International Direct Deposit

Forms and Documents

Document Name	Status
Form SSA-1199-(Country) International Direct Deposit Form	Modified
Justification for Non-Substantive Changes - 0686.docx Justification for No Material/Nonsubstantive Change	2018-04-23

IC Document Collections

IC ID	Document Title	Status
9739	International Direct Deposit Form	Modified

ICR Details

OMB Control No: 0960-0686	ICR Reference No: 201804-0960-004
Status: Historical Active	Previous ICR Reference No: 201512-0960-004
Agency/Subagency: SSA	Agency Tracking No:
Title: International Direct Deposit
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/08/2018
	Date Received in OIRA: 05/08/2018
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2019	03/31/2019	03/31/2019
Responses	12,500	0	12,500
Time Burden (Hours)	1,042	0	1,042
Cost Burden (Dollars)	0	0	0

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Abstract: SSA's International Direct Deposit (IDD) Program allows beneficiaries living abroad to receive their payments via direct deposit to an account at a financial institution outside the United States. SSA uses Form SSA-1199-(Country) to obtain the direct deposit information for such foreign accounts, and enroll title II beneficiaries residing abroad in IDD. Routing account number information varies slightly for each foreign country, so we use a variation of the Treasury Department's Form SF–1199A for each country. The respondents are Social Security beneficiaries residing abroad who want SSA to deposit their benefits payments directly to a foreign financial institution. We are completing a Non-Substantive Change Request to make minor language changes to the form, in addition to updates to the PA and PRA Statements.

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Authorizing Statute(s): US Code: 31 USC 3302 Name of Law: Custodians of Money
   US Code: 31 USC 3332 Name of Law: Required Direct Deposit
   US Code: 31 USC 3720 Name of Law: Collection of Payments
   US Code: 31 USC 335 Name of Law: Timely Disbursement of Federal funds
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 72468	11/19/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 6568	02/08/2016
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
International Direct Deposit	SSA-1199-(Country) Revised	Direct Deposit Sign-Up Form (Name of Country)

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ICR Summary of Burden

	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	12,500	12,500	0	0	0	0
Annual Time Burden (Hours)	1,042	1,042	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The increase in burden stems from an increase in respondents. This change is due to an increase of participation in SSA’s International Direct Deposit benefit payment option, which increases the public reporting burden accordingly.

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Annual Cost to Federal Government: $60,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 05/08/2018

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