Information Collection

Direct Deposit Sign-Up Forms

IC 39066 under ICR 202302-1530-005 · OMB 1530-0006.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1530-0006 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SF-1199A Direct Deposit Sign-Up Forms	Form and Instruction
SF-1199A Direct Deposit Sign Up Form Form_1199A_Jan_29_2020.pdf	Form and Instruction
SF-1199A Direct Deposit Sign Up Form Form_1199A_Jan_29_2020.pdf	Form and Instruction
FS Form 1200 Go Direct Sign Up Form for Direct Deposit of Federal Ben FS_form_1200.pdf	Form and Instruction
FS Form 1200 Go Direct Sign Up Form for Direct Deposit of Federal Ben FS_form_1200.pdf	Form and Instruction
FS Form 1200 Go Direct Sign Up Form (Spanish) FS_form_1200_span.pdf	Form and Instruction
FS Form 1200 Go Direct Sign Up Form (Spanish) FS_form_1200_span.pdf	Form and Instruction
FS Form 1200 VADE Direct Express FS 1200VADE_Jan_29_2020.pdf	Form and Instruction
FS Form 1200 VADE Direct Express FS 1200VADE_Jan_29_2020.pdf	Form and Instruction
FS Form 1201L Direct Express Enrollment Form Form _1201L_Jan_29_2020.pdf	Form and Instruction
FS Form 1201L Direct Express Enrollment Form Form _1201L_Jan_29_2020.pdf	Form and Instruction
FS Form 1201S Direct Express Enrollment Form SSA SSI Form_1201_S_Direct_Express_Enrollment_Form_SSA_SSI_Jan_29_2019.pdf	Form and Instruction
FS Form 1201S Direct Express Enrollment Form SSA SSI Form_1201_S_Direct_Express_Enrollment_Form_SSA_SSI_Jan_29_2019.pdf	Form and Instruction
Form 1200 Online Agency Portal Go Direct Sign Up Form Form 1200 Online.pdf	Form
Form 1200 Online Agency Portal Go Direct Sign Up Form Form 1200 Online.pdf	Form

IC Title:

Direct Deposit Sign-Up Forms

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SF-1199A	Direct Deposit Sign Up Form	Form_1199A_Jan_29_2020.pdf	Yes	No	Printable Only
Form and Instruction	FS Form 1200	Go Direct Sign Up Form for Direct Deposit of Federal Benefit Payments	FS_form_1200.pdf	Yes	No	Printable Only
Form and Instruction	FS Form 1200	Go Direct Sign Up Form (Spanish)	FS_form_1200_span.pdf	Yes	No	Fillable Printable
Form and Instruction	FS Form 1200 VADE	Direct Express	FS 1200VADE_Jan_29_2020.pdf	Yes	No	Fillable Printable
Form and Instruction	FS Form 1201L	Direct Express Enrollment Form	Form _1201L_Jan_29_2020.pdf	Yes	No	Fillable Printable
Form and Instruction	FS Form 1201S	Direct Express Enrollment Form SSA SSI	Form_1201_S_Direct_Express_Enrollment_Form_SSA_SSI_Jan_29_2019.pdf	Yes	No	Fillable Printable
Form	Form 1200 Online	Agency Portal Go Direct Sign Up Form	Form 1200 Online.pdf	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title: Treasury/Fiscal Service.007 â Direct Deposit Enrollment Records

FR Citation: 85 FR 11776

Number of Respondents: 406,715

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 2 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	406,715	406,715
Annual IC Time Burden (Hours)	67,786	67,786
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.