International Direct Deposit

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form SSA-1199 Caribbean Direct Deposit Sign-Up Form (Name of Country)	Form	Modified	Available
Form SSA-1199-(Country) Direct Deposit Sign-Up Form (Name of Country)	Form	Modified	Available
Form SSA-1199-(Country) International Direct Deposit	Form	Modified	Available
Justification for a Non-Substantive Change - 0686.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2021-07-26	Repair queued
Supporting Statement-0686.doc	Supporting Statement A	Uploaded 2019-01-29	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
9739	International Direct Deposit	Form	Modified	Direct Deposit Sign-Up Form (Name of Country)
9739	International Direct Deposit	Form	Modified	Direct Deposit Sign-Up Form (Name of Country)
9739	International Direct Deposit	Form	Modified
9739	International Direct Deposit	Other-Form numbers and Countries	Modified

ICR Details

OMB Control No: 0960-0686	ICR Reference No: 202107-0960-005
Status: Historical Active	Previous ICR Reference No: 201810-0960-003
Agency/Subagency: SSA	Agency Tracking No:
Title: International Direct Deposit
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/11/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/28/2021
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2022	06/30/2022	06/30/2022
Responses	13,750	0	13,750
Time Burden (Hours)	1,146	0	1,146
Cost Burden (Dollars)	0	0	0

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Abstract: SSA's International Direct Deposit (IDD) Program allows beneficiaries living abroad to receive their payments via direct deposit to an account at a financial institution outside the United States. SSA uses Form SSA-1199-(Country) to obtain the direct deposit information for such foreign accounts, and enroll title II beneficiaries residing abroad in IDD. Routing account number information varies slightly for each foreign country, so we use a variation of the Treasury Department's Form SF–1199A for each country. The respondents are Social Security beneficiaries residing abroad who want SSA to deposit their benefits payments directly to a foreign financial institution. We are completing a Non-Substantive Change Request to advise that P.O. box addresses are no longer accepted, adding the option to have the beneficiary or representative payee email address, and adding a email address for the Federal Benefit Unit.

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Authorizing Statute(s): US Code: 31 USC 3720 Name of Law: Collection of Payments
   US Code: 31 USC 3302 Name of Law: Custodians of Money
   US Code: 31 USC 335 Name of Law: Timely Disbursement of Federal funds
   US Code: 31 USC 3332 Name of Law: Required Direct Deposit
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 56133	11/09/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 371	01/25/2019
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
International Direct Deposit	SSA-1199-(Country) , SSA-1199 Caribbean-based Countries (revised)	Direct Deposit Sign-Up Form (Name of Country) ,   Direct Deposit Sign-Up Form (Name of Country)

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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	13,750	13,750	0	0	0	0
Annual Time Burden (Hours)	1,146	1,146	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $68,000

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

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? No

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Common Form ICR:  No

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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: 07/28/2021

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