Information Collection

Farm Self-Employment Questionnaire - SSA-7156 – (In-Person Interview)

IC 282665 under ICR 202609-0960-013 · OMB 0960-0061.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-7156 Farm Self-Employment Questionnaire Farm Self-Employment Questionnaire - SSA-7156 – (In-Person Interview)	Form and Instruction
SSA-7156 Farm Self-Employment Questionnaire SSA-7156.pdf	Form and Instruction

IC Title:

Farm Self-Employment Questionnaire - SSA-7156 â (In-Person Interview)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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 and Instruction	SSA-7156				Yes	No	Fillable Printable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	6	6
Annual IC Time Burden (Hours)	6	6
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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

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