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404.1707(a); 416.1507(a) - You [claimant] complete and sign our prescribed appointment form - SSA-1696 (0960-0527)
NPRM for Administrative Rules for Claimant Representation and Provisions for Direct Payment to Entities (Marasco Decision), RIN 0960-AI22
OMB: 0960-0832
IC ID: 261464
OMB.report
SSA
OMB 0960-0832
ICR 202308-0960-002
IC 261464
( )
Documents and Forms
Document Name
Document Type
Form SSA-1696
404.1707(a); 416.1507(a) - You [claimant] complete and sign our prescribed appointment form - SSA-1696 (0960-0527)
Form and Instruction
SSA-1696 Claimant's Appointment of a Representative
SSA-1696 - Revised Version.pdf
www.ssa.gov
Form and Instruction
SSA-1696 Confirmation of Appointment_New notices _Withwithout Assignment Language - Marasco-Related.docx
Other-Notice
Information Collection (IC) Details
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