Direct Deposit and Change of Address Authorization

Citizen-Centric Online Self-Services (CCOSS) Authorization

Documents and Forms

Document Name Document Type
Form Form COA-1 (XX-XX) Direct Deposit and Change of Address Authorization Form
Form COA-1 (XX-XX) Change of Address (Internet) Form COA-1 (XX-XX) Proposed Internet Screens Descriptions.docx Form
Form DDC-1 (XX-XX) Direct Deposit Change (Internet) Form DDC-1 (XX-XX) Proposed Internet Screens Descriptions.docx Form
SF 1199a.pdf SF 1199A IC Document

Information Collection (IC) Details

IC Title:	Direct Deposit and Change of Address Authorization	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 321 20 CFR 325

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Form COA-1 (XX-XX) Proposed	Change of Address (Internet)	Form COA-1 (XX-XX) Proposed Internet Screens Descriptions.docx		Yes	Yes	Fillable Fileable
Form	Form DDC-1 (XX-XX) Proposed	Direct Deposit Change (Internet)	Form DDC-1 (XX-XX) Proposed Internet Screens Descriptions.docx		Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title: RRB-21, Railroad Unemployment and Sickness Insurance Benefit System	FR Citation: 79 FR 58874

Number of Respondents: 33,995	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
Annual Number of Responses for this IC	33,995	33,995
Annual IC Time Burden (Hours)	3,892	3,892
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SF 1199A	SF 1199a.pdf	08/07/2025

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