OMB control number
Petition To Obtain Approval of A Fee For Representing A Claimant Before The Social Security Administration
OMB 0960-0104 · SSA.
OMB 0960-0104
A Social Security claimant's representative, whether an attorney or a non-attorney, uses Form SSA 1560-U4 to petition SSA for authorization to charge and collect a fee. A claimant may also use the form to agree or disagree with the requested fee amount or other information the representative provides on the form. The SSA official responsible for setting the fee uses the information from the form to determine a reasonable fee amount representatives may charge for their services. Respondents are attorneys and non-attorneys who represent claimants for Social Security benefits.
The latest form for Petition To Obtain Approval of A Fee For Representing A Claimant Before The Social Security Administration expires 2027-04-30 and is listed under ICR 202001-0960-005.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form SSA-1560-U4 (revis Petition to Obtain Approval of a Fee for Representing a Claimant Before the Social Security Administration | Form |
| Form SSA-1560-U4 (revis Petition To Obtain Approval of A Fee For Representing A Claimant Before The Social Security Administration | Form |
 Supporting Statement - 0104 (Final).docx | Supporting Statement A |
| Supporting Statement - 0104.docx | Supporting Statement A |
| Addendum - 0104.docx | Supplementary Document |
| Addendum - 0104.docx | Supplementary Document |
 Petition To Obtain Approval of A Fee For Representing A Claimant Before The Social Security Administration |
Form |
| Petition To Obtain Approval of A Fee For Representing A Claimant Before The Social Security Administration |
Form |