Statement of Agricultural Employer (Year Prior to 1988; 1988 and Later)

OMB 0960-0036

OMB 0960-0036

The information from Forms SSA-1002-F3 and SSA-1003-F3 is used by SSA to resolve discrepancies when farm workers allege their employers did not report their wages, or reported the wages incorrectly. If an agricultural employer has incorrectly reported wages, or failed to report any wages for an employee, SSA must attempt to correct its records by contacting the employer to obtain convincing evidence of the wages paid. The respondents are agricultural employers having knowledge of wages paid to agricultural employees.

The latest form for Statement of Agricultural Employer (Year Prior to 1988; 1988 and Later) expires 2021-01-31 and can be found here.

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No material or nonsubstantive change to a currently approved collection 2024-11-14
Revision of a currently approved collection 2020-08-21
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Revision of a currently approved collection 2017-03-15
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Revision of a currently approved collection 2014-02-19
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Revision of a currently approved collection 2010-11-18
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Extension without change of a currently approved collection 2007-10-28
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Extension without change of a currently approved collection 2004-08-20
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Extension without change of a currently approved collection 2001-09-24
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Extension without change of a currently approved collection 1998-06-05
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Revision of a currently approved collection 1995-05-15
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Reinstatement with change of a previously approved collection 1991-12-11
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Revision of a currently approved collection 1990-05-29
Approved with change
No material or nonsubstantive change to a currently approved collection 1989-09-08
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Extension without change of a currently approved collection 1987-06-26
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Extension without change of a currently approved collection 1984-08-22
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Reinstatement with change of a previously approved collection 1982-08-13
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Extension without change of a currently approved collection 1981-08-26
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Reinstatement with change of a previously approved collection 1981-07-29
Approved with change
No material or nonsubstantive change to a currently approved collection 1981-02-10
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Revision of a currently approved collection 1980-11-12
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Revision of a currently approved collection 1977-11-22
Approved without change
Extension without change of a currently approved collection 1975-11-24
OMB Details

SSA-1002-F3

Federal Enterprise Architecture: Income Security - General Retirement and Disability

Form SSA-1002-F3 Statement of Agricultural Employer (Years Prior to 1988)Fillable PrintableForm

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


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