Justification for Non-Substantive Changes for Form SSA-1695
Identifying Information for Possible Direct Payment of Authorized Fees
OMB No. 0960-0730
Justification for Non-Substantive Changes to the Collection or Resubmission of the Collection within One Year of OMB Approval
Revisions to the Collection Instrument:
Change #1: We are correcting the form name for the SSA-1699 on page 2 under the Important Information - Purpose of Form section.
From: SSA-1699, Request for Appointed Representative’s Direct Payment Information
To: SSA-1699, Registration for Appointed Representative Services and Direct Payment
Justification #1: During the previous OMB Clearance, we missed the incorrect form name and are correcting it now.
SSA will implement this change to the SSA-1695 upon OMB approval.
This action does not affect the public reporting burden.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Title | ADDENDUM TO SUPPORTING STATEMENT |
| Author | Naomi |
| File Modified | 0000-00-00 |
| File Created | 2021-01-15 |