Direct Deposit Sign-Up Form

ICR 200501-1510-001

OMB: 1510-0007

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
39066 Migrated
ICR Details
1510-0007 200501-1510-001
Historical Active 200411-1510-002
TREAS/FMS
Direct Deposit Sign-Up Form
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 01/31/2005
Retrieve Notice of Action (NOA) 01/31/2005
  Inventory as of this Action Requested Previously Approved
03/31/2007 03/31/2007 03/31/2007
406,715 0 406,715
69,142 0 69,142
0 0 0

The Direct Deposit Sign-Up Form is used by recipients to authorize the deposit of Federal payments into their accounts at financial institutions. The information is used to route the Direct Deposit payment to the correct account at the correct financial institution. It identifies persons who have executed the form.

None
None


No

1
IC Title Form No. Form Name
Direct Deposit Sign-Up Form SF-1199-A

  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 406,715 406,715 0 0 0 0
Annual Time Burden (Hours) 69,142 69,142 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
01/31/2005


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