Information Collection

SSA-1372-BK (Domestic) - Students

IC 9072 under ICR 202604-0960-005 · OMB 0960-0105.

Documents and Forms

Document Name Document Type
Form SSA-1372-BK Advanced Notice of Termination of Child's Benefits SSA-1372-BK (Domestic) - Students Form
SSA-1372-BK Advanced Notice of Termination of Child's Benefits SSA-1372-BK.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	SSA-1372-BK (Domestic) - Students	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 404.367-404.368 20 CFR 404.350-404.352

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-1372-BK	Advanced Notice of Termination of Child's Benefits	SSA-1372-BK.pdf		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 8,063	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	8,063	-201,798	209,861
Annual IC Time Burden (Hours)	11,019	-230,321	241,340
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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