Fee Agreement for Representation before the Social Security Administration SSA-1693 (paper)

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 SSA-1693 (paper) Form and Instruction
SSA-1693 Fee Agreement for Representation before the Social Secur SSA-1693 (revised).pdf www.ssa.gov Form and Instruction
SSA-1693 (current).pdf SSA-1693 (current) IC Document

Information Collection (IC) Details

IC Title:	Fee Agreement for Representation before the Social Security Administration SSA-1693 (paper)	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).pdf	www.ssa.gov	Yes	No	Fillable Printable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,225	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 25 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	4,225	-775	5,000
Annual IC Time Burden (Hours)	4,084	3,001	1,083
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
SSA-1693 (current)	SSA-1693 (current).pdf	11/19/2025

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