Information Collection

Va-fsc Vendor File Request Form 10091

IC 221305 under ICR 201604-2900-021 · OMB 2900-0846.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0846 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VA Form 10091 VA-FSC VENDOR FILE REQUEST FORM 10091	Form and Instruction
VA Form 10091 VA-FSC VENDOR FILE REQUEST FORM VA10091 Final_vhr.pdf To Be Determined	Form and Instruction

IC Title:

VA-FSC VENDOR FILE REQUEST FORM 10091

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	VA Form 10091	VA-FSC VENDOR FILE REQUEST FORM	VA10091 Final_vhr.pdf	To Be Determined	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title: 13VA047, Individuals Submitting Invoices-Vouchers for Payment-VA

FR Citation: 67 FR 61209

Number of Respondents: 150,000

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	150,000	150,000
Annual IC Time Burden (Hours)	37,500	37,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.