Regulatory Collection Filing

ACH Vendor/Miscellaneous Payment Form

RCF 201606-0560-005CF · Host ICR 201512-1510-001 · OMB 1510-0056

RCF Summary

Host OMB Control No.	1510-0056
Host ICR Reference No.	201512-1510-001
Agency/Subagency	USDA/FSA
Status	Historical Active
Type of RCF	RCF New
OIRA Conclusion Action	Approved
Date Received in OIRA	2016-09-07
Conclusion Date	2016-09-07
Agency Tracking No.	0560-0287
Related Links	OMB 1510-0056 · ICR 201512-1510-001 · Retrieve Notice of Action (NOA)

RCF Details

View RCF - OIRA Conclusion

Title: ACH Vendor/Miscellaneous Payment Form

Type of RCF: RCF New
OIRA Conclusion Action: Approved	Conclusion Date: 09/07/2016
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/07/2016
Terms of Clearance:

Description of Agency Usage: Farm Service Agency (FSA) requires the cotton producers to use the ACH Vender/Miscellaneous Payment Enrollment form to get payments form a Cotton Ginning Cost-Share Program.

Authorizing Statute(s): None

Annual Cost to Federal Government:
Agency Contact: Mary Ann Ball 202-720-4283 [email protected]

Common Form Information Collections (IC) in this RCF:

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
ACH Vendor/Micellaneous Payment Enrollment Form		1,500	375	0	Form and Instruction	SF3881	ACH Vendor/Miscellaneous Payment Enrollment Form

RCF Summary of Burden:

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	1,500	1,500
Annual Time Burden (Hours)	375	375
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: This is a new request to use Treasury SF3881 form. The burden associated with the use of the form will be 375 hours.