Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Appointment of Representative - SSA-1696 and e1696 Modified 1852171 216087 0 Form and Instruction SSA-1696
Form and Instruction SSA-1696-BK
Other-Internet Screens
Other-Revised Privacy Act Statement
Claimant's Revocation of the Appointment of a Representative - SSA-1696-SUP1 Modified 21959 2196 0 Form and Instruction SSA-1696-SUP1
Other-Revised Privacy Act Statement
Claimants - SSA-1696 and e1696 New 1852171 308695 0 Form and Instruction SSA-1696
Form and Instruction SSA-1696
Other-Internet Screens
Other-Revised Privacy Act Statement
Representative's Withdrawal of Acceptance of an Appointment - SSA-1696-SUP2 Modified 252000 25200 0 Form and Instruction SSA-1696-SUP2
Other-Revised Privacy Act Statement
Total burden requested under this ICR: 3978301 552178 0  
To view an IC, click on IC Title