Internet Direct Deposit Application

Domestic Direct Deposit Application

MySSA Direct Deposit Screens

Internet Direct Deposit Application

OMB: 0960-0634

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MySocialSecurity / Direct Deposit: Screen Package
Table of Contents
1. Provide Information...................................................................................................................................................................................................... 2
2. Provide Information (Multiple Payment Info) .......................................................................................................................................................... 3
3. Provide Information (Yes Expanded) ........................................................................................................................................................................ 4
4. We're sorry... (Owner/Co-owner: No Selected) ........................................................................................................................................................... 5
5. Review Information ...................................................................................................................................................................................................... 6
6. Confirmation (Update).................................................................................................................................................................................................. 7
7. Confirmation (Enroll) .................................................................................................................................................................................................... 8
8. Help (Where can I find this?) ........................................................................................................................................................................................ 9
9. Help (What if this isn't correct?) ................................................................................................................................................................................. 10
10. Definition (Owner or co-owner) ............................................................................................................................................................................... 11
11. PopUp (Privacy Act Statement) ................................................................................................................................................................................ 12
12. PopUp (Paperwork Reduction Act) ........................................................................................................................................................................... 13

MySocialSecurity / Direct Deposit: Screen Package
July 19, 2012

Page 1 of 13

1. Provide Information

MySocialSecurity / Direct Deposit: Screen Package
July 19, 2012

Page 2 of 13

2. Provide Information (Multiple Payment Info)

MySocialSecurity / Direct Deposit: Screen Package
July 19, 2012

Page 3 of 13

3. Provide Information (Yes Expanded)

MySocialSecurity / Direct Deposit: Screen Package
July 19, 2012

Page 4 of 13

4. We're sorry... (Owner/Co-owner: No Selected)

MySocialSecurity / Direct Deposit: Screen Package
July 19, 2012

Page 5 of 13

5. Review Information

MySocialSecurity / Direct Deposit: Screen Package
July 19, 2012

Page 6 of 13

6. Confirmation (Update)

MySocialSecurity / Direct Deposit: Screen Package
July 19, 2012

Page 7 of 13

7. Confirmation (Enroll)

MySocialSecurity / Direct Deposit: Screen Package
July 19, 2012

Page 8 of 13

8. Help (Where can I find this?)

This page will be created and maintained by OCOMM.

MySocialSecurity / Direct Deposit: Screen Package
July 19, 2012

Page 9 of 13

9. Help (What if this isn't correct?)

This page will be created and maintained by OCOMM.

MySocialSecurity / Direct Deposit: Screen Package
July 19, 2012

Page 10 of 13

10. Definition (Owner or co-owner)

This page will be created and maintained by OCOMM.

MySocialSecurity / Direct Deposit: Screen Package
July 19, 2012

Page 11 of 13

11. PopUp (Privacy Act Statement)

This page will be created and maintained by OCOMM.

MySocialSecurity / Direct Deposit: Screen Package
July 19, 2012

Page 12 of 13

12. PopUp (Paperwork Reduction Act)

This page will be created and maintained by OCOMM.

MySocialSecurity / Direct Deposit: Screen Package
July 19, 2012

Page 13 of 13


File Typeapplication/pdf
AuthorFujitsu
File Modified2012-07-19
File Created2012-07-19

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