OMB control number

Partnership Questionnaire

OMB 0960-0025 · SSA.

OMB 0960-0025

SSA considers partnership income in determining entitlement to Social Security benefits. SSA uses information from Form SSA-7104 to determine several aspects of eligibility for benefits, including the accuracy of reported partnership earnings; the veracity of a retirement; and lag earnings where SSA needs this information to determine the status of the insured. The respondents are applicants for, and recipients of, Title II Social Security benefits who are reporting partnership earnings.

The latest form for Partnership Questionnaire expires 2027-08-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form SSA-7104 Partnership Questionnaire (mailed) Form
Form SSA-7104 Partnership Questionnaire (completed in or brought to a field office) Form
0960-0025 Addendum.docx Supplementary Document
Supporting Statement - 0025 (Final).docx Supporting Statement A
Partnership Questionnaire (mailed) Form
Partnership Questionnaire (completed in or brought to a field office) Form

All Historical Document Collections

202404-0960-012 Approved without change	Revision of a currently approved collection	2024-07-10
202012-0960-005 Approved without change	Revision of a currently approved collection	2021-01-28
201708-0960-002 Approved without change	Revision of a currently approved collection	2017-12-07
201505-0960-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2015-05-04
201408-0960-007 Approved without change	Revision of a currently approved collection	2014-11-03
201109-0960-007 Approved without change	Revision of a currently approved collection	2012-01-19
200811-0960-002 Approved without change	Extension without change of a currently approved collection	2009-03-30
200603-0960-005 Approved without change	Extension without change of a currently approved collection	2006-03-14
200302-0960-005 Approved without change	Extension without change of a currently approved collection	2003-02-27
200001-0960-002 Approved without change	Extension without change of a currently approved collection	2000-01-10
199908-0960-011 Approved without change	Reinstatement without change of a previously approved collection	1999-08-31
199605-0960-008 Approved without change	Extension without change of a currently approved collection	1996-05-20
199304-0960-001 Approved without change	Extension without change of a currently approved collection	1993-04-09
199004-0960-007 Approved with change	No material or nonsubstantive change to a currently approved collection	1990-04-25
199002-0960-005 Approved without change	Revision of a currently approved collection	1990-02-15
198908-0960-012 Approved with change	No material or nonsubstantive change to a currently approved collection	1989-08-25
198906-0960-019 Approved with change	No material or nonsubstantive change to a currently approved collection	1989-06-16
198703-0960-008 Approved without change	Extension without change of a currently approved collection	1987-03-16
198405-0960-003 Approved without change	Extension without change of a currently approved collection	1984-05-16
198107-0960-009 Approved with change	No material or nonsubstantive change to a currently approved collection	1981-07-17
197908-0960-009 Approved with change	No material or nonsubstantive change to a currently approved collection	1979-08-31
197908-0960-001 Approved without change	Revision of a currently approved collection	1979-08-31
197902-0960-002 Approved without change	Extension without change of a currently approved collection	1979-02-28
197801-0960-010 Approved with change	No material or nonsubstantive change to a currently approved collection	1978-01-17
197712-0960-003 Approved without change	Extension without change of a currently approved collection	1977-12-27

OMB Details

Partnership Questionnaire (mailed)

Federal Enterprise Architecture: Income Security - General Retirement and Disability

Form SSA-7104

Partnership Questionnaire

www.ssa.gov

Form

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