Fee Agreement for Representation before the Social Security Administration

Documents and Forms

Document Name Document Type
Form SSA-1693 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 www.ssa.gov Form and Instruction
e1693 Fee Agreement for Representation before the Social Secur e1693 (Revised Version).pdf www.ssa.gov Form and Instruction
SSA-1693 (Current Version).pdf Current SSA-1693 IC Document
e1693 (Current Version).pdf Current e1693 IC Document

Information Collection (IC) Details

View Information Collection (IC)

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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SSA-1693	Fee Agreement for Representation before the Social Security Administration	SSA-1693 (Revised Version).pdf	www.ssa.gov	Yes	No	Fillable Printable
Form and Instruction	e1693	Fee Agreement for Representation before the Social Security Administration	e1693 (Revised Version).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: 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 %

	Requested	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

Title	Document	Date Uploaded
Current SSA-1693	SSA-1693 (Current Version).pdf	09/26/2024
Current e1693	e1693 (Current Version).pdf	09/26/2024

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