SUPPORTING STATEMENT
Direct Deposit Sign‑Up Form Standard Form 1199A and
Go Direct Sign-Up Form, FMS Form 1200
Justification
Explain the circumstances that make the collection of information necessary. Identify any legal or administrative requirements that necessitate the collection. Attach a copy of the appropriate section of each statute and regulation mandating or authorizing the collection of information.
In the Direct Deposit Program, Federal payments are directed to accounts maintained by recipients at financial institutions. There are two key pieces of information that are necessary in order to route these payments to the account at the financial institution. They are the depositor's account number and the financial institution's routing transit number. This information is used by Treasury, the Federal Reserve System, and the financial institution to route payments to the payee's account, and the remaining information collected allows program agencies to match the payee information to their payment records, and provides the identification and the means to contact those who have processed the SF 1199A, FMS 1200 VADE and FMS Form 1200. The FMS Form 1200, Go Direct Sign-Up Form (English and Spanish versions), specifically designed for the Go Direct Program has authentication elements added to identify the direct deposit enrollee. The information on these forms, and the certification of the payee and the joint account holders on the front of the forms, serve to verify their awareness of the legalities/stipulations incurred by their enrollment in the Direct Deposit Program. Form FMS 1200 VADE allows VA Compensation and Pension check recipients to sign up to receive monthly benefits via the Direct Express Card instead of a check. This information is collected by authority of 5 USC 301; 12 USC 391; 31 CFR 209 or 210; 31 USC 492.
Indicate how, by whom, and for what purpose the information is to be used. Except for a new collection, indicate the actual use the agency has made of the information received from the current collection.
See number 1 above.
Describe whether, and to what extent, the collection of information involves the use of automated, electronic, mechanical, or other technological collection techniques or other forms of information technology, e.g., permitting electronic submission of responses, and the basis for the decision for adopting this means of collection. Also describe any consideration of using information technology to reduce burden.
The information that is collected on the Direct Deposit Sign-Up form and Go Direct Sign-Up Form may also be collected by telephone, on-line, and mail. All benefit agencies have procedures by which the payee may enroll in the Direct Deposit Program by calling either the agency or the financial institution. In addition, the Quick$tart enrollment process allows financial institutions to submit enrollment information to the agencies through the Automated Clearing House network.
Describe efforts to identify duplication. Show specifically why any similar information already available cannot be used or modified for use for the purposes described in Item 2 above.
To our knowledge there is no other information collection system, which collects and matches the recipients’ names, depositor account numbers at the financial institutions, and routing transit numbers of these financial institutions. This matching must be carried out by the voluntary completion of this form (or by the methods described in number 3 above) by recipients and financial institutions.
This form seeks to collect only the most basic data, which allows us to route a payment appropriately, via electronic funds transfer.
If the collection of information impacts small businesses or other small entities (Item 5 of OMB Form 83-I), describe any methods used to minimize burden.
NONE
Describe the consequence to Federal program or policy activities if the collection is not conducted or is conducted less frequently, as well as any technical or legal obstacles to reducing burden.
In order to enroll recipients in the Direct Deposit Program it is a necessity that this information be collected. In addition, Public Law 104‑134, the Omnibus Consolidated Rescissions and Appropriations Act of 1996, requires that virtually everyone who receives payments from the Federal Government receive them by electronic funds transfer by January 1, 1999.
Explain any special circumstances that would cause an information collection to be conducted in a manner: *requiring respondents to report information to the agency more often than quarterly; *requiring respondents to prepare a written response to a collection of information in fewer than 30 days after receipt of it; requiring respondents to submit more than an original and two copies of any document; etc.
There are no special circumstances that would require that this information be collected in the manner described in any of the clauses of this section.
If applicable, provide a copy and identify the date and page number of publication in the Federal Register of the agency’s notice, required by 5 CFR 1320.8(d), soliciting comments on the information collection prior to submission to OMB. Summarize public comments received in response to that notice and describe actions taken by the agency in response to these comments. Specifically address comments received on cost and hour burden.
Federal Register‑ 1/27/2010 (Vol. 75, Number 75, Pages 4450-4451)
To our knowledge there were no comments on this notice.
Explain any decision to provide any payment or gift to respondents, other than reenumeration of contractors or grantees.
NA
Describe any assurance of confidentiality provided to respondents and the basis for the assurance in statute, regulation, or agency policy.
The Right to Financial Privacy Act protects individuals from disclosure of their financial records by a financial institution to the Government. With certain exemptions under this Act, no financial institution record of information may be given to the Government by a financial institution without the consent of the individual. It is this situation, which requires us to collect the data originally rather than to attempt to gain reference to another source.
The personal identifier information collected on this form is already collected and handled by two parties involved in the collection process: financial institutions and Federal agencies. It is presumed that they will continue to use existing methods of safeguarding this information. Privacy Act of 1974 information is printed on the reverse of the form in order that the recipient may read it.
Provide additional justification for any questions of a sensitive nature, such as sexual behavior and attitudes, religious beliefs, and other matters that are commonly considered private. This justification should include the reasons why the agency considers the questions necessary, the specific uses to be made of the information, the explanation to be given to persons from whom the information is requested, and any steps to be taken to obtain their consent.
There are no sensitive questions in the information collection.
Provide estimates of the hour burden of the collection of information. The statement should: *indicate the number of respondents, frequency of response, annual hour burden; and an explanation of how the burden was estimated.
Number of respondents‑ 406,715
Frequency of response‑ once
Annual hour burden‑ 69,142 hours (.17 hours per form)
Provide an estimate for the total annual cost burden to respondents or recordkeepers resulting from the collection of information. (Do not include the cost of any hour burden shown in Items 12 and 14).
There are no costs to respondents other than mailing costs.
Provide estimates of annualized costs to the Federal government. Also, provide a description of the method used to estimate cost, which should include quantification of hours, operational expenses (such as equipment, overhead, printing, and support staff), and any other expense that would not have been incurred without this collection of information. Agencies may also aggregate cost estimates from Items 12, 13, and 14 in a single table.
Annualized costs to government:
Agency information collections mail 406,715
handling‑ 30 secs. per form x GS‑4/1 x $.09
personnel cost $11.75/hr. = .09 $36,604 $36,604
Advise and assist recipients in form $18.63/hr.= $1.55
completion‑ 5 min. for every 5th form 12
x GS‑8/2 personnel cost $18.63/hr. = 1.55
406,715 = 81,343 81,343
x $1.55
$126,082 $126,082
Input data into payment system ‑ 2 min.
per form by GS‑4/1 personnel cost 406,715
$ x .39
$11.75 = $.39 $158,618 $158,618
30
Corrections, revisions, returns‑ 5 min.
per every 10th form by GS‑8/2 40,672
x $1.55
$18.63 = $1.55 $ 63,041 $ 63,041
12
406,715 = 40,672
10
TOTAL $384,345
Note: Printing costs for the SF-1199A are recouped by the sale of the form to financial institutions through the Superintendent of Documents. The form will be completed by recipients who wish to initiate the Direct Deposit of their Federal payments. The form will also be used to change existing payment information such as the directing of payment to a different financial institution. There is no cost to print the Go Direct Sign-Up Form. Benefit recipients can go on-line file out the form and print it for further processing. Completion time for the forms are estimated at .17 hours per form (approximately 10 minutes for completion). This estimate is based on the conducting of tests in the office to determine completion time.
The estimates of respondents and burden hours are the result of the following factors:
a. The number of recipients enrolling in DD/EFT. This program office has no control over the number of enrollments, and additionally, we hope to increase participation through marketing and system expansion effort;
b. The use of this form to change existing DD/EFT payment information. We are continuing to decrease the use of this form for this purpose. The use of Notification of Change procedures for some of the payment information will decrease the use of this form for that purpose;
c. Approximately 4.60% of our enrollees die each year. The replacement of these deceased participants does not contribute to a growth in enrollment; however, these replacements are actually new enrollments and must be counted as such.
Explain the reasons for any program changes or adjustments reported in Items 13 or 14 of the OMB Form 83-I
N/A
For collections of information whose results will be published, outline plans for tabulation and publication. Address any complex analytical techniques that will be used. Provide the time schedule for the entire project, including beginning and ending dates of the collection of information, completion of report, publication dates, and other actions.
The results of the collection of this information will not be published.
If seeking approval to not display the expiration date for OMB approval of the information collection, explain the reasons that display would be inappropriate.
We believe the public interest will be better served by not printing an expiration date on the form. Printing the expiration date on the form will result in increased costs because of the need to replace inventories that become obsolete by passage of the expiration date each time OMB approval is needed. Without printing the expiration date, supplies of the form could continue to be used.
Not printing the expiration date on the form will also avoid confusion among users who may have identical forms with different expiration dates in their possession.
For the above reasons, we request authorization to omit printing the expiration date on this form and permission to use previous versions of forms.
Explain each exception to the certification statement identified in Item 19, “Certification for Paperwork Reduction Act Submissions,” of OMB Form 83-I.
N/A
Collections of Information Employing Statistical Methods.
The agency should be prepared to justify its decision not to use statistical methods in any case where such methods might reduce burden or improve accuracy of results. When Item 17 on the Form OMB 83-I is checked, “Yes,” the following documentation should be included in the Supporting Statement to the extend that it applies to the methods proposed:
This information collection does not employ statistical methods.
| File Type | application/msword |
| File Title | SUPPORTING STATEMENT |
| Author | Susan Alvarez |
| Last Modified By | US Department of Treasury |
| File Modified | 2010-05-28 |
| File Created | 2010-05-28 |