Direct Deposit Sign-Up Form

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1535-0128 can be found here:

Documents and Forms

Document Name Document Type
Form PD-F-5396 Direct Deposit Sign-Up Form Form and Instruction
PD-F-5396 Direct Deposit Sign Up Form PDF5396.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Direct Deposit Sign-Up Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 31 CFR 210

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	PD-F-5396	Direct Deposit Sign Up Form	PDF5396.pdf		No		Fillable Printable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 18,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	18,000	-2,000	20,000
Annual IC Time Burden (Hours)	3,060	-340	3,400
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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