Information Collection

Direct Deposit Sign-Up Forms

IC 39066 under ICR 201407-1530-006 · OMB 1530-0006.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1530-0006 can be found here:

Documents and Forms

Document Name Document Type
Form SF-1199A 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

Information Collection (IC) Details

View Information Collection (IC)

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

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SF-1199A	Direct Deposit Sign Up Form	1199A.pdf	Yes	No	Printable Only
Form and Instruction	FMS 1200	Go Direct Sign Up Form for Direct Deposit of Federal Benefit Payments	fms_form_1200.pdf	Yes	No	Printable Only
Form and Instruction	FMS 1200	Go Direct Sign Up Form (Spanish)	fms_form_1200_span.pdf	Yes	No	Printable Only
Form and Instruction	FMS 1200 VADE	Direct Express	FMS 1200VADE_Apr10.pdf	Yes	No	Fillable Printable
Form and Instruction	FMS form 1201L	Direct Express Enrollment Form	Direct_Express_Enrollment_Form_July_2011.pdf	Yes	No	Fillable Printable
Form and Instruction	FMS form 1201S	Direct Express Enrollment Form SSA SSI	Direct_Express_Enrollment_Form_SSA_SSI_July_2011.pdf	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 %

	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

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.