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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form SSA-7157 Farm Arrangement Questionnaire Farm Arrangement Questionnaire	Form
0064 Privacy Act Statement (revised).docx	Other-Revised PA Statement
0064 Privacy Act Statement (revised).docx	Other-Revised PA Statement
0064 PRA (revised).docx	Other-Revised PRA Statement
0064 PRA (revised).docx	Other-Revised PRA Statement
SSA-7157 Farm Arrangement Questionnaire SSA-7157 (revised).pdf	Form
SSA-7157 Farm Arrangement Questionnaire SSA-7157 (revised).pdf	Form
SSA-7157 (current).pdf SSA-7157-F4 - Current	IC Document
SSA-7157 (current).pdf SSA-7157-F4 - Current	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.	Available Electronically?	Electronic Capability
Form	SSA-7157	No	Fillable Printable
Other-Revised PA Statement		No	Paper Only
Other-Revised PRA Statement		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 %

table that charts list of burden
	Approved	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)	662	-490	1,152
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA-7157-F4 - Current		08/25/2020

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

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