Information Collection

Fee Agreement for Representation before the Social Security Administration

IC 232717 under ICR 202409-0960-004 · OMB 0960-0810.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0810 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-1693 Fee Agreement for Representation before the Social Security Administration	Form and Instruction
Form SSA-1693 Fee Agreement for Representation before the Social Security Administration Fee Agreement for Representation before the Social Security Administration	Form and Instruction
Form e1693 Fee Agreement for Representation before the Social Security Administration Fee Agreement for Representation before the Social Security Administration	Form and Instruction
SSA-1693 Fee Agreement for Representation before the Social Secur SSA-1693 (Revised Version).pdf	Form and Instruction
SSA-1693 Fee Agreement for Representation before the Social Secur SSA-1693 (Revised Version).pdf	Form and Instruction
e1693 Fee Agreement for Representation before the Social Secur e1693 (Revised Version).pdf	Form and Instruction
e1693 Fee Agreement for Representation before the Social Secur e1693 (Revised Version).pdf	Form and Instruction
SSA-1693 (Current Version).pdf Current SSA-1693	IC Document
SSA-1693 (Current Version).pdf Current SSA-1693	IC Document
e1693 (Current Version).pdf Current e1693	IC Document
e1693 (Current Version).pdf Current e1693	IC Document

IC Title:

Fee Agreement for Representation before the Social Security Administration

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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
Form and Instruction	SSA-1693			www.ssa.gov	Yes	No	Fillable Printable
Form and Instruction	e1693			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: 5,000

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: 25 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	5,000	5,000
Annual IC Time Burden (Hours)	1,083	1,083
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Current SSA-1693		09/26/2024
Current e1693		09/26/2024

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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