ACH Vendor/Miscellaneous Payment Enrollment Form

Forms and Documents

Document Name	Status
Form SF 3881 ACH Vendor/Miscellaneous Pyment Enrollment Form Form and Instruction	New
1530-NEW_Supp Stmt_07Mar2017.doc Supporting Statement A	2017-03-08

IC Document Collections

IC ID	Document Title	Status
226001	ACH Vendor/Miscellaneous Pyment Enrollment Form Form and Instruction	New

ICR Details

OMB Control No: 1530-0069	ICR Reference No: 201703-1530-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: TREAS/FISCAL	Agency Tracking No:
Title: ACH Vendor/Miscellaneous Payment Enrollment Form
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  Yes
Type of Review Request: Emergency	Approval Requested By: 03/31/2017
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/31/2018
	Date Received in OIRA: 03/10/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2019	6 Months From Approved
Responses	50,000	0	0
Time Burden (Hours)	12,500	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Payment data is collected from vendors doing business with the Federal Government. The Treasury Department, Bureau of the Fiscal Service will use the information to electronically transmit payment to financial institutions designated by vendors and miscellaneous recipients.

Emergency Justfication: This ICR is submitted as an emergency clearance to establish an OMB Control Number belonging to Fiscal Service that will replace collection activities covered by OMB Control Number 1510-0056, previously held by the Financial Management Service (FMS). PRA responsibilities of the former Financial Management Service (FMS) and Bureau of the Public Debt (BPD) have been combined under Fiscal Service. Competing priorities related to the Fiscal Service consolidation have not allowed staff to provide proper notice for comments to the public in the Federal Register. Following approval of the emergency clearance, Fiscal Service will follow the regular timeline for an ICR renewal including public notices in the Federal Register with opportunity for public comments.

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Authorizing Statute(s): US Code: 31 USC 3322 Name of Law: Disbursing Officials
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
ACH Vendor/Miscellaneous Pyment Enrollment Form	SF 3881	ACH Vendor/Miscellaneous Payment Enrollment Form

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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	50,000	0	0	50,000	0	0
Annual Time Burden (Hours)	12,500	0	0	12,500	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This ICR is submitted to establish an OMB Control Number belonging to Fiscal Service that will replace collection activities covered by OMB Control Number 1510-0056, previously held by the Financial Management Service (FMS).

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Annual Cost to Federal Government: $72,450

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

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

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Common Form ICR:  Yes

Description/Changes for Common Form Usage: 

Approved RCFs using this ICR

Agency/Sub Agency	RCF ID	RCF Title	RCF Status	IC Title
USDA/FSA	201903-0560-001CF	SF-3881- ACH Vendor/Miscellaneous Payment	Historical Active	ACH Vendor/Miscellaneous Pyment Enrollment Form

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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: 03/10/2017

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