Internet Direct Deposit Application

Domestic Direct Deposit Application

Documents and Forms

Document Name Document Type
Internet Direct Deposit Screens.pdf www.socialsecurity.gov Other-Internet Screens
mySSA Direct Deposit Screen Package (revised).pdf www.mySocialSecurity.gov Other-Internet Direct Deposit Screen
mySSA Direct Deposit.docx Current mySocial Security Portal myDirect Deposit Screens IC Document

Information Collection (IC) Details

IC Title:	Internet Direct Deposit Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

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
Other-Internet Screens			Internet Direct Deposit Screens.pdf	www.socialsecurity.gov	Yes	Yes	Fillable Fileable Signable
Other-Internet Direct Deposit Screens			mySSA Direct Deposit Screen Package (revised).pdf	www.mySocialSecurity.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 683,397	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	683,397	229,291	454,106
Annual IC Time Burden (Hours)	113,900	38,216	75,684
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Current mySocial Security Portal myDirect Deposit Screens	mySSA Direct Deposit.docx	05/24/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.