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

Fee Agreement for Representation before the Social Security Administration

Documents and Forms

Document Name Document Type
SSA-1693-APP.pdf Other-e1693
Adobe Form SSA-1693 OMB Screen Package.pdf Other-Adobe form SSA-1693

Information Collection (IC) Details

IC Title:	Fee Agreement for Representation before the Social Security Administration (e1693)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-e1693			SSA-1693-APP.pdf		Yes	Yes	Fillable Fileable Signable
Other-Adobe form SSA-1693			Adobe Form SSA-1693 OMB Screen Package.pdf		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 %

	Requested	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

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.