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⚠️ Notice: This information collection may be referencing outdated material.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
0634 ( revised screens).pdf www.mysocialsecurity.gov Other-Internet Screens
0634 (current screen).pdf MySocialSecurity Direct Deposit IC Document

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			0634 ( revised 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	Previously Approved
Annual Number of Responses for this IC	188,129	188,129
Annual IC Time Burden (Hours)	31,355	31,355
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
MySocialSecurity Direct Deposit	0634 (current screen).pdf	08/08/2013

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