ACH Vendor/Miscellaneous Payment Enrollment Form

OMB Control No: 1510-0056	ICR Reference No: 201609-1510-001
Status: Historical Active	Previous ICR Reference No: 201512-1510-001
Agency/Subagency: TREAS/FMS	Agency Tracking No:
Title: ACH Vendor/Miscellaneous Payment Enrollment Form
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  Yes
Type of Review Request: Emergency	Approval Requested By: 09/20/2016
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/27/2016
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/19/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2017	6 Months From Approved	06/30/2019
Responses	0	0	50,000
Time Burden (Hours)	0	0	12,500
Cost Burden (Dollars)	0	0	0

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Abstract: Payment data will be collected from vendors doing business with the Federal Government. Treasury/Fiscal Service will use the information to electronically transmit payments to vendors and financial institutions.

Emergency Justfication: This information collection request is being submitted for the purpose of ultimately discontinuing and re-creating as a host ICR with Fiscal Service's new control number prefix.

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Authorizing Statute(s): US Code: 31 USC 3322 Name of Law: null    PL: Pub.L. 104 - 134 31001 (X) Name of Law: Debt Collection Improvement Act of 1996

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/Micellaneous Payment Enrollment Form SF3881 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	0	50,000	0	-50,000	0	0
Annual Time Burden (Hours)	0	12,500	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: No

Burden Increase Due to:

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

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The number of respondents was reduced to zero as an action to transfer the collection to the Bureau of the Fiscal Service (Fiscal Service). The Financial Management Service (FMS) and the Bureau of the Public Debt (BPD) have consolidated to become the Bureau of the Fiscal Service (Fiscal Service). Information collection requests previously held separately by BPD and FMS will now be identified by a 1530 prefix.

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Annual Cost to Federal Government: $72,450

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

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

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

Agency Contact: Bruce Sharp 304 480-8112 [email protected]

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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

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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: 09/19/2016

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