OMB control number

Fee Agreement for Representation before the Social Security Administration

OMB 0960-0810 · SSA.

OMB 0960-0810

The Social Security Act requires individuals who represent a claimant before the agency and want to receive a fee for their services to obtain SSA’s authorization of the fee. One way to obtain the authorization is to submit the fee agreement to the agency either in writing or through using Form SSA-1693, Fee Agreement for Representation before the Social Security Administration. Since representatives currently use fee agreements which vary in length, content, and complexity, submission of a free-form fee agreement may cause delays in SSA’s review time. Therefore, SSA encourages respondents to use Form SSA-1693 to submit the information either using the paper form or the electronically submittable e1693 through SSA’s website. SSA uses the information from the SSA-1693 to review the request and authorize any fee to representatives who seek to charge and collect a fee from a claimant. The respondents are the representatives who help claimants through the application process, and the claimants who they represent. We are submitting this non-substantive change request to comply with the Final Rule for Changes to the Administrative Rules for Claimant Representation and Provisions for Direct Payment to Entities and due to the published increase in the fee cap for representatives.

The latest form for Fee Agreement for Representation before the Social Security Administration expires 2029-03-31 and can be found here.

OMB Details

Fee Agreement for Representation before the Social Security Administration SSA-1693 (paper)

Federal Enterprise Architecture: Income Security - General Retirement and Disability

Form SSA-1693Fee Agreement for Representation before the Social Security Administrationwww.ssa.govForm and instruction

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