VA-FSC Vendor File Request Form (10091)

ICR 202309-2900-003

OMB: 2900-0846

Federal Form Document

IC Document Collections
ICR Details
2900-0846 202309-2900-003
Received in OIRA 202308-2900-005
VA 2900-0846
VA-FSC Vendor File Request Form (10091)
Revision of a currently approved collection   No
Regular 12/05/2023
  Requested Previously Approved
36 Months From Approved 01/31/2024
150,000 150,000
37,500 37,500
0 0

The authorizing statute for this data collection falls under 31 USC 3701 and Public Law 104-134, Section 31001, Debt Collection Improvement Act of 1996. The mission of the Nationwide Vendor File Division of the Department of Veterans Affairs – Financial Services Center (VA-FSC) is to add, modify, or delete vendor records in the Financial Management Services (FMS) vendor file. The VA-FSC FMS vendor file controls aspects of when, where, and how vendors are paid. There are currently more than 2.4 million active vendor records in FMS. The VA-FSC Vendor File Request Form, VA Form 10091, was created to streamline the data required to establish a vendor record from multiple sources into a single form. VA Form 10091 will be used throughout the VA to gather essential payment data from vendors (commercial, individuals, Veterans, employees, etc.) to establish or update vendor records in order to process electronic payments through the ACH network to the vendor's financial institution.

PL: Pub.L. 104 - 134 31001 Name of Law: Debt Collection Improvement Act of 1996
   US Code: 31 USC 3701 Name of Law: Debt Collection Improvement Act of 1996
  
None

Not associated with rulemaking

  88 FR 65775 09/25/2023
88 FR 231 12/04/2023
No

1
IC Title Form No. Form Name
VA-FSC Vendor File Request - VA Form 10091 10091, 10091 VA-FSC Vendor File Request Form ,   VA-FSC Vendor File Request Form

  Total Request 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 150,000 150,000 0 0 0 0
Annual Time Burden (Hours) 37,500 37,500 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$190,200
No
    Yes
    Yes
No
No
No
No
Frances O'Donnell 703 405-2449 fran.odonnell@cathexiscorp.com

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
12/05/2023


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