Information Collection

Farm Self-Employment Questionnaire

IC 8986 under ICR 202112-0960-007 · OMB 0960-0061.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0061 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-7156 Farm Self-Employment Questionnaire	Form
SSA-7156 - Revised Privacy Act Statement.pdf	Other-Revised Privacy Act Statement
SSA-7156 Farm Self-Employment SSA-7156 (revised).pdf	Form
SSA-7156 (current).pdf Current SSA-7156	IC Document

IC Title:

Farm Self-Employment 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 404.1095 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-7156	Farm Self-Employment	SSA-7156 (revised).pdf		Yes	No	Fillable Printable
Other-Revised Privacy Act Statement			SSA-7156 - Revised Privacy Act Statement.pdf		Yes	No	Printable Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000

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
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,000	-46,500	47,500
Annual IC Time Burden (Hours)	1,017	-6,900	7,917
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Current SSA-7156	SSA-7156 (current).pdf	03/29/2022

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