Addendum to Supporting Statement 0686

Addendum 0686.docx

International Direct Deposit

Addendum to Supporting Statement 0686

OMB: 0960-0686

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Addendum to the Supporting Statement for Form SSA-1199-(Country)

International Direct Deposit

31 CFR 210

OMB No. 0960-0686



Minor Revisions to the Collection Instrument


SSA is making the following revisions:


  • Change #1: We are adding the following bank data request fields to page 1 under Section 3:

    • Reasons for payment check boxes

    • Relevé d'Identité Bancaire (RIB)

    • Smart National Identity Card (SNIC) number

    • Computerized National Identity (CNIC) number

    • Paraguay Bank National ID

    • Passport ID

    • State ID

    • Tax National ID

    • Beneficiary National ID

    • Bank Identification Code

    • Country Bank Information


Justification #1: We are adding additional banking fields, because some countries require a unique combination of bank information in order to process International Direct Deposit requests. Therefore, we need to make room for the necessary requested information on our form. This does not increase the burden.

  • Change #2: We are revising the Privacy Act Statement on this form.


Justification #2: SSA’s Office of the General Counsel is conducting a systematic review of SSA’s Privacy Act Statements on agency forms. As a result, SSA is updating the Privacy Act Statement on the form.

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorDavis, Paul A.
File Modified0000-00-00
File Created2021-01-20

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