Information Collection

Written Fee Agreements on Representative's Stationary

IC 256684 under ICR 202508-0960-002 · OMB 0960-0810.

Documents and Forms

Document Name Document Type
Sample Written Fee Agreement.pdf Other-Sample Representative-Written
Sample Written Fee Agreement.pdf Other-Sample Representative-Written

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Written Fee Agreements on Representative's Stationary	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
Other-Sample Representative-Written Fee Agreement			Sample Written Fee Agreement.pdf		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,575,773	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,575,773	508,573	1,067,200
Annual IC Time Burden (Hours)	525,258	169,525	355,733
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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

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