SSA-1699 (0960-0732) - 404.1705(c); 404.1730(e)(v); 404.1735(b); 416.1505(c); 416.1530(e)(v); 416.1535(b)

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

Documents and Forms

Document Name Document Type
Form SSA-1699 SSA-1699 (0960-0732) - 404.1705(c); 404.1730(e)(v); 404.1735(b); 416.1505(c); 416.1530(e)(v); 416.1535(b) Form and Instruction
Form SSA-1699 SSA-1699 (0960-0732) - 404.1705(c); 404.1730(e)(v); 404.1735(b); 416.1505(c); 416.1530(e)(v); 416.1535(b) Form and Instruction
SSA-1699 Registration for Appointed Representative Services and D SSA-1699 (Revised Version).pdf www.ssa.gov Form and Instruction
SSA-1699 Registration for Appointed Representative Services and D SSA-1699 (Revised Version).pdf www.ssa.gov Form and Instruction
SSA-1699 (Current Version).pdf Current SSA-1699 IC Document
SSA-1699 (Current Version).pdf Current SSA-1699 IC Document

Information Collection (IC) Details

IC Title:	SSA-1699 (0960-0732) - 404.1705(c); 404.1730(e)(v); 404.1735(b); 416.1505(c); 416.1530(e)(v); 416.1535(b)	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 404.1730(e)(v) 20 CFR 404.1705(c) 20 CFR 404.1735(b) 20 CFR 416.7505(c) 20 CFR 416.1530(e)(v) 20 CFR 416.1535(b)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SSA-1699	Registration for Appointed Representative Services and Direct Payment	SSA-1699 (Revised Version).pdf	www.ssa.gov	Yes	Yes	Fillable Printable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 15,382	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: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	15,382	15,382
Annual IC Time Burden (Hours)	5,127	5,127
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Current SSA-1699	SSA-1699 (Current Version).pdf	08/12/2024

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