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 - SSA-1696 (0960-0527)

NPRM for Administrative Rules for Claimant Representation and Provisions for Direct Payment to Entities (Marasco Decision), RIN 0960-AI22

OMB: 0960-0832

IC ID: 261467

Information Collection (IC) Details

View Information Collection (IC)

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 - SSA-1696 (0960-0527)
 
No New
 
Required to Obtain or Retain Benefits
 
20 CFR 416.1530(e)(2) 20 CFR 404.1730(e)(2)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction SSA-1696 Claimant's Appointment of a Representative SSA-1696 - Revised Version.pdf www.ssa.gov Yes Yes Fillable Fileable Signable
Other-Notice SSA-1696 Confirmation of Appointment_New notices _Withwithout Assignment Language - Marasco-Related.docx No   Paper Only

Income Security General Retirement and Disability

 

150,000 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Requested 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 150,000 0 150,000 0 0 0
Annual IC Time Burden (Hours) 7,500 0 7,500 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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