Direct Deposit Sign-Up Form and Go Direct Sign Up Form

ICR 201307-1510-001

OMB: 1510-0007

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2013-07-31
IC Document Collections
IC ID
Document
Title
Status
39066 Modified
ICR Details
1510-0007 201307-1510-001
Historical Active 201109-1510-001
TREAS/FMS
Direct Deposit Sign-Up Form and Go Direct Sign Up Form
Revision of a currently approved collection   No
Regular
Approved without change 10/24/2013
Retrieve Notice of Action (NOA) 07/31/2013
  Inventory as of this Action Requested Previously Approved
10/31/2016 36 Months From Approved 10/31/2013
406,715 0 406,715
67,786 0 69,142
0 0 0

The Direct Deposit Sign-Up Form is used by recipients to authorize the deposit of Federal payments into their accounts at financial institutions. The information is used to route the Direct Deposit payment to the correct account at the correct financial institution. It identifies persons who have executed the form.

US Code: 12 USC 391 Name of Law: Banks and Banking;Federal reserve banks as Government depositaries and fiscal agents
   US Code: 5 USC 301 Name of Law: GOVERNMENT ORGANIZATION AND EMPLOYEES; Departmental regulations
   US Code: 31 USC 492 Name of Law: MONEY AND FINANCE
  
None

Not associated with rulemaking

  78 FR 32533 05/30/2013
78 FR 46001 07/30/2013
No

1
IC Title Form No. Form Name
Direct Deposit Sign-Up Forms FMS 1200 VADE, SF-1199A, FMS 1200, FMS 1200 , FMS form 1201L, FMS form 1201S Direct Deposit Sign Up Form ,   Go Direct Sign Up Form for Direct Deposit of Federal Benefit Payments ,   Go Direct Sign Up Form (Spanish) ,   Direct Express ,   Direct Express Enrollment Form ,   Direct Express Enrollment Form SSA SSI

  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 406,715 406,715 0 0 0 0
Annual Time Burden (Hours) 67,786 69,142 0 0 -1,356 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
A recalculation of response time resulted in a slight decrease of 1,356 burden hours due to an adjustment in our estimates.

$384,345
No
No
No
No
No
Uncollected
Walt Henderson 202 874-6619 [email protected]

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
07/31/2013


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