Instructions for Completing SF 3881 FormAgency Information Section - Federal agency prints or types the name and address ofthe Federal program agency originating the vendor/miscellaneous payment, agencyidentifier, agency location code, contact person name and telephone number of theagency.  Also, the appropriate box for ACH format is checked.Payee/Company Information Section - Payee prints or types the name of thepayee/company and address that will receive ACH vendor/miscellaneous payments,social security or taxpayer ID number, and contact person name and telephone numberof the payee/company.  Payee also verifies depositor account number, account title,and type of account entered by your financial institution in the Financial InstitutionInformation Section.Financial Institution Information Section - Financial institution prints or types the nameand address of the payee/company's financial institution who will receive the ACHpayment, ACH coordinator name and telephone number, nine-digit routing transitnumber, depositor (payee/company) account title and account number.  Also, the boxfor type of account is checked, and the signature, title, and telephone number of theappropriate financial institution official are included.1.2.3.Burden Estimate StatementThe estimated average burden associated with this collection of information is 15 minutesper respondent or recordkeeper, depending on individual circumstances.  Commentsconcerning the accuracy of this burden estimate and suggestions for reducing this burdenshould be directed to the Financial Management Service, Facilities Management Division,Property and Supply Branch, Room B-101, 3700 East West Highway, Hyattsville, MD20782 and the Office of Management and Budget, Paperwork Reduction Project(1510-0056), Washington, DC 20503.
ACH VENDOR/MISCELLANEOUS PAYMENTENROLLMENT FORMOMB No. 1510-0056Expiration Date   01/31/2000This form is used for Automated Clearing House (ACH) payments with an addendum record that containspayment-related information processed through the Vendor Express Program.  Recipients of thesepayments should bring this information to the attention of their financial institution when presenting thisform for completion.The following information is provided to comply with the Privacy Act of 1974 (P.L. 93-579).  Allinformation collected on this form is required under the provisions of 31 U.S.C. 3322 and 31 CFR210.  This information will be used by the Treasury Department to transmit payment data, byelectronic means to vendor's financial institution.  Failure to provide the requested information maydelay or prevent the receipt of payments through the Automated Clearing House Payment System.PRIVACY ACT STATEMENTAGENCY INFORMATIONFEDERAL PROGRAM AGENCYAGENCY IDENTIFIER:AGENCY LOCATION CODE (ALC):ACH FORMAT:CCD+CTXCTPADDRESS:CONTACT PERSON NAME:TELEPHONE NUMBER:()ADDITIONAL INFORMATION:PAYEE/COMPANY INFORMATIONNAMEADDRESSCONTACT PERSON NAME:TELEPHONE NUMBER:()SSN NO. OR TAXPAYER ID NO.FINANCIAL INSTITUTION INFORMATIONNAME:ADDRESS:ACH COORDINATOR NAME:TELEPHONE NUMBER:NINE-DIGIT ROUTING TRANSIT NUMBER:DEPOSITOR ACCOUNT TITLE:DEPOSITOR ACCOUNT NUMBER:LOCKBOX NUMBER:TYPE OF ACCOUNT:CHECKINGSAVINGSLOCKBOXSIGNATURE AND TITLE OF AUTHORIZED OFFICIAL:(Could be the same as ACH Coordinator)TELEPHONE NUMBER:()()NSN 7540-01-274-9925SF 3881 (Rev 12/90)Prescribed by Department of Treasury31 U S C 3322; 31 CFR 210
ACH VENDOR/MISCELLANEOUS PAYMENTENROLLMENT FORMOMB No. 1510-0056Expiration Date   01/31/2000This form is used for Automated Clearing House (ACH) payments with an addendum record that containspayment-related information processed through the Vendor Express Program.  Recipients of thesepayments should bring this information to the attention of their financial institution when presenting thisform for completion.The following information is provided to comply with the Privacy Act of 1974 (P.L. 93-579).  Allinformation collected on this form is required under the provisions of 31 U.S.C. 3322 and 31 CFR210.  This information will be used by the Treasury Department to transmit payment data, byelectronic means to vendor's financial institution.  Failure to provide the requested information maydelay or prevent the receipt of payments through the Automated Clearing House Payment System.PRIVACY ACT STATEMENTAGENCY INFORMATIONFEDERAL PROGRAM AGENCYAGENCY IDENTIFIER:AGENCY LOCATION CODE (ALC):ACH FORMAT:CCD+CTXCTPADDRESS:CONTACT PERSON NAME:TELEPHONE NUMBER:()ADDITIONAL INFORMATION:PAYEE/COMPANY INFORMATIONNAMEADDRESSCONTACT PERSON NAME:TELEPHONE NUMBER:()SSN NO. OR TAXPAYER ID NO.FINANCIAL INSTITUTION INFORMATIONNAME:ADDRESS:ACH COORDINATOR NAME:TELEPHONE NUMBER:NINE-DIGIT ROUTING TRANSIT NUMBER:DEPOSITOR ACCOUNT TITLE:DEPOSITOR ACCOUNT NUMBER:LOCKBOX NUMBER:TYPE OF ACCOUNT:CHECKINGSAVINGSLOCKBOXSIGNATURE AND TITLE OF AUTHORIZED OFFICIAL:(Could be the same as ACH Coordinator)TELEPHONE NUMBER:()()NSN 7540-01-274-9925SF 3881 (Rev 12/90)Prescribed by Department of Treasury31 U S C 3322; 31 CFR 210
ACH VENDOR/MISCELLANEOUS PAYMENTENROLLMENT FORMOMB No. 1510-0056Expiration Date   01/31/2000This form is used for Automated Clearing House (ACH) payments with an addendum record that containspayment-related information processed through the Vendor Express Program.  Recipients of thesepayments should bring this information to the attention of their financial institution when presenting thisform for completion.The following information is provided to comply with the Privacy Act of 1974 (P.L. 93-579).  Allinformation collected on this form is required under the provisions of 31 U.S.C. 3322 and 31 CFR210.  This information will be used by the Treasury Department to transmit payment data, byelectronic means to vendor's financial institution.  Failure to provide the requested information maydelay or prevent the receipt of payments through the Automated Clearing House Payment System.PRIVACY ACT STATEMENTAGENCY INFORMATIONFEDERAL PROGRAM AGENCYAGENCY IDENTIFIER:AGENCY LOCATION CODE (ALC):ACH FORMAT:CCD+CTXCTPADDRESS:CONTACT PERSON NAME:TELEPHONE NUMBER:()ADDITIONAL INFORMATION:PAYEE/COMPANY INFORMATIONNAMEADDRESSCONTACT PERSON NAME:TELEPHONE NUMBER:()SSN NO. OR TAXPAYER ID NO.FINANCIAL INSTITUTION INFORMATIONNAME:ADDRESS:ACH COORDINATOR NAME:TELEPHONE NUMBER:NINE-DIGIT ROUTING TRANSIT NUMBER:DEPOSITOR ACCOUNT TITLE:DEPOSITOR ACCOUNT NUMBER:LOCKBOX NUMBER:TYPE OF ACCOUNT:CHECKINGSAVINGSLOCKBOXSIGNATURE AND TITLE OF AUTHORIZED OFFICIAL:(Could be the same as ACH Coordinator)TELEPHONE NUMBER:()()NSN 7540-01-274-9925SF 3881 (Rev 12/90)Prescribed by Department of Treasury31 U S C 3322; 31 CFR 210