International Direct Deposit

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0686 can be found here:

Documents and Forms

Document Name Document Type
Form SSA-1199-(Country) International Direct Deposit Form
Forms and Countries.pdf Other-Form numbers and Countries
Forms and Countries.pdf Other-Form numbers and Countries
SSA-1199-(Country) Direct Deposit Sign-Up Form (Name of Country) SSA-1199.pdf Form
SSA-1199-(Country) Direct Deposit Sign-Up Form (Name of Country) SSA-1199.pdf Form
SSA-1199 Caribbean Direct Deposit Sign-Up Form (Name of Country) SSA-1199 (Revised Version for Caribbean-based Countries).pdf Form
SSA-1199 Caribbean Direct Deposit Sign-Up Form (Name of Country) SSA-1199 (Revised Version for Caribbean-based Countries).pdf Form

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	Available Electronically?	Electronic Capability
Form	SSA-1199-(Country)	Direct Deposit Sign-Up Form (Name of Country)	SSA-1199.pdf	No	Paper Only
Other-Form numbers and Countries			Forms and Countries.pdf	No	Paper Only
Form	SSA-1199 Caribbean-based Countries (revised)	Direct Deposit Sign-Up Form (Name of Country)	SSA-1199 (Revised Version for Caribbean-based Countries).pdf	No	Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 13,750	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	13,750	13,750
Annual IC Time Burden (Hours)	1,146	1,146
Annual IC Cost Burden (Dollars)	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.