Information Collection

Direct Deposit Sign-Up Form

IC 16679 under ICR 202401-1530-003 · OMB 1530-0050.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FS Form 5396 Direct Deposit Sign-Up Form	Form and Instruction
Form FS Form 5396 Direct Deposit Sign-up Form 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
FS Form 5396 Direct Deposit Sign-up Form sav5396.pdf www.treasurydirect.gov/forms/sav5396.pdf	Form and Instruction

IC Title:

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FS Form 5396			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 â United States Securities and Access

FR Citation: 85 FR 11776

Number of Respondents: 14,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	14,000	-10,000	24,000
Annual IC Time Burden (Hours)	2,333	-1,667	4,000
Annual IC Cost Burden (Dollars)	0	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.

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