Request for Business Entity Taxpayer Information

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form SSA-1694 Request for Business Entity Taxpayer Information	Form	Modified	Repair queued
Form SSA-1694 Request for Business Entity Taxpayer Information	Form	Modified	Repair queued
Supporting Statement - 0731 (Final).docx	Supporting Statement A	Uploaded 2021-09-08	Repair queued
Addendum 0731.docx	Supplementary Document	Uploaded 2021-08-24	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
43719	Request for Business Entity Taxpayer Information	Form	Modified	Request for Business Entity Taxpayer Information
43719	Request for Business Entity Taxpayer Information	Form	Modified
43719	Request for Business Entity Taxpayer Information	Other-Privacy Act Statement (revised)	Modified
189463	Request for Business Entity Taxpayer Information - Business Services Online Submission	Other-Electronic Screens	Modified

ICR Details

OMB Control No: 0960-0731	ICR Reference No: 202105-0960-004
Status: Historical Active	Previous ICR Reference No: 201804-0960-003
Agency/Subagency: SSA	Agency Tracking No:
Title: Request for Business Entity Taxpayer Information
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 07/29/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/09/2021
Terms of Clearance: The agency made clarifying edits to the description of this information collection.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2025	36 Months From Approved	07/31/2022
Responses	469	0	900
Time Burden (Hours)	156	0	150
Cost Burden (Dollars)	0	0	0

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Abstract: The SSA uses Form SSA-1694 to collect information from law firms or other business entities that have partners or employees to whom SSA pays fees that SSA has authorized as compensation for the representation of claimants before SSA. SSA uses the information to meet Form 1099-MISC requirements for issuance. The respondents are law firms or other business entities with partners or employees who are attorneys or other qualified individuals who represent claimants before SSA.

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Authorizing Statute(s): US Code: 42 USC 406 Name of Law: Representation of claimants before Commissioner
   US Code: 42 USC 1383 Name of Law: Procedure for payment of benefits
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 35371	07/02/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 49403	09/02/2021
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Request for Business Entity Taxpayer Information	SSA-1694	Request for Business Entity Taxpayer Information
Request for Business Entity Taxpayer Information - Business Services Online Submission

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ICR Summary of Burden

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	469	900	0	0	-431	0
Annual Time Burden (Hours)	156	150	0	0	6	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: When we last cleared this collection in 2018, the burden was an estimated 900 hours. However, we are currently reporting an estimated burden of 156 hours. This change stems from a decrease in the estimated total number of respondents from 900 to 469. Data obtained from SSA systems showed a decrease in the number of respondents applying to serve as appointed representative, which resulted in the burden change. The change also stems from an increase in the completion time from 10 minutes to 20 minutes. These figures represent current Management Information data.

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Annual Cost to Federal Government: $1,609,574

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 09/09/2021

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