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23 <br /> Instructions for Completing SF 3381 Form <br /> Make three copies of form after completing. Copy 1 is the Agency Copy; copy 2 is the Payee/ <br /> Company Copy; and copy 3 is the Financial Institution Copy. <br /> 1. Agency Information ation Section - Federal agency prints or types the name and address of the <br /> Federal program agency originating the vendor/miscellaneous payment, agency identifier, <br /> agency location code, contact person name and telephone number cf the agency. Also, the <br /> appropriate box for A H format is checked. <br /> 2. Payee/Company information Section - Payee prints or types the name of the payee/company <br /> and address that will receive ACH vendor/miscellaneous payments, social security or <br /> taxpayer ID number, and contact person name and telephone number of the payee/company. <br /> Payee also verifies depositor account number, account title, and type of account entered by <br /> your financial institution in the Financial Institution Information Section. <br /> 3. Financial Institution Information Section - Financial institution prints or types the name and <br /> address of the payee/company's financial institution who will receive the ACH payment, A H <br /> coordinator name and telephone number, nine-digit routing transit number, depositor (payee/ <br /> company) account title and account number. Also, the box for type of account is checked, and <br /> the signature, title, and telephone number of the appropriate financial institution official are <br /> included. <br /> Burden Estimate Statement <br /> The estimated average burden associated with this collection of information is 15 minutes per <br /> respondent or record keeper, depending on individual circumstances. Comments concerning the <br /> accuracy of this burden estimate and suggestions for reducing this burden should be directed to <br /> the Financial Management Service, Facilities Management € ivision, Property and Supply Branch, <br /> Room B-101, 3700 East West Highway, Hyattsville, MD 20782 and the Office of Management and <br /> Budget, Paper ork Reduction Project(1510-0056), Washington, DC 20503. <br />