Information Collection

SSA-1372-BK-FC (Foreign Claims)--State/Local/Tribal Government

IC 182804 under ICR 202604-0960-005 · OMB 0960-0105.

Documents and Forms

Document Name Document Type
Form SSA-1372-BK-FC Student's Statement Regarding School Attendance SSA-1372-BK-FC (Foreign Claims)--State/Local/Tribal Government Form
SSA-1372-BK-FC Student's Statement Regarding School Attendance SSA-1372-BK-FC.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	SSA-1372-BK-FC (Foreign Claims)--State/Local/Tribal Government	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 404.350-404.352 20 CFR 404.367-404.368

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-1372-BK-FC	Student's Statement Regarding School Attendance	SSA-1372-BK-FC.pdf		No		Fillable Printable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 871	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	871	125	746
Annual IC Time Burden (Hours)	145	21	124
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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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