Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
404.1705(c); 416.1505(c) - Your representative(s) must be registered with us in the manner we prescribe before you submit the appointment(s) - SSA-1699 (0960-0732) New 15382 5127 0 Form and Instruction SSA-1699 Registration for Appointed Representative Services and Direct Payment
404.1707(a); 416.1507(a) - You [claimant] complete and sign our prescribed appointment form - SSA-1696 (0960-0527) New 1100000 128333 0 Form and Instruction SSA-1696 Claimant's Appointment of a Representative
Other-Notice
404.1707(a); 416.1507(a) - Your representative completes and signs our prescribed appointment form - SSA-1696 (0960-0527) New 1100000 91667 0 Form and Instruction SSA-1696 Claimant's Appointment of a Representative
Other-Notice
404.1720(f) 416.1520 (f) - A representative who is eligible for direct payment of an authorized fee may assign direct payment of the authorized fee to an entity that is eligible - SSA-1696 (0960-0527) New 500000 41667 0 Form and Instruction SSA-1696 Claimant's Appointment of a Representative
Other-Notice
404.1730(e)(2); 416.1530(e)(2) - A representative may rescind an assignment before the date on which we notify you of our first favorable determination or decision - SSA-1696 (0960-0527) New 150000 7500 0 Form and Instruction SSA-1696 Claimant's Appointment of a Representative
Other-Notice
404.1735; 416.1535 - An entity is eligible for direct payment under certain circumstances - SSA-1694 (0960-0731) New 7000 2100 0 Form and Instruction SSA-1694 Entity Registration and Taxpayer Information
Total burden requested under this ICR: 2872382 276394 0  
To view an IC, click on IC Title