Farm Self-Employment Questionnaire

SSA collects the information on Form SSA-7156 on a voluntary, as needed basis to determine the existence of an agriculture trade or business which may affect the insured status or monthly benefit of a retirement applicant. When an applicant indicates self-employment as a farmer, SSA uses the SSA 7156 to determine the existence of an agricultural trade or business, and to calculate subsequent covered earnings for Social Security entitlement purposes the applicant is claiming. As part of the application process, we conduct a personal interview with the applicant, either face-to-face or via telephone, and document the interview using Form SSA-7156. Alternately, applicants have the option of using our Upload Documents portal (OMB No. 0960-0830), which allows them to complete and submit the form online in lieu of an interview. The respondents are applicants for Social Security benefits whose entitlement and amount of benefits depend on establishing if the worker received covered earnings from self employment as a farmer, and if so how much they earned.

The latest form for Farm Self-Employment Questionnaire expires 2029-10-31 and is listed under ICR 202609-0960-013.

View the official OMB control history on Reginfo.gov.

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

Federal Enterprise Architecture: Income Security - General Retirement and Disability

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