404.1735; 416.1535 - An entity is eligible for direct payment under certain circumstances - SSA-1694 (0960-0731)

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0832 can be found here:

Documents and Forms

Document Name Document Type
Form SSA-1694 404.1735; 416.1535 - An entity is eligible for direct payment under certain circumstances - SSA-1694 (0960-0731) Form and Instruction
SSA-1694 Entity Registration and Taxpayer Information SSA-1694 (Revised Version).pdf www.ssa.gov Form and Instruction
SSA-1694 Entity Registration and Taxpayer Information SSA-1694 (Revised Version).pdf www.ssa.gov Form and Instruction

Information Collection (IC) Details

IC Title:	404.1735; 416.1535 - An entity is eligible for direct payment under certain circumstances - SSA-1694 (0960-0731)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 416.1535 20 CFR 404.1735

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SSA-1694	Entity Registration and Taxpayer Information	SSA-1694 (Revised Version).pdf	www.ssa.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 7,000	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	7,000	7,000
Annual IC Time Burden (Hours)	2,100	2,100
Annual IC Cost Burden (Dollars)	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.