Employment Relationship Questionnaire

OMB 0960-0040

OMB 0960-0040

When SSA needs information to determine a worker’s employment status to maintain a worker’s earning records, the agency uses Form SSA-7160, to determine the existence of an employer-employee relationship. We use the information to develop the employment relationship by determining if a beneficiary is self-employed or an employee. The respondents are individuals seeking to establish their employment status as employees and their alleged employers. The respondents include individuals, households, businesses, and state and local governments.

The latest form for Employment Relationship Questionnaire expires 2021-10-31 and can be found here.

All Historical Document Collections
Approved without change
No material or nonsubstantive change to a currently approved collection 2024-04-26
Approved without change
Revision of a currently approved collection 2021-09-30
Approved without change
Revision of a currently approved collection 2018-09-03
Approved without change
Extension without change of a currently approved collection 2015-09-18
Approved with change
Revision of a currently approved collection 2012-10-31
Approved without change
Extension without change of a currently approved collection 2009-12-10
Approved without change
Extension without change of a currently approved collection 2006-11-09
Approved without change
Extension without change of a currently approved collection 2004-01-09
Approved without change
Extension without change of a currently approved collection 2000-12-13
Approved without change
Extension without change of a currently approved collection 1997-10-29
Approved without change
Extension without change of a currently approved collection 1994-08-17
Approved without change
Revision of a currently approved collection 1991-06-27
Approved with change
No material or nonsubstantive change to a currently approved collection 1989-08-25
Approved without change
Extension without change of a currently approved collection 1988-08-18
Approved without change
Revision of a currently approved collection 1987-06-24
Approved without change
Reinstatement with change of a previously approved collection 1984-08-09
Approved without change
Extension without change of a currently approved collection 1980-03-25
Approved without change
Reinstatement without change of a previously approved collection 1980-01-31
Approved without change
Extension without change of a currently approved collection 1978-09-21
Approved without change
Extension without change of a currently approved collection 1978-09-21
Approved with change
No material or nonsubstantive change to a currently approved collection 1978-04-07
OMB Details

Individuals or Households

Federal Enterprise Architecture: Income Security - General Retirement and Disability

Form SSA-7160-F4Employment Relationship QuestionnaireFillable PrintableForm

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.


© 2024 OMB.report | Privacy Policy