Statement of Self-Employment Income

To qualify for insured status, and collect Social Security benefits, self employed individuals must demonstrate they earned the minimum amount of self employment income (SEI) in a current year. SSA uses Form SSA-766, Statement of Self-Employment Income, to collect the information we need to determine if the individual earned at least the minimum amount of SEI needed for one or more quarters of coverage in the current year. Based on the information we obtain, we may credit additional quarters of coverage to give the individual insured status, expediting benefit payments. Respondents are self-employed individuals potentially eligible for Social Security benefits. We are submitting this non-substantive change request to remove the signature requirement and update the Paperwork Reduction Act language.

The latest form for Statement of Self-Employment Income expires 2026-11-30 and can be found here.