Information Collection

Farm Self-Employment Questionnaire - SSA-7156 (Fillable PDF – Upload Documents)

IC 8986 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 Farm Self-Employment Questionnaire - SSA-7156 (Fillable PDF – Upload Documents)	Form
SSA-7156 Farm Self-Employment SSA-7156.pdf	Form

IC Title:

Farm Self-Employment Questionnaire - SSA-7156 (Fillable PDF â Upload Documents)

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			www.ssa.gov (Upload Documents)	Yes	No	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 54

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Farms

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	54	-946	1,000
Annual IC Time Burden (Hours)	27	-990	1,017
Annual IC Cost Burden (Dollars)	0	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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