Information Collection

VA-FSC Vendor File Request - VA Form 10091

IC 221305 under ICR 202309-2900-003 · OMB 2900-0846.

Documents and Forms

Document Name Document Type
Form 10091 VA-FSC Vendor File Request - VA Form 10091 Form and Instruction
10091 VA-FSC Vendor File Request Form VA Form 10091.pdf Form and Instruction
10091 VA-FSC Vendor File Request Form VA Form 10091.pdf Form and Instruction
10091 VA-FSC Vendor File Request Form VA Form 10091_Screenshots.pdf Form and Instruction
10091 VA-FSC Vendor File Request Form VA Form 10091_Screenshots.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	VA-FSC Vendor File Request - VA Form 10091	Agency IC Tracking Number:	2900-0846

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	10091	VA-FSC Vendor File Request Form	VA Form 10091.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	10091	VA-FSC Vendor File Request Form	VA Form 10091_Screenshots.pdf		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: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
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

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.