OMB control number
Employment Relationship Questionnaire
OMB 0960-0040 · SSA.
When SSA needs information to determine a worker’s employment status to maintain a worker’s earning records, the agency uses Form SSA-7160, Employment Relationship Questionnaire, to determine the existence of an employer-employee relationship. We use the information to develop the employment relationship; specifically, to determine whether a beneficiary is self employed or an employee. The respondents are individuals, households, businesses, and state or local governments seeking to establish their status as employees, and their alleged employers. We are submitting this non-substantive change to remove the signature line and replace the Penalty of Perjury Statement with a Penalty of Perjury Warning.
The latest form for Employment Relationship Questionnaire expires 2026-09-30 and can be found here.
Document Name |
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Form |
Form |
Justification for No Material/Nonsubstantive Change |
Justification for No Material/Nonsubstantive Change |
Supplementary Document |
Supplementary Document |
Supporting Statement A |
Supporting Statement A |