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

OMB 0960-0104

OMB 0960-0104

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.

The latest form for Petition To Obtain Approval of A Fee For Representing A Claimant Before The Social Security Administration expires 2021-01-31 and can be found here.

All Historical Document Collections
Revision of a currently approved collection 2020-04-07
Approved without change
Revision of a currently approved collection 2017-01-26
Approved without change
Revision of a currently approved collection 2014-02-18
Approved without change
No material or nonsubstantive change to a currently approved collection 2012-09-10
Approved without change
Revision of a currently approved collection 2011-04-20
Approved without change
Revision of a currently approved collection 2008-06-24
Approved without change
Extension without change of a currently approved collection 2005-04-20
Approved without change
Revision of a currently approved collection 2004-12-10
Approved without change
No material or nonsubstantive change to a currently approved collection 2004-09-29
Approved without change
Extension without change of a currently approved collection 2003-12-19
Approved with change
Extension without change of a currently approved collection 2002-11-25
Approved without change
Extension without change of a currently approved collection 1999-06-09
Approved without change
Revision of a currently approved collection 1996-05-01
Approved without change
Revision of a currently approved collection 1993-03-04
Approved without change
Revision of a currently approved collection 1989-12-28
Approved with change
No material or nonsubstantive change to a currently approved collection 1989-04-07
Approved without change
Revision of a currently approved collection 1986-10-07
Approved with change
No material or nonsubstantive change to a currently approved collection 1984-08-02
Approved without change
Revision of a currently approved collection 1983-10-03
Approved without change
Revision of a currently approved collection 1982-11-22
Approved with change
No material or nonsubstantive change to a currently approved collection 1979-03-28
Approved with change
No material or nonsubstantive change to a currently approved collection 1978-06-01
Approved with change
No material or nonsubstantive change to a currently approved collection 1978-04-19
Approved with change
No material or nonsubstantive change to a currently approved collection 1978-04-12
Approved without change
Reinstatement with change of a previously approved collection 1978-03-13
Approved without change
Extension without change of a currently approved collection 1978-02-01

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