ACH Vendor/Miscellaneous Payment Form

ICR 201606-0560-005CF

OMB: 1510-0056

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
New
IC Document Collections
ICR Details
1510-0056 201606-0560-005CF
Historical Active
USDA/FSA 0560-0287
ACH Vendor/Miscellaneous Payment Form
RCF New  
Approved 09/07/2016
Retrieve Notice of Action (NOA) 09/07/2016
  Inventory as of this Action Requested Previously Approved
09/07/2016
1,500 0 0
375 0 0
0 0 0



None
None



1
IC Title Form No. Form Name
ACH Vendor/Micellaneous Payment Enrollment Form SF3881 ACH Vendor/Miscellaneous Payment Enrollment Form

  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 1,500 0 0 1,500 0 0
Annual Time Burden (Hours) 375 0 0 375 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new request to use Treasury SF3881 form. The burden associated with the use of the form will be 375 hours.

   
   
Uncollected
Uncollected
Uncollected
Uncollected
Mary Ann Ball 202-720-4283 [email protected]

 

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.


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