Domestic Direct Deposit Application

Forms and Documents

Document	Type	Status	Availability
Justification for Non-Substantive Changes - 0634.doc	Justification for No Material/Nonsubstantive Change	Uploaded 2012-08-03	Repair queued

IC Document Collections

IC ID	Collection	Type	Status	Form
9661	Internet Direct Deposit Application	Other-Internet Screens - for iClaim and i3368	Unchanged
203415	Direct Deposit Fraud Indicator - Intranet Only	Other-Intranet Screens	Modified
203414	Automated Telephone Services - Direct Deposit	Other-Automated Telephone Call Flow	Unchanged
203413	Personal Interview - Intranet Screens (field office or National 800 Number)	Other-Intranet Screens	Unchanged

ICR Details

OMB Control No: 0960-0634	ICR Reference No: 201208-0960-005
Status: Historical Active	Previous ICR Reference No: 201207-0960-003
Agency/Subagency: SSA	Agency Tracking No:
Title: Domestic Direct Deposit Application
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/31/2012
	Date Received in OIRA: 08/13/2012
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2013	04/30/2013	04/30/2013
Responses	6,891,009	0	6,891,009
Time Burden (Hours)	1,354,460	0	1,354,460
Cost Burden (Dollars)	0	0	0

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Abstract: SSA uses the Internet Direct Deposit Application to obtain enrollment information from beneficiaries who are interested in Direct Deposit/Electronic Funds Transfer (DD/EFT) of their benefits. We use this Internet application to facilitate DD/EFT of Social Security benefits to a financial institution. The respondents are Social Security beneficiaries who use the Internet to enroll in DD/EFT. This non-substantive Change Request updates our current fraud-indicator screens.

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Authorizing Statute(s): US Code: 12 USC 391 Name of Law: Social Security Act
   US Code: 5 USC 301 Name of Law: Social Security Act
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 59336	11/17/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 3778	01/22/2010
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

IC Title	Form No.	Form Name
Personal Interview - Intranet Screens (field office or National 800 Number)
Direct Deposit Fraud Indicator - Intranet Only
Internet Direct Deposit Application
Automated Telephone Services - Direct Deposit

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ICR Summary 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	6,891,009	6,891,009	0	0	0	0
Annual Time Burden (Hours)	1,354,460	1,354,460	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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: 08/13/2012

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