Direct Deposit Sign-Up Form

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1530-0050 can be found here:

Documents and Forms

Document Name Document Type
Form FS Form 5396 Direct Deposit Sign-Up Form Form and Instruction
FS Form 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	FS Form 5396	Direct Deposit Sign-up Form	sav5396.pdf	https://www.treasurydirect.gov/forms/sav5396.pdf	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title: Treasury/Fiscal Service.013 – United States Securities and Access	FR Citation: 85 FR 11776

Number of Respondents: 24,000	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	24,000	-31,000	55,000
Annual IC Time Burden (Hours)	4,000	-5,167	9,167
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.