Information Collection

Direct Deposit Sign-Up Form

IC 16679 under ICR 201312-1535-002 · OMB 1535-0128.

Documents and Forms

Document Name Document Type
Form PD F 5396 Direct Deposit Sign-Up Form Form and Instruction
PD F 5396 Direct Deposit Sign-Up Form sav5396.pdf www.treasurydirect.gov/forms/sav5396.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Direct Deposit Sign-Up Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 31 CFR 210

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	PD F 5396	Direct Deposit Sign-Up Form	sav5396.pdf	http://www.treasurydirect.gov/forms/sav5396.pdf	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title: Treasury/BPD.002 - United States Savings-Type Securities	FR Citation: 76 FR 51128

Number of Respondents: 55,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	55,000	37,000	0	18,000
Annual IC Time Burden (Hours)	9,167	0	6,107	3,060
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

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.