Farm Self-Employment Questionnaire

OMB 0960-0061

OMB 0960-0061

Section 211(a) of the Social Security Act requires the existence of a trade or business as a prerequisite for determining whether an individual or partnership may have net earnings from self-employment. SSA uses Form SSA-7165 to elicit the information we need to determine the existence of an agricultural trade or business and subsequent covered earnings for Social Security entitlement purposes. The respondents are applicants for Social Security benefits, whose entitlement depends on whether the worker has covered earnings from self-employment as a farmer.

The latest form for Farm Self-Employment Questionnaire expires 2022-04-30 and can be found here.

All Historical Document Collections
No material or nonsubstantive change to a currently approved collection 2024-09-23
Approved without change
Revision of a currently approved collection 2022-04-05
Approved without change
Revision of a currently approved collection 2019-02-04
Approved without change
Revision of a currently approved collection 2015-12-15
Approved without change
Revision of a currently approved collection 2013-01-03
Approved without change
Revision of a currently approved collection 2010-03-15
Approved without change
Extension without change of a currently approved collection 2007-03-30
Approved without change
Extension without change of a currently approved collection 2004-05-21
Approved without change
Extension without change of a currently approved collection 2001-05-21
Approved without change
Extension without change of a currently approved collection 1998-04-09
Approved without change
Reinstatement without change of a previously approved collection 1995-03-02
Approved without change
Revision of a currently approved collection 1991-12-09
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 1989-01-19
Approved without change
Extension without change of a currently approved collection 1986-03-25
Approved without change
Revision of a currently approved collection 1983-05-16
Approved without change
Revision of a currently approved collection 1978-08-16
Approved with change
No material or nonsubstantive change to a currently approved collection 1978-04-07
Approved with change
No material or nonsubstantive change to a currently approved collection 1976-12-20

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