Form SSA-1372-BK-FC Student's Statement Regarding School Attendance

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0960-0105 can be found here:

• 2024-06-27 - No material or nonsubstantive change to a currently approved collection
• 2020-08-25 - Revision of a currently approved collection