0960-005
Received in OIRA 202406-0960-005
SSA
Advanced Notice of Termination of Child's Benefits, and Student's Statement Regarding School Attendance
Revision of a currently approved collection   No
Regular 04/29/2026
  Requested Previously Approved
36 Months From Approved 05/31/2026
434,928 467,850
188,044 286,344
0 0

SSA collects information on Forms SSA-1372-BK and SSA–-372-BK-FC to determine whether children of an insured worked meet the eligibility requirements for student benefits. The data we collect allows SSA to determine student entitlement and assess whether to terminate benefits. SSA uses the SSA-1372-BK for domestic student claimants and the SSA-1372-BK-FC for student claimants living and attending school outside the United States. The respondents are student claimants for Social Security benefits, their respective schools and, in some cases, their representative payees.

US Code: 42 USC 402 Name of Law: Social Security Act
  
None

Not associated with rulemaking

  91 FR 9671 02/26/2026
91 FR 22195 04/24/2026
No

  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
No
No
When we last cleared this IC in 2023, the burden was 97,469 hours. However, we are currently reporting a burden of 90,611 hours. This change is a decrease in the number of responses from 467,850 to 434,928. There is no change to the burden time per response. Although the number of responses changed, SSA did not take any actions to cause this change. These figures represent current Management Information data. * Note: The total burden reflected in ROCIS is 188,044, while the burden cited in #12 of the Supporting Statement is 90,611. This discrepancy is because the ROCIS burden reflects the field office waiting time + a rough estimate of a 30 minute, one-way, drive burden + learning costs. In contrast, the chart in #12 of the Supporting Statement reflects actual burden.

$109,652
No
    Yes
    Yes
No
No
No
No
Faye Lipsky 410 965-8783 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
04/29/2026