Domestic Direct Deposit Application

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Addendum - 0634.docx	Supplementary Document	Uploaded 2016-03-15	Available
Supporting Statement - 0634.docx	Supporting Statement A	Uploaded 2016-03-15	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
9661	Internet Direct Deposit Application	Other-Internet Screens	Modified
203415	Direct Deposit Fraud Indicator - Intranet Only	Other-Intranet Screens	Modified
203414	Automated Telephone Services - Direct Deposit	Other-Automated Telephone Call Flow	Removed
203413	Personal Interview - Intranet Screens (field office or National 800 Number)	Other-Intranet Screens	Modified

ICR Details

OMB Control No: 0960-0634	ICR Reference No: 201511-0960-012
Status: Historical Active	Previous ICR Reference No: 201308-0960-003
Agency/Subagency: SSA	Agency Tracking No:
Title: Domestic Direct Deposit Application
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/19/2016
	Date Received in OIRA: 03/15/2016
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2019	36 Months From Approved	05/31/2016
Responses	3,878,581	0	6,653,945
Time Burden (Hours)	749,807	0	1,322,852
Cost Burden (Dollars)	0	0	0

---

Abstract: SSA requires all applicants and recipients of Social Security Old Age, Survivors, and Disability Insurance (OASDI) benefits, or Supplemental Security Income payments to receive these benefits and payments via direct deposit at a financial institution. SSA receives Direct Deposit/Electronic Funds Transfer (DD/EFT) enrollment information from OASDI beneficiaries and SSI recipients to facilitate DD/EFT of their funds with their chosen financial institution. We also use this information when an enrolled individual wishes to change their DD/EFT information. For the convenience of the respondents, we collect this information through several modalities, including an Internet application, in-office or telephone interviews, and our automated telephone system. In addition to using the direct deposit information to enable DD/EFT of funds to the recipient’s chosen financial institution, we also use the information through our Direct Deposit Fraud Indicator to ensure the correct recipient receives the funds. Respondents are OASDI beneficiaries and SSI recipients requesting that we enroll them in the Direct Deposit program or change their direct deposit banking information.

---

Authorizing Statute(s): US Code: 12 USC 391 Name of Law: Social Security Act
   US Code: 5 USC 301 Name of Law: Social Security Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 81664	12/30/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 10699	03/01/2016
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Personal Interview - Intranet Screens (field office or National 800 Number)
Direct Deposit Fraud Indicator - Intranet Only
Internet Direct Deposit Application
Automated Telephone Services - Direct Deposit

---

ICR Summary of Burden

table that charts list of burden

	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	3,878,581	6,653,945	0	0	-2,775,364	0
Annual Time Burden (Hours)	749,807	1,322,852	0	0	-573,045	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The significant decrease in the burden information is due to both the termination of the automated direct deposit service to callers reaching the field offices and N8NN, as well as the agency initiative to move respondents away from direct mail and sign them up for direct deposit (see the Addendum for more information).

---

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 03/15/2016

---