Internet Direct Deposit Application

Domestic Direct Deposit Application

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0634 can be found here:

Documents and Forms

Document Name Document Type
new screens.pdf mwww.ba.ssa.gov/onlineservices/ Other-Internet Screens - for iClaim
MySSA Direct Deposit Screens.pdf www.mysocialsecurity.gov Other-Internet Screens

Information Collection (IC) Details

IC Title:	Internet Direct Deposit Application	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
Other-Internet Screens - for iClaim and i3368			new screens.pdf	http://mwww.ba.ssa.gov/onlineservices/	Yes	Yes	Fillable Fileable Signable
Other-Internet Screens			MySSA Direct Deposit Screens.pdf	www.mysocialsecurity.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 188,129	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	188,129	98,129	90,000
Annual IC Time Burden (Hours)	31,355	16,355	15,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.