Information Collection

Farm Arrangement Questionnaire

IC 8995 under ICR 202005-0960-006 · 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⚠️ Notice: This information collection may be referencing outdated material.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
0064 Privacy Act Statement (revised).docx Other-Revised PA Statement
0064 PRA (revised).docx Other-Revised PRA Statement
SSA-7157 Farm Arrangement Questionnaire SSA-7157 (revised).pdf Form
SSA-7157 (current).pdf SSA-7157-F4 - Current 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	Available Electronically?	Electronic Capability
Other-Revised PRA Statement			0064 PRA (revised).docx	No	Paper Only
Form	SSA-7157	Farm Arrangement Questionnaire	SSA-7157 (revised).pdf	No	Fillable Printable
Other-Revised PA Statement			0064 Privacy Act Statement (revised).docx	No	Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 662	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Farms

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	662	-1,642	2,304
Annual IC Time Burden (Hours)	331	-821	1,152
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
SSA-7157-F4 - Current	SSA-7157 (current).pdf	08/25/2020

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