Addendum to Supporting Statement for the SSA-7160
Employment
Relationship Questionnaire
20
CFR 404.1007
OMB No. 0960-0040
Revisions to the Collection Instrument
Change
#1:
We added the word “her” to Question 2 to make the
sentence as follows: State worker's occupation or title and give a
complete description of the work done by him/her.
Justification
#1:
We made this change to make the form appropriate for both male and
female workers.
Change
#2:
We added the word “her” to Question 4d to make the
sentence as follows: Could
the firm change the methods used by the worker in doing the work, or
otherwise direct him/her as to how to do the work? Explain your
answer
Justification
#2:
We made this change to make the form appropriate for both male and
female workers.
Change
#3:
We added the word “her” to Question 9c to make the
sentence as follows: Who
paid the helpers: If the worker paid the helpers, did the firm
repay him/her?
Justification
#3:
We made this change to make the form appropriate for both male and
female workers.
Change
#4:
We added the word “she” to Question 11b to make the
sentence as follows: 11b.
Was he/she guaranteed a minimum pay?
Justification
#4:
We made this change to make the form appropriate for both male and
female workers.
Change
#5:
We added the word “her” to Question 15 to make the
sentence as follows: How
did the worker report his/her earnings for income tax purposes?
Justification
#5:
We made this change to make the form appropriate for both male and
female workers.
Change
#6:
We added the word “she” to Question 16b to make the
sentence as follows: describe
any work he/she did for others:
Justification
#6:
We made this change to make the form appropriate for both male and
female workers.
Change
#7:
We added the word “her” to Question 18a to make the
sentence as follows: Did
the worker work under: His/her own business name? The firm's
name?
Justification
#7:
We made this change to make the form appropriate for both male and
female workers.
Change
#8:
We added the word “herself” to Question 18c to make the
sentence as follows: Did
the worker hold himself/herself out to the public as available to do
work of this nature?
Justification
#8:
We made this change to make the form appropriate for both male and
female workers.
Change
#9:
We added the word “her” to Question 18d to make the
sentence as follows: Did
the worker have a shop or office of his/her own? If "Yes,"
where?
Justification
#9:
We made this change to make the form appropriate for both male and
female workers.
Change
#10:
We added the word “her” to Question 26a to make the
sentence as follows: What
percent of his/her total sales for the firm were made to
wholesalers, retailers, contractors, or operators of hotels,
restaurants, or other similar establishments?
Justification
#10:
We made this change to make the form appropriate for both male and
female workers.
Change
#11:
We added the word “her” to Question 26a to make the
sentence as follows: What
percent of his/her total working time was spent in making such
sales?
Justification
#11:
We made this change to make the form appropriate for both male and
female workers.
Change
#12:
We added the word “her” to Question 26b and a question
mark at the end of the question to make the sentence as follows:
What percent of his/her working time for the firm was spent in
selling to organizations other than those specified in (a), such as
manufacturers, schools, churches?
Justification
#12:
We made this change to make the form appropriate for both male and
female workers, and to correct the punctuation.
Change #13: We are revising the Privacy Act Statement on this form.
Justification #13: SSA’s Office of the General Counsel is conducting a systematic review of SSA’s Privacy Act Statements on agency forms. As a result, SSA is updating the Privacy Act Statement on the form.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Dempsey, Katherine |
| File Modified | 0000-00-00 |
| File Created | 2021-01-20 |