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.

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Extension without change of a currently approved collection 1994-08-17
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Revision of a currently approved collection 1991-06-27
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Revision of a currently approved collection 1987-06-24
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Reinstatement without change of a previously approved collection 1980-01-31
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Extension without change of a currently approved collection 1978-09-21
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Extension without change of a currently approved collection 1978-09-21
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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.


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