Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
SSA-1694 (0960-0731) - 404.1735; 416.1535 - An entity is eligible for direct payment under certain circumstances Modified 7000 2100 0 Form and Instruction SSA-1694 Entity Registration and Taxpayer Information
SSA-1696 (0960-0527) - 404.1707(a); 416.1507(a) - You [claimant] complete and sign our prescribed appointment form Modified 1100000 128333 0 Form and Instruction SSA-1696 Claimant's Appointment of a Representative
Form and Instruction SSA-1696-APP Claimant’s Appointment of a Representative
SSA-1696 (0960-0527) - 404.1707(a); 416.1507(a) - Your representative completes and signs our prescribed appointment form Modified 1100000 91667 0 Form and Instruction SSA-1696 Claimant's Appointment of a Representative
Form and Instruction SSA-1696-APP Claimant’s Appointment of a Representative
SSA-1696 (0960-0527) - 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 Modified 500000 41667 0 Form and Instruction SSA-1696 Claimant's Appointment of a Representative
Form and Instruction SSA-1696-APP Claimant’s Appointment of a Representative
SSA-1696 (0960-0527) - 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 Modified 150000 7500 0 Form and Instruction SSA-1696 Claimant's Appointment of a Representative
Form and Instruction SSA-1696-APP Claimant’s Appointment of a Representative
SSA-1699 (0960-0732) - 404.1705(c); 404.1730(e)(v); 404.1735(b); 416.1505(c); 416.1530(e)(v); 416.1535(b) Modified 15382 5127 0 Form and Instruction SSA-1699 Registration for Appointed Representative Services and Direct Payment
Total burden requested under this ICR: 2872382 276394 0  
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