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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.