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Federal forms, ICRs, and supporting documents

Information Collection

SSA-1699 (0960-0732) - 404.1705(c); 404.1730(e)(v); 404.1735(b); 416.1505(c); 416.1530(e)(v); 416.1535(b)

IC 261460 under ICR 202408-0960-006 · OMB 0960-0832.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

SSA-1699 (0960-0732) - 404.1705(c); 404.1730(e)(v); 404.1735(b); 416.1505(c); 416.1530(e)(v); 416.1535(b)
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 404.1730(e)(v) 20 CFR 404.1705(c) 20 CFR 404.1735(b) 20 CFR 416.7505(c) 20 CFR 416.1530(e)(v) 20 CFR 416.1535(b)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction SSA-1699 Registration for Appointed Representative Services and Direct Payment SSA-1699 (Revised Version).pdf www.ssa.gov Yes Yes Fillable Printable

Income Security General Retirement and Disability

 

15,382 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 15,382 0 15,382 0 0 0
Annual IC Time Burden (Hours) 5,127 0 5,127 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Current SSA-1699 SSA-1699 (Current Version).pdf 08/12/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.