Regulatory Collection Filing

SF-3881, ACH Vendor/Misc Payment Enrollment Form (1530-0069)

RCF 202203-0570-007CF · Host ICR 201904-1530-009 · OMB 1530-0069

RCF Summary

Host OMB Control No.	1530-0069
Host ICR Reference No.	201904-1530-009
Agency/Subagency	USDA/RBS
Status	Active
Type of RCF	RCF New
OIRA Conclusion Action	Approved without change
Date Received in OIRA	2022-04-13
Conclusion Date	2022-04-13
Related Links	OMB 1530-0069 · ICR 201904-1530-009 · Retrieve Notice of Action (NOA)

RCF Details

View RCF - OIRA Conclusion

Title: SF-3881, ACH Vendor/Misc Payment Enrollment Form (1530-0069)

Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/13/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/13/2022
Terms of Clearance:

Description of Agency Usage: OMB Control Number 0570-0079. Completed once, by the awardee, at the time of award closing.

Authorizing Statute(s): None

Annual Cost to Federal Government:
Agency Contact: Pamela Bennett 202 720-9639 [email protected]

Common Form Information Collections (IC) in this RCF:

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
ACH Vendor/Miscellaneous Pyment Enrollment Form		15	4	0	Form and Instruction	SF 3881	ACH Vendor/Miscellaneous Payment Enrollment Form

RCF Summary of Burden:

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	15	15
Annual Time Burden (Hours)	4	4
Annual Cost Burden (Dollars)	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: The agency is requesting to use the form which will result in a program change of 4 burden hours.