Supplemental Statement Regarding Farming Activities of Persons Living Outside the U.S.A.

OMB 0960-0103

OMB 0960-0103

When a beneficiary or claimant reports farm work from outside the United States, SSA documents this work on Form SSA-7163A-F4. Specifically, SSA uses the form to determine if we should apply foreign work deductions to the recipient's title II benefits. We collect the information either annually or every other year, depending on the respondent's country of residence. Respondents are Social Security recipients engaged in farming activities outside the United States. Once we learn a Social Security recipient is working on a farm outside the United States, SSA employees send the SSA-7163A-F4 either directly to the recipient or to the appropriate Foreign Service Posts if we need assistance in the delivery of the form.

The latest form for Supplemental Statement Regarding Farming Activities of Persons Living Outside the U.S.A. expires 2022-09-30 and can be found here.

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No material or nonsubstantive change to a currently approved collection 2024-10-24
Approved without change
Revision of a currently approved collection 2022-09-02
Approved with change
Revision of a currently approved collection 2019-05-24
Approved without change
Revision of a currently approved collection 2016-04-08
Approved without change
Revision of a currently approved collection 2013-04-03
Approved without change
Revision of a currently approved collection 2010-05-27
Approved without change
Extension without change of a currently approved collection 2007-07-03
Approved without change
Extension without change of a currently approved collection 2004-05-27
Approved without change
Extension without change of a currently approved collection 2001-05-21
Approved without change
Revision of a currently approved collection 1998-04-09
Approved without change
Extension without change of a currently approved collection 1995-06-05
Approved without change
Revision of a currently approved collection 1992-04-03
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 1989-04-03
Approved without change
Extension without change of a currently approved collection 1986-07-08
Approved without change
Revision of a currently approved collection 1983-06-09
Approved with change
No material or nonsubstantive change to a currently approved collection 1978-12-31
Approved without change
Extension without change of a currently approved collection 1978-08-16
Approved with change
No material or nonsubstantive change to a currently approved collection 1978-04-19
Approved without change
Extension without change of a currently approved collection 1978-02-01

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