Information Collection Request

Non-Attorney Representative Demonstration Project Application

ICR 201011-0960-010 · OMB 0960-0699 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form SSA-1691 Non-Attorney Representative Demonstration Project - Paper Application Form and Instruction Modified Available
Supporting Statement - 0699.docx Supporting Statement A Uploaded 2011-07-28 Available
Addendum - 0699.docx Supplementary Document Uploaded 2011-06-16 Available

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
08/31/2014 36 Months From Approved 04/30/2013
2,065 0 700
976 0 450
200,000 0 0





table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 2,065 700 1,165 200 0 0
Annual Time Burden (Hours) 976 450 176 350 0 0
Annual Cost Burden (Dollars) 200,000 0 0 200,000 0 0


Reginfo record details
  No