Petition To Obtain Approval of A Fee For Representing A Claimant Before The Social Security Administration

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0104 can be found here:

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-U4(revised).pdf Form
ssa-1560-U4.pdf SSA-1560-U4 IC Document

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 416.1520 20 CFR 416.1525 20 CFR 404.1720 20 CFR 404.1725

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-U4(revised).pdf		Yes	No	Printable Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 48,110	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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	48,110	13,486	34,624
Annual IC Time Burden (Hours)	24,055	6,743	17,312
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
SSA-1560-U4	ssa-1560-U4.pdf	01/21/2011

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