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Direct Deposit Sign-Up Form
Direct Deposit Sign-Up Form
OMB: 1535-0128
IC ID: 16679
OMB.report
TREAS/BPD
OMB 1535-0128
ICR 201312-1535-002
IC 16679
( )
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
Federal Enterprise Architecture Business Reference Module
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 New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
55,000
0
37,000
0
0
18,000
Annual IC Time Burden (Hours)
9,167
0
0
6,107
0
3,060
Annual IC Cost Burden (Dollars)
0
0
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.