Write Up for Justification for Non-Substantive/Non Material Changes 0960-0730

Justification for Non-Substantive/Non-Material Changes

For Form SSA-1695

Identifying Information for Possible Direct Payment of Authorized Fees

OMB No. 0960-0730

Background

SSA collects information on Form SSA-1695 to: 1) facilitate the direct payment of authorized fees to an attorney or other person who represent claimants for benefits before SSA; 2) meet any requirement to issue a Form 1099-MISC when SSA has paid the representative cumulative fees of $600 or more in a taxable year; and 3) establish a link between each claim for benefits and the data we collect on Form SSA-1699, and stored on an appointed representative database. The respondents are attorneys and other individuals who represent claimants for benefits before SSA.

Revision to Form SSA-1695

First page- Bottom of form

Remove the following instructional language from the form:

To SSA STAFF: After the information on this form is entered into the appropriate system(s), immediately shred the form. Under no circumstances should this form be scanned, placed in a claims file or otherwise retained.

This change does not affect the public reporting burden.