ACH Vendor/Miscellaneous Payment Enrollment Form

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form SF 3881 ACH Vendor/Miscellaneous Pyment Enrollment Form	Form and Instruction	Modified	Available
1530-0069_Supp Stmt_2019.doc	Supporting Statement A	Uploaded 2019-04-09	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
226001	ACH Vendor/Miscellaneous Pyment Enrollment Form	Form and Instruction	Modified

ICR Details

OMB Control No: 1530-0069	ICR Reference No: 201904-1530-009
Status: Active	Previous ICR Reference No: 201703-1530-001
Agency/Subagency: TREAS/FISCAL	Agency Tracking No:
Title: ACH Vendor/Miscellaneous Payment Enrollment Form
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  Yes
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/27/2019
	Date Received in OIRA: 04/30/2019
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2022	36 Months From Approved	06/30/2019
Responses	50,000	0	50,000
Time Burden (Hours)	12,500	0	12,500
Cost Burden (Dollars)	0	0	0

---

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.

---

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

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:
	84 FR 1832	02/05/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 17450	04/25/2019
Did the Agency receive public comments on this ICR? No

---

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

table that charts list of burden

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

---

ICR Summary of Burden

table that charts list 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	50,000	0	0	0	0
Annual Time Burden (Hours)	12,500	12,500	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: $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

---

Common Form ICR:  Yes

Description/Changes for Common Form Usage:  The SF 3881 is used by Federal Program agencies to gather essential payment data from vendors for processing payments through the ACH network to the vendor's financial institution. Treasury/Fiscal Service cannot process an ACH credit transaction without the vendor's financial institution information. The data received by using this technique enables the agency to pay vendors and miscellaneous recipients electronically.

Approved RCFs using this ICR

table that charts list of RCF

Agency/Sub Agency	RCF ID	RCF Title	RCF Status	IC Title
USDA/RHS	202007-0575-004CF	SF 3881 ACH Vendor/Miscellaneous Payment Enrollment Form	Active	ACH Vendor/Miscellaneous Pyment Enrollment Form
NCUA	201910-3133-001CF	SF 3881 - ACH Vendor/Miscellaneous Payment Enrollment Form	Active	ACH Vendor/Miscellaneous Pyment Enrollment Form
USDA/FSA	201906-0560-001CF	SF-3881- ACH Vendor/Miscellaneous Payment	Active	ACH Vendor/Miscellaneous Pyment Enrollment Form
DOT/FAA	202004-2120-013CF	FAA Aircraft Pilot Workforce Development Grant Program - ACH Forms Request	Active	ACH Vendor/Miscellaneous Pyment Enrollment Form, ACH Vendor/Miscellaneous Pyment Enrollment Form
DOT/FAA	202004-2120-022CF	FAA Aviation Maintenance Technical Workers Workforce Development Grant Program - ACH Payment Form Request	Active	ACH Vendor/Miscellaneous Pyment Enrollment Form, ACH Vendor/Miscellaneous Pyment Enrollment Form

---

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: 04/30/2019

---