Information Collection

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

IC 232717 under ICR 202508-0960-002 · OMB 0960-0810.

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

IC Title:

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

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 %

table that charts list of burden
	Approved	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

table that charts IC Documents
Title	Document	Date Uploaded
SSA-1693 (current)		11/19/2025

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

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