201312-2030-001CF RCF OMB: 1510-0056 
OMB.report  
 
OMB 1510-0056  
 
RCF 201312-2030-001CF  
 
 ( RCF New ) 
 
 
Array
(
    [refNbr] => 201312-2030-001CF
    [obm] => 1510-0056
    [icr] => 201209-1510-001
    [status] => Historical Active
    [agency] => EPA/OMS
    [title] => General Administrative Requirements for Assistance Programs. SF 3881 - ACH VENDOR/MISCELLANEOUS PAYMENT ENROLLMENT FORM.
    [typeRCF] => RCF New
    [oiraAction] => Approved without change
    [oiraNOA] => 255091
    [termsOfClearance] =>  
    [previousRCF] => 
    [agencyTrackingNo] => 0938.18
    [conclusionDate] => 2015-10-05
    [dateReceived] => 2014-06-20
)
Document
    
	View RCF
	    
		     - OIRA Conclusion
		
		
 
    
        
            
            
        
            
                
                    RCF ID:  201312-2030-001CFPrevious RCF ID:   
                
                    Status:  
						Historical Active
                    Expiration Date:  06/30/2016 
                
                    Agency/Subagency:  EPA/OMSAgency Tracking No:  0938.18 
                
                    Host OMB Control No:  1510-0056Host ICR Reference No:  201209-1510-001 
            
            
                
                    Title:  General Administrative Requirements for Assistance Programs. SF 3881 - ACH VENDOR/MISCELLANEOUS PAYMENT ENROLLMENT FORM. 
            
            
	            
	                
	                Type of RCF:  RCF New
	                 
	             
 
         
     
                
                    OIRA Conclusion Action:  Approved without changeConclusion Date:  
                            10/05/2015
                     
                
                    
                    	Retrieve Notice of Action (NOA) 
                     
                    
                        
                                              Date Received in OIRA: 
						
                         
                        06/20/2014
                     
                 
                
                    Terms of Clearance:   
                     
    
            
 
    
         
             Description of Agency Usage:  
             	SF 3881 - ACH VENDOR/MISCELLANEOUS PAYMENT ENROLLMENT FORM. This form is used for Automated Clearing House (ACH) payments with an addendum record that contains payment-related information processed through the Vendor Express Program.
              
    
 
    
			
				
					Authorizing Statute(s): 
			
				None
			
			
			 
			 
        
 
        
	
    
        Annual Cost to Federal Government:  $147,644
         
    
        
            Agency Contact:  
            
				Danny Lavergne 702 798-2483 
					 
     
	
 
	Common Form Information Collections (IC) in this RCF: 
        
 
				
				
					
						  
						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 
						2,993 
						0 
						0 
						2,993 
						0 
						0 
					 
					
						Annual Time Burden (Hours) 
						748 
						0 
						0 
						748 
						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: 
							Moving burden from agency ICR to standard form