Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Form SSA-1699 Modified 52800 26400 0 Form and Instruction SSA-1699 Registration of Individual for Appointed Representative Services
Internet SSA-1699 New 13200 4840 0 Other-screen shots for online application
Total burden requested under this ICR: 66000 31240 0  
To view an IC, click on IC Title