Information Collection

Statement Of Employer - Statement Of Agricultural Employer

IC 114336 under ICR 197511-0960-002 · OMB 0960-0036.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0036 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	STATEMENT OF EMPLOYER - STATEMENT OF AGRICULTURAL EMPLOYER	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	SSA 1001	No	No
Form	SSA 1001PR	No	No
Form	SSA 1002	No	No
Form	SSA 1002PR	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 950,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	950,000	950,000
Annual IC Time Burden (Hours)	283,333	283,333
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.