View Information Collection Request (ICR) Package
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Brief and OIRA conclusion
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Burden
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Certification
View Information Collection (IC) List
View Supporting Statement and Other Documents
Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
1530-0006
ICR Reference No:
201610-1530-006
Status:
Historical Active
Previous ICR Reference No:
201407-1530-006
Agency/Subagency:
TREAS/FISCAL
Agency Tracking No:
Title:
Direct Deposit Sign-Up Form and Go Direct Sign Up Form
Type of Information Collection:
Extension without change of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
12/27/2016
Retrieve Notice of Action (NOA)
Date Received in OIRA:
10/27/2016
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
12/31/2019
36 Months From Approved
12/31/2016
Responses
406,715
0
406,715
Time Burden (Hours)
67,786
0
67,786
Cost Burden (Dollars)
0
0
0
Abstract:
The Direct Deposit Sign-Up Form is used by recipients to authorize the deposit of Federal payments into their accounts at financial institutions. The information is used to route the Direct Deposit payment to the correct account at the correct financial institution. It identifies persons who have executed the form.
Authorizing Statute(s):
US Code:
12 USC 391
Name of Law: Banks and Banking;Federal reserve banks as Government depositaries and fiscal agents
US Code:
5 USC 301
Name of Law: GOVERNMENT ORGANIZATION AND EMPLOYEES; Departmental regulations
US Code:
31 USC 492
Name of Law: MONEY AND FINANCE
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
81 FR 56754
08/22/2016
30-day Notice:
Federal Register Citation:
Citation Date:
81 FR 74868
10/27/2016
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
Direct Deposit Sign-Up Forms
FS Form 1200, FS Form 1201S, Form 1200 Online, FS Form 1200 VADE, FS Form 1201L, SF-1199A, FS Form 1200
Direct Deposit Sign Up Form
,
Go Direct Sign Up Form for Direct Deposit of Federal Benefit Payments
,
Go Direct Sign Up Form (Spanish)
,
Direct Express
,
Direct Express Enrollment Form
,
Direct Express Enrollment Form SSA SSI
,
Agency Portal Go Direct Sign Up Form
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
406,715
406,715
0
0
0
0
Annual Time Burden (Hours)
67,786
67,786
0
0
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
Annual Cost to Federal Government:
$384,345
Does this IC contain surveys, censuses, or employ statistical methods?
No
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Bruce Sharp 304 480-8112 Bruce.Sharp@bpd.treas.gov
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
10/27/2016
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