Information Collection Request

Advanced Notice of Termination of Child's Benefits, and Student's Statement Regarding School Attendance

ICR 202406-0960-005 · OMB 0960-0105 · Received in OIRA

Forms and Documents

Document Name	Status
Form SSA-1372-BK SSA-1372-BK (Domestic)- Students Form	Modified
Form SSA-1372-BK-FC SSA-1372-BK (Foreign)- Representative Payees Form	Unchanged
Form SSA-1372-BK SSA-1372-BK (Domestic)- Representative Payees Form	Modified
Form SSA-1372-BK-FC SSA-1372-BK-FC (Foreign Claims)--State/Local/Tribal Government Form	Unchanged
Form SSA-1372-BK-FC SSA-1372-FC (Foreign Claims)-Students Form	Unchanged
Form SSA-1372-BK SSA-1372-BK (Domestic)--State/Local/Tribal Government Form	Modified
Non-substantive change request 0960-0105.docx Justification for No Material/Nonsubstantive Change	2024-06-27
Supporting Statement - 0960-0105 (final).docx Supporting Statement A	2024-04-17
Addendum 0105.docx Supplementary Document	2020-08-25

IC Document Collections

IC ID	Document Title	Status
9072	SSA-1372-BK (Domestic)- Students Form	Modified
243295	SSA-1372-BK (Foreign)- Representative Payees Form	Unchanged
243294	SSA-1372-BK (Domestic)- Representative Payees Form	Modified
182804	SSA-1372-BK-FC (Foreign Claims)--State/Local/Tribal Government Form	Unchanged
182797	SSA-1372-FC (Foreign Claims)-Students Form	Unchanged
182786	SSA-1372-BK (Domestic)--State/Local/Tribal Government Form	Modified

ICR Details

Status	Received in OIRA
Agency/Subagency	SSA
OMB Control No	0960-0105
Type of Information Collection	No material or nonsubstantive change to a currently approved collection
Previous ICR Reference No	202005-0960-003
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31