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Petition To Obtain Approval of A Fee For Representing A Claimant Before The Social Security Administration
Petition To Obtain Approval of A Fee For Representing A Claimant Before The Social Security Administration
OMB: 0960-0104
IC ID: 9068
OMB.report
SSA
OMB 0960-0104
ICR 200805-0960-024
IC 9068
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0104 can be found here:
2020-04-07 - Revision of a currently approved collection
2017-01-26 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form SSA-1560-U4
Petition To Obtain Approval of A Fee For Representing A Claimant Before The Social Security Administration
Form
SSA-1560-U4 Petition to Obtain Approval of a Fee for Representing a
SSA-1560--Revised Version.pdf
Form
Information Collection (IC) Details
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 416.1520
20 CFR 416.1525
20 CFR 404.1720
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
SSA-1560-U4
Petition to Obtain Approval of a Fee for Representing a Claimant Before the Social Security Administration
SSA-1560--Revised Version.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:
34,624
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
34,624
0
0
0
0
34,624
Annual IC Time Burden (Hours)
17,312
0
0
0
0
17,312
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.