Information Collection

Farm Arrangement Questionnaire

IC 8995 under ICR 200809-0960-009 · OMB 0960-0064.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0064 can be found here:

Documents and Forms

Document Name Document Type
Form SSA-7157 Farm Arrangement Questionnaire Form
SSA-7157 Farm Arrangement Questionnaire 0960-0064 (Form SSA-7157).pdf Form
0960-0064 revised PRA statement.doc Revised PRA Statement IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Farm Arrangement Questionnaire	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 404.1082(c)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-7157	Farm Arrangement Questionnaire	0960-0064 (Form SSA-7157).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: 38,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Farms

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	38,000	38,000
Annual IC Time Burden (Hours)	19,000	19,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Revised PRA Statement	0960-0064 revised PRA statement.doc	09/16/2008

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