View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Petition To Obtain Approval of A Fee For Representing A Claimant Before The Social Security Administration	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 404.1725 20 CFR 404.1730(c)(2)(i) 20 CFR 404.1720 20 CFR 404.1730(c)(2)(ii) 20 CFR 416.1520 20 CFR 416.1525 20 CFR 416.1530(c)(2)(i) 20 CFR 416.1530(c)(2)(ii)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-1560-U4 (revised)	Petition to Obtain Approval of a Fee for Representing a Claimant Before the Social Security Administration	0960-0104 SSA-1560-U4 (updated changes).pdf		Yes	No	Printable Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 44,365	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	44,365	0	0	-3,745	0	48,110
Annual IC Time Burden (Hours)	22,183	0	0	-1,872	0	24,055
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
SSA-1560-U4 Current Version	SSA-1560-U4 (current).pdf	12/21/2016

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.