Fee Agreement for Representation before the Social Security Administration

Fee Agreement for Representation before the Social Security Administration

OMB: 0960-0810

IC ID: 232717

Information Collection (IC) Details

View Information Collection (IC)

Fee Agreement for Representation before the Social Security Administration
 
No Modified
 
Required to Obtain or Retain Benefits
 

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 - Revised Screens.pdf www.ssa.gov Yes Yes Fillable Fileable Signable

Income Security General Retirement and Disability

 

600,000 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 600,000 0 0 0 0 600,000
Annual IC Time Burden (Hours) 120,000 0 0 0 0 120,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Current e1693 Screens e1693 - Current Screens.pdf 09/27/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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