Direct Deposit Sign-Up Form

ICR 201312-1535-002

OMB: 1535-0128

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2014-01-31
IC Document Collections
IC ID
Document
Title
Status
16679 Modified
ICR Details
1535-0128 201312-1535-002
Historical Active 201011-1535-001
TREAS/BPD
Direct Deposit Sign-Up Form
Revision of a currently approved collection   No
Regular
Approved without change 06/25/2014
Retrieve Notice of Action (NOA) 01/31/2014
  Inventory as of this Action Requested Previously Approved
06/30/2017 36 Months From Approved 06/30/2014
55,000 0 18,000
9,167 0 3,060
0 0 0

Used to request the direct deposit of Series HH or Series H bond interest payments or a savings bond redemption payment.

US Code: 31 USC 31 Name of Law: null
  
None

Not associated with rulemaking

  78 FR 60376 10/01/2013
79 FR 5022 01/30/2014
No

1
IC Title Form No. Form Name
Direct Deposit Sign-Up Form PD F 5396 Direct Deposit Sign-Up Form

  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 55,000 18,000 0 37,000 0 0
Annual Time Burden (Hours) 9,167 3,060 0 0 6,107 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
The reported burden increase is a result of an examination of forms downloaded from the bureau's website along with the distribution of printed copies over the last 3-4 years. The increase of 37,000 responses is an adjustment in agency estimate and is attributed to the increased popularity of the direct deposit option.

$83,132
No
No
No
No
No
Uncollected
Bruce Sharp 304 480-8112 [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.
01/31/2014


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