Supporting Statement - 0040

Supporting Statement for Form SSA-7160
Employment Relationship Questionnaire

20 CFR 404.1007
OMB No. 0960-0040

A. Justification

1. Introduction/Authoring Laws and Regulations

Section 205(a) of the Social Security Act (Act) authorizes the Commissioner of the Social Security Administration (SSA) to establish procedures for carrying out the purposes of the Act. One such purpose is the maintenance of workers’ earnings records. To accomplish this, SSA needs to determine workers’ employment status as defined in section 210(j)(2) of the Act and 20 CFR 404.1007 of the Code of Federal Regulations when their status is uncertain or ambiguous. As defined, a worker is an employee under the “usual common-law rules” applicable in determining the existence of an employer-employee relationship. The respondents are individuals seeking to establish their employment status as employees and their alleged employers. The respondents include individuals, households, businesses, and state and local governments.

2. Description of Collection

When SSA needs information to determine a worker’s employment status for the purpose of maintaining a worker’s earning records, the agency uses Form

SSA-7160-F4 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 seeking to establish their status as employee, and the individuals alleged employers.

3. Use of Information Technology to Collect the Information

SSA did not create an electronic version of form SSA-7160 under the agency’s Government Paperwork Elimination Act (GPEA) plan because only 16,000 respondents complete the form. This is less than the GPEA cut-off of 50,000.

4. Why We Cannot Use Duplicate Information

The nature of the information we collect and the manner in which we collect it preclude duplication. SSA does not use another collection instrument to obtain similar data.

5. Minimizing Burden on Small Respondents

This collection does not significantly affect small businesses or other small entities. While SSA may ask some small businesses to complete the SSA-7160, we keep the burden to a minimum by asking for only essential information.

6. Consequence of Not Collecting Information or Collecting it Less Frequently SSA uses Form SSA-7160 too maintain accurate earnings records for workers under the Social Security system. If SSA did not collect the information, then those records would not be accurate. Therefore, we cannot collect it less frequently. There are no technical or legal obstacles that prevent burden reduction.

7. Special Circumstances

There are no special circumstances that would cause SSA to conduct this information collection in a manner inconsistent with 5 CFR 1320.5.

8. Solicitation of Public Comment and Other Consultations with the Public

The 60-day advance Federal Register Notice published on July 17, 2015, at

80 FR 42600, and we received no public comments. The 30-day FRN published on September 16, 2015 at 80 FR 55705. If we receive any comments in response to this Notice, we will forward them to OMB.

9. Payment or Gifts to Respondents

SSA does not provide payments or gifts to the respondents.

10. Assurance of Confidentiality

SSA protects and holds confidential the information it collects in accordance with 42 U.S.C. 1306, 20 CFR 401 and 402, 5 U.S.C. 552 (Freedom of Information Act), 5 U.S.C. 552a (Privacy Act of 1974) and OMB Circular No. A-130.

11. Justification for Sensitive Questions

The information collection does not contain any questions of a sensitive nature.

12. Estimates of Public Reporting Burden

Collection Instrument	Number of Respondents	Frequency of Response	Average Burden Per Response (minutes)	Estimated Total Annual Burden (hours)
Individuals	8,000	1	25	3,333
Businesses	7,200	1	25	3,000
State/Local Government	800	1	25	333
Totals:	16,000			6,666

The total burden for this ICR is 6,666 hours. This figure represents burden hours, and we did not calculate a separate cost burden.

13. Annual Cost to the Respondent

This collection does not impose a known cost burden to the respondents.

13. Annual Cost to the Federal Government

The annual cost to the Federal Government is approximately $133,667. This estimate is a projection of the costs for collecting the information.

13. Program Changes or Adjustments to the Information Collection Request -There are no changes to the public reporting burden.

13. Plans for Publication Information Collection Results

SSA will not publish the results of the information collection.

13. Displaying the OMB Approval Expiration Date

OMB granted SSA an exemption from the requirement to print the OMB approval date on its program forms. SSA produces millions of public-use forms with life cycles exceeding those of an OMB approval. Since SSA does not periodically revise and reprint its public-use forms (e.g., on an annual basis), OMB granted this exemption so SSA would not have to destroy stocks of otherwise useable forms with expired OMB approval, avoiding Government waste.

13. Exception to Certification Statement

SSA is not requesting an exception to the certification requirements at 5 CFR 1320.9 and related provisions at 5 CFR 1320.8(b) (3).

2. Collections of Information Employing Statistical Methods

SSA does not use statistical methods for this information collection.

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