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FSC Vendor File Request - VA Form 10091
VA-FSC Vendor File Request - Form 10091
OMB: 2900-0846
IC ID: 221305
OMB.report
VA
OMB 2900-0846
ICR 201908-2900-008
IC 221305
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0846 can be found here:
2023-12-05 - Revision of a currently approved collection
2023-08-10 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form VA Form 10091
FSC Vendor File Request - VA Form 10091
Form and Instruction
VA Form 10091 FSC Vendor File Request - VA Form 10091
VA Form 10091_exp 07312019.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
FSC Vendor File Request - VA Form 10091
Agency IC Tracking Number:
2900-0846
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
VA Form 10091
FSC Vendor File Request - VA Form 10091
VA Form 10091_exp 07312019.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Central Fiscal Operations
Privacy Act System of Records
Title:
13VA047, Individuals Submitting Invoices-Vouchers for Payment-VA
FR Citation:
67 FR 61209
Number of Respondents:
150,000
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
150,000
0
0
0
150,000
0
Annual IC Time Burden (Hours)
37,500
0
0
0
37,500
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.