Fee Agreement for Representation before the Social Security Administration

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0810 can be found here:

Documents and Forms

Document Name Document Type
Form SSA-1693 Fee Agreement for Representation before the Social Security Administration Form and Instruction
SSA-1693 Fee Agreement for Representation before the Social Secur SSA-1693 - Revised.pdf www.ssa.gov Form and Instruction
SSA-1693 Fee Agreement for Representation before the Social Secur SSA-1693 - Revised.pdf www.ssa.gov Form and Instruction
e1693 Fee Agreement for Representation before the Social Secur e1693 - Revised Screens.pdf www.ssa.gov Form and Instruction
e1693 Fee Agreement for Representation before the Social Secur e1693 - Revised Screens.pdf www.ssa.gov Form and Instruction
e1693 - Current Screens.pdf Current e1693 Screens IC Document
e1693 - Current Screens.pdf Current e1693 Screens IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Fee Agreement for Representation before the Social Security Administration	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SSA-1693	Fee Agreement for Representation before the Social Security Administration	SSA-1693 - Revised.pdf	www.ssa.gov	Yes	No	Printable Only
Form and Instruction	e1693	Fee Agreement for Representation before the Social Security Administration	e1693 - Revised Screens.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: 600,000	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: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	600,000	600,000
Annual IC Time Burden (Hours)	120,000	120,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Current e1693 Screens	e1693 - Current Screens.pdf	09/27/2021

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