Information Collection

Direct Deposit Sign-Up Form

IC 16679 under ICR 201011-1535-001 · OMB 1535-0128.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form PD F 5396 Direct Deposit Sign-Up Form	Form and Instruction
PD F 5396 Direct Deposit Sign Up Form PD F 5396.pdf	Form and Instruction

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:

table that charts list of 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	PD F 5396.pdf		Yes	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 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	18,000	18,000
Annual IC Time Burden (Hours)	3,060	3,060
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.