Petition To Obtain Approval of A Fee For Representing A Claimant Before The Social Security Administration

Petition To Obtain Approval of A Fee For Representing A Claimant Before The Social Security Administration

OMB: 0960-0104

IC ID: 9068

Information Collection (IC) Details

View Information Collection (IC)

Petition To Obtain Approval of A Fee For Representing A Claimant Before The Social Security Administration
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 404.1725 20 CFR 404.1730(c)(2)(i) 20 CFR 404.1720 20 CFR 404.1730(c)(2)(ii) 20 CFR 416.1520 20 CFR 416.1525 20 CFR 416.1530(c)(2)(i) 20 CFR 416.1530(c)(2)(ii)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-1560-U4 Petition to Obtain Approval of a Fee for Representing a Claimant Before the Social Security Administration SSA-1560-U4 Revised Version.pdf Yes No Printable Only

Income Security General Retirement and Disability

 

48,110 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 48,110 0 0 0 0 48,110
Annual IC Time Burden (Hours) 24,055 0 0 0 0 24,055
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-1560-U4 Current Version SSA-1560 Current Version.pdf 12/20/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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