Information Collection Request

Final Rule for Administrative Rules for Claimant Representation and Provisions for Direct Payment to Entities (Marasco Decision), RIN 0960-AI22

ICR 202408-0960-006 · OMB 0960-0832 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form SSA-1694 SSA-1694 (0960-0731) - 404.1735; 416.1535 - An entity is eligible for direct payment under certain circumstances Form and Instruction Modified Available
Form SSA-1694 SSA-1694 (0960-0731) - 404.1735; 416.1535 - An entity is eligible for direct payment under certain circumstances Form and Instruction Modified Repair queued
Form SSA-1696 SSA-1696 (0960-0527) - 404.1730(e)(2); 416.1530(e)(2) - A representative may rescind an assignment before the date on which we notify you of our first favorable determination or decision Form and Instruction Modified Available
Form SSA-1696 SSA-1696 (0960-0527) - 404.1730(e)(2); 416.1530(e)(2) - A representative may rescind an assignment before the date on which we notify you of our first favorable determination or decision Form and Instruction Modified Repair queued
Form SSA-1696 SSA-1696 (0960-0527) - 404.1720(f); 416.1520(f) - A representative who is eligible for direct payment of an authorized fee may assign direct payment of the authorized fee to an entity that is eligible Form and Instruction Modified Available
Form SSA-1696 SSA-1696 (0960-0527) - 404.1720(f); 416.1520(f) - A representative who is eligible for direct payment of an authorized fee may assign direct payment of the authorized fee to an entity that is eligible Form and Instruction Modified Repair queued
Form SSA-1696 SSA-1696 (0960-0527) - 404.1707(a); 416.1507(a) - Your representative completes and signs our prescribed appointment form Form and Instruction Modified Available
Form SSA-1696 SSA-1696 (0960-0527) - 404.1707(a); 416.1507(a) - Your representative completes and signs our prescribed appointment form Form and Instruction Modified Missing upstream
Form SSA-1696 SSA-1696 (0960-0527) - 404.1707(a); 416.1507(a) - You [claimant] complete and sign our prescribed appointment form Form and Instruction Modified Available
Form SSA-1696 SSA-1696 (0960-0527) - 404.1707(a); 416.1507(a) - You [claimant] complete and sign our prescribed appointment form Form and Instruction Modified Repair queued
Form SSA-1699 SSA-1699 (0960-0732) - 404.1705(c); 404.1730(e)(v); 404.1735(b); 416.1505(c); 416.1530(e)(v); 416.1535(b) Form and Instruction Modified Available
Form SSA-1699 SSA-1699 (0960-0732) - 404.1705(c); 404.1730(e)(v); 404.1735(b); 416.1505(c); 416.1530(e)(v); 416.1535(b) Form and Instruction Modified Repair queued
Addendum - 0960-0832 (Marasco FR).docx Supplementary Document Uploaded 2024-08-21 Available
Addendum - 0960-0832 (Marasco FR).docx Supplementary Document Uploaded 2024-08-21 Available
Supporting Statement - 0960-0832 (Marasco FR).docx Supporting Statement A Uploaded 2024-08-21 Available
Supporting Statement - 0960-0832 (Marasco FR).docx Supporting Statement A Uploaded 2024-08-21 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
261468 SSA-1694 (0960-0731) - 404.1735; 416.1535 - An entity is eligible for direct payment under certain circumstances Form and Instruction Modified
261468 SSA-1694 (0960-0731) - 404.1735; 416.1535 - An entity is eligible for direct payment under certain circumstances Form and Instruction Modified
261467 SSA-1696 (0960-0527) - 404.1730(e)(2); 416.1530(e)(2) - A representative may rescind an assignment before the date on which we notify you of our first favorable determination or decision Form and Instruction Modified
261467 SSA-1696 (0960-0527) - 404.1730(e)(2); 416.1530(e)(2) - A representative may rescind an assignment before the date on which we notify you of our first favorable determination or decision Form and Instruction Modified
261466 SSA-1696 (0960-0527) - 404.1720(f); 416.1520(f) - A representative who is eligible for direct payment of an authorized fee may assign direct payment of the authorized fee to an entity that is eligible Form and Instruction Modified
261466 SSA-1696 (0960-0527) - 404.1720(f); 416.1520(f) - A representative who is eligible for direct payment of an authorized fee may assign direct payment of the authorized fee to an entity that is eligible Form and Instruction Modified
261465 SSA-1696 (0960-0527) - 404.1707(a); 416.1507(a) - Your representative completes and signs our prescribed appointment form Form and Instruction Modified
261465 SSA-1696 (0960-0527) - 404.1707(a); 416.1507(a) - Your representative completes and signs our prescribed appointment form Form and Instruction Modified
261464 SSA-1696 (0960-0527) - 404.1707(a); 416.1507(a) - You [claimant] complete and sign our prescribed appointment form Form and Instruction Modified
261464 SSA-1696 (0960-0527) - 404.1707(a); 416.1507(a) - You [claimant] complete and sign our prescribed appointment form Form and Instruction Modified
261460 SSA-1699 (0960-0732) - 404.1705(c); 404.1730(e)(v); 404.1735(b); 416.1505(c); 416.1530(e)(v); 416.1535(b) Form and Instruction Modified
261460 SSA-1699 (0960-0732) - 404.1705(c); 404.1730(e)(v); 404.1735(b); 416.1505(c); 416.1530(e)(v); 416.1535(b) Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2027 36 Months From Approved
2,872,382 0 0
276,394 0 0
0 0 0





Reginfo record details
6
table that charts list of burden
IC Title Form No. Form Name
SSA-1694 (0960-0731) - 404.1735; 416.1535 - An entity is eligible for direct payment under certain circumstances SSA-1694 Entity Registration and Taxpayer Information
SSA-1696 (0960-0527) - 404.1707(a); 416.1507(a) - You [claimant] complete and sign our prescribed appointment form SSA-1696-APP, SSA-1696 Claimant's Appointment of a Representative ,   Claimant’s Appointment of a Representative
SSA-1696 (0960-0527) - 404.1707(a); 416.1507(a) - Your representative completes and signs our prescribed appointment form SSA-1696-APP, SSA-1696 Claimant's Appointment of a Representative ,   Claimant’s Appointment of a Representative
SSA-1696 (0960-0527) - 404.1720(f); 416.1520(f) - A representative who is eligible for direct payment of an authorized fee may assign direct payment of the authorized fee to an entity that is eligible SSA-1696-APP, SSA-1696 Claimant's Appointment of a Representative ,   Claimant’s Appointment of a Representative
SSA-1696 (0960-0527) - 404.1730(e)(2); 416.1530(e)(2) - A representative may rescind an assignment before the date on which we notify you of our first favorable determination or decision SSA-1696-APP, SSA-1696 Claimant's Appointment of a Representative ,   Claimant’s Appointment of a Representative
SSA-1699 (0960-0732) - 404.1705(c); 404.1730(e)(v); 404.1735(b); 416.1505(c); 416.1530(e)(v); 416.1535(b) SSA-1699 Registration for Appointed Representative Services and Direct Payment

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 2,872,382 0 0 2,872,382 0 0
Annual Time Burden (Hours) 276,394 0 0 276,394 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No