№ lp_1_07464
Year: 2015–2016
Agency: Social Security Administration (SSA)
Form Number: SSA-1199-(Country)
Type of Document: Government form supporting statement
Subject: International Direct Deposit enrollment and information collection
Legal Authority: Social Security Act, section 205(a)
OMB Control Number: 0960-0686
Number of Respondents: 12,500 annually
Average Completion Time: 5 minutes per respondent
Countries Covered: 75+
Distribution Method: Mail and PDF via SSA, Embassies, Field Offices, Federal Benefits Units
Confidentiality Provisions: 42 U.S.C. 1306; 20 CFR 401, 402; 5 U.S.C. 552, 552a; OMB Circular No. A-130
Annual Federal Processing Cost: Approximately $60,000
Description: Federal supporting statement detailing the collection of international direct deposit information for Social Security Title II beneficiaries, including respondent instructions, legal basis, burden estimates, and variations by country.
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.

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