Information Collection Request

International Direct Deposit

ICR 201810-0960-003 · OMB 0960-0686 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form SSA-1199-(Country) International Direct Deposit Form Modified Available
Addendum 0686.docx Supplementary Document Uploaded 2019-01-29 Available
Supporting Statement-0686.doc Supporting Statement A Uploaded 2019-01-29 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
9739 International Direct Deposit Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2022 36 Months From Approved 05/31/2019
13,750 0 12,500
1,146 0 1,042
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
International Direct Deposit SSA-1199-(Country) Revised Direct Deposit Sign-Up Form (Name of Country)

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 13,750 12,500 0 1,250 0 0
Annual Time Burden (Hours) 1,146 1,042 0 104 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No