Department of Treasury / office of Management and Budget / INFORMATION FEDERAL PROGRAM AGENCY U.S. Government Printing Office AGENCY IDENTIFIER / Federal program agency / Facilities Management Division / Financial Management Service / Department of the Treasury / /
Person
Michelle Gibbs / Erma Collins / / /
Position
appropriate financial institution official / ACH COORDINATOR / AUTHORIZED OFFICIAL / coordinator / /
OMB No[removed]ACH VENDOR/MISCELLANEOUS PAYMENT ENROLLMENT FORM This form is used for Automated Clearing House (ACH) payments with an addendum record that contains payment-related information processed through the Ve