Information Collection

International Direct Deposit

IC 9739 under ICR 201007-0960-008 · OMB 0960-0686.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0686 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-1199((United K International Direct Deposit	Form
SSA-1199((United K Direct Deposit Sign-Up Form (United Kingdom) SSA-1199 United Kingdom (revised).doc	Form
SSA-1199-OP6 Direct Deposit Sign-Up Form (Name of Country) SSA-1199 (revised).doc	Form
SSA-1199-(Country).pdf SSA-1199-OP6 (Country) current	IC Document
SSA-1199 Canada F.pdf SSA-1199-OP21(Canada)	IC Document

IC Title:

International Direct Deposit

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 31 CFR 210

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-1199((United Kingddom)	Direct Deposit Sign-Up Form (United Kingdom)	SSA-1199 United Kingdom (revised).doc		No		Paper Only
Form	SSA-1199-OP6	Direct Deposit Sign-Up Form (Name of Country)	SSA-1199 (revised).doc		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	5,000	5,000
Annual IC Time Burden (Hours)	417	417
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA-1199-OP6 (Country) current	SSA-1199-(Country).pdf	07/14/2010
SSA-1199-OP21(Canada)	SSA-1199 Canada F.pdf	07/14/2010

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