Petition To Obtain Approval
of A Fee For Representing A Claimant Before The Social Security
Administration
Revision of a currently approved collection
No
Regular
04/07/2020
Requested
Previously Approved
36 Months From Approved
01/31/2021
24,153
44,365
12,077
22,183
6,038
0
A Social Security claimant's
representative, whether an attorney or a non-attorney, uses Form
SSA 1560-U4 to petition SSA for authorization to charge and collect
a fee. A claimant may also use the form to agree or disagree with
the requested fee amount or other information the representative
provides on the form. The SSA official responsible for setting the
fee uses the information from the form to determine a reasonable
fee amount representatives may charge for their services.
Respondents are attorneys and non-attorneys who represent claimants
for Social Security benefits.
US Code:
42
USC 406 Name of Law: Social Security Act
US Code: 42
USC 1383 Name of Law: Social Security Act
Previously we reported a burden
of 22,183 hours; however, we are currently reporting a burden of
12,077 hours. This burden decrease reflects our most recent
management information data, which shows a decrease in the usage
for this form. Per our data, this decrease stems from fewer claims
processed in FY 2019, which, in turn, means that fewer respondents
use this form. We expect this data to fluctuate from year to year,
and happen to have seen a steady decrease in the use of this form
over the past three years. Although the number of respondents
decreased, SSA did not take any actions to cause this change. In
addition, we inadvertently did not include the cost burden on the
public for printing this form when we last submitted it. We are
including that data now.
$43,999
No
Yes
Yes
No
No
No
No
Faye Lipsky 410 965-8783
faye.lipsky@ssa.gov
No
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.
Form SSA-1560-U4 (revis Petition To Obtain Approval of A Fee For Representing A Claimant Before The Social Security Administration
Supporting Statement - 0104.docx
Petition To Obtain Approval of A Fee For Representing A Claimant Before The Social Security Administration