Information Collection

Direct Deposit Sign-Up Forms

IC 39066 under ICR 201307-1510-001 · OMB 1510-0007.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SF-1199A Direct Deposit Sign Up Form Direct Deposit Sign-Up Forms	Form and Instruction
Form FMS 1200 Go Direct Sign Up Form for Direct Deposit of Federal Benefit Payments Direct Deposit Sign-Up Forms	Form and Instruction
Form FMS 1200 Go Direct Sign Up Form (Spanish) Direct Deposit Sign-Up Forms	Form and Instruction
Form FMS 1200 VADE Direct Express Direct Deposit Sign-Up Forms	Form and Instruction
Form FMS form 1201L Direct Express Enrollment Form Direct Deposit Sign-Up Forms	Form and Instruction
Form FMS form 1201S Direct Express Enrollment Form SSA SSI Direct Deposit Sign-Up Forms	Form and Instruction
SF-1199A Direct Deposit Sign Up Form 1199A.pdf	Form and Instruction
FMS 1200 Go Direct Sign Up Form for Direct Deposit of Federal Ben fms_form_1200.pdf	Form and Instruction
FMS 1200 Go Direct Sign Up Form (Spanish) fms_form_1200_span.pdf	Form and Instruction
FMS 1200 VADE Direct Express FMS 1200VADE_Apr10.pdf	Form and Instruction
FMS form 1201L Direct Express Enrollment Form Direct_Express_Enrollment_Form_July_2011.pdf	Form and Instruction
FMS form 1201S Direct Express Enrollment Form SSA SSI Direct_Express_Enrollment_Form_SSA_SSI_July_2011.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SF-1199A	Yes	No	Printable Only
Form and Instruction	FMS 1200	Yes	No	Printable Only
Form and Instruction	FMS 1200	Yes	No	Printable Only
Form and Instruction	FMS 1200 VADE	Yes	No	Fillable Printable
Form and Instruction	FMS form 1201L	Yes	No	Fillable Printable
Form and Instruction	FMS form 1201S	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 406,715

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	406,715	0	406,715
Annual IC Time Burden (Hours)	67,786	-1,356	69,142
Annual IC Cost Burden (Dollars)	0	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.

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