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International Direct Deposit
International Direct Deposit
OMB: 0960-0686
IC ID: 9739
OMB.report
SSA
OMB 0960-0686
ICR 201007-0960-008
IC 9739
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0686 can be found here:
2022-06-01 - Revision of a currently approved collection
2021-07-28 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form SSA-1199((United K
International Direct Deposit
Form
SSA-1199((United K Direct Deposit Sign-Up Form (United Kingdom)
SSA-1199 United Kingdom (revised).doc
Form
SSA-1199-OP6 Direct Deposit Sign-Up Form (Name of Country)
SSA-1199 (revised).doc
Form
SSA-1199-(Country).pdf
SSA-1199-OP6 (Country) current
IC Document
SSA-1199 Canada F.pdf
SSA-1199-OP21(Canada)
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
International Direct Deposit
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
31 CFR 210
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
SSA-1199((United Kingddom)
Direct Deposit Sign-Up Form (United Kingdom)
SSA-1199 United Kingdom (revised).doc
No
Paper Only
Form
SSA-1199-OP6
Direct Deposit Sign-Up Form (Name of Country)
SSA-1199 (revised).doc
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
General Retirement and Disability
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
5,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
5,000
0
0
0
0
5,000
Annual IC Time Burden (Hours)
417
0
0
0
0
417
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
SSA-1199-OP6 (Country) current
SSA-1199-(Country).pdf
07/14/2010
SSA-1199-OP21(Canada)
SSA-1199 Canada F.pdf
07/14/2010
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.