Justification for the Non-Substantive Changes - 0960-0527

Justification for Non-Substantive Changes for SSA-1696

Claimant’s Appointment of a Representative

CFR Citations

OMB No. 0960-0527

Revisions to the Collection Instrument

We are making the following non-substantive revisions to the SSA-1696:

• Change #1: We are removing the SSN requirement from Section 1 – Claimant’s Information

Justification #1: Representatives commented during our previous Federal Register Notice comment period last year that this was an unnecessary duplicate of the header (which is required information); therefore, we are removing it.

• Change #2: We are removing the Appointed Rep ID requirement from Section 4, Representative’s Information.

Justification #2: Representatives commented during our previous Federal Register Notice comment period last year that this was an unnecessary duplicate of the headliner; therefore we are removing it.

• Change #3: We are highlighting sub parts in Section 5.

Justification #3: Representatives commented during our previous Federal Register Notice comment period last year that page 5 was confusing, including the certifications with the affiliation. Therefore we are highlighting portions to help avoid confusion.

• Change #4: We are adding “I work for a non-profit organization (e.g., Law clinic or state legal aid) to Representative Status in Section 5.

Justification #4: We are requesting this information to better distinguish between the types of representatives.

We will implement these changes upon OMB approval.