Direct Deposit Sign-Up Form

ICR 201706-1530-003

OMB: 1530-0050

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2017-06-19
IC Document Collections
IC ID
Document
Title
Status
16679 Modified
ICR Details
1530-0050 201706-1530-003
Historical Active 201409-1530-014
TREAS/FISCAL
Direct Deposit Sign-Up Form
Extension without change of a currently approved collection   No
Regular
Approved without change 10/16/2017
Retrieve Notice of Action (NOA) 06/30/2017
  Inventory as of this Action Requested Previously Approved
10/31/2020 36 Months From Approved 10/31/2017
55,000 0 55,000
9,167 0 9,167
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

  82 FR 17330 04/10/2017
82 FR 30003 06/30/2017
No

1
IC Title Form No. Form Name
Direct Deposit Sign-Up Form FS Form 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 55,000 0 0 0 0
Annual Time Burden (Hours) 9,167 9,167 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$83,132
No
    Yes
    Yes
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.
06/30/2017


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