Information Collection

Fee Agreement for Representation before the Social Security Administration

IC 232717 under ICR 202106-0960-004 · OMB 0960-0810.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0810 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-1693 Fee Agreement for Representation before the Social Security Administration	Form and Instruction
SSA-1693 Fee Agreement for Representation before the Social Secur SSA-1693 - Revised.pdf	Form and Instruction
e1693 Fee Agreement for Representation before the Social Secur e1693 Screens.pdf	Form and Instruction

IC Title:

Fee Agreement for Representation before the Social Security Administration

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SSA-1693	Fee Agreement for Representation before the Social Security Administration	SSA-1693 - Revised.pdf	www.ssa.gov	Yes	No	Printable Only
Form and Instruction	e1693	Fee Agreement for Representation before the Social Security Administration	e1693 Screens.pdf	www.ssa.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 600,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	600,000	600,000
Annual IC Time Burden (Hours)	120,000	120,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.