National Direct Deposit Initiative Enrollment Form

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
0960-0711 supporting statement 2008.doc	Supporting Statement A	Uploaded 2008-10-10	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
9768	Direct Deposit Enrollment Form	Other-Direct Deposit Registration	Modified
186886	FI Data Screening/Matching Activities and Responsibilities	Other-Agreement Memo SSA-FIs	New

ICR Details

OMB Control No: 0960-0711	ICR Reference No: 200810-0960-008
Status: Historical Active	Previous ICR Reference No: 200508-0960-001
Agency/Subagency: SSA	Agency Tracking No:
Title: National Direct Deposit Initiative Enrollment Form
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/25/2008
	Date Received in OIRA: 10/23/2008
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2011	36 Months From Approved	11/30/2008
Responses	100,010	0	110,000
Time Burden (Hours)	3,373	0	3,373
Cost Burden (Dollars)	10,390	0	10,390,000

---

Abstract: Many SSA benefits recipients choose to receive their payments via the Direct Deposit Program, in which SSA transfers funds directly to recipients’ accounts at a financial institution (FI). However, many Title II payment recipients still receive their payments through traditional paper checks. In an effort to encourage these beneficiaries to change from paper checks to the Direct Deposit Program, SSA is collaborating with the Department of the Treasury and several FIs on a National Direct Deposit Initiative. In this program, SSA works with FIs to determine which of the target Title II beneficiaries have accounts at the participating banks. The banks then send forms to these beneficiaries encouraging them to enroll in the Direct Deposit Program. The respondents are the participating FIs and Title II beneficiaries currently receiving their payments via check.

---

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 40005	07/11/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 57401	10/02/2008
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
FI Data Screening/Matching Activities and Responsibilities
Direct Deposit Enrollment Form

---

ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	100,010	110,000	0	10	-10,000	0
Annual Time Burden (Hours)	3,373	3,373	0	40	-40	0
Annual Cost Burden (Dollars)	10,390	10,390,000	0	10,390	-10,390,000	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: ROCIS indicates a decrease in the number of responses and the annual cost burden. In actuality, there was no change in either of these figures. The last ICR for this collection, which we submitted by paper, contained the same response/cost burden figures as the ones we are reporting here. The figures ROCIS contains are incorrect, and presumably reflect a paper to electronic transfer error.

---

Annual Cost to Federal Government: $1

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 10/23/2008

---