Information Collection

Fee Agreement for Representation before the Social Security Administration (e1693)

IC 277053 under ICR 202508-0960-002 · OMB 0960-0810.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
SSA-1693-APP.pdf	Other-e1693
SSA-1693-APP.pdf	Other-e1693
Adobe Form SSA-1693 OMB Screen Package.pdf	Other-Adobe form SSA-1693
Adobe Form SSA-1693 OMB Screen Package.pdf	Other-Adobe form SSA-1693

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

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
Other-e1693					Yes	Yes	Fillable Fileable Signable
Other-Adobe form SSA-1693					Yes	Yes	Fillable Printable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,745

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	1,745	1,745
Annual IC Time Burden (Hours)	524	524
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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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