Information Collection

Representative Availability Portal for SSA Hearings

IC 267050 under ICR 202404-0960-005 · OMB 0960-0839.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Representative Availability Portal User Guide.pdf	Instruction
Representative Availability Portal User Guide.pdf	Instruction
Representative Availability Portal Screenshots.pdf	Other-Internet Screens
Representative Availability Portal Screenshots.pdf	Other-Internet Screens

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 404.933 20 CFR 404.1740 20 CFR 416.1429 20 CFR 404.929 20 CFR 416.1433 20 CFR 416.1540 20 CFR 418.1350 20 CFR 422.203

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
Instruction			Representative Availability Portal User Guide.pdf	www.ssa.gov	Yes	No	Printable Only
Other-Internet Screens			Representative Availability Portal Screenshots.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: 3,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	36,000	36,000
Annual IC Time Burden (Hours)	48,000	48,000
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.