• Agencies

Export-Import Bank Payments Form

Description: Use this form to satisfy sundry amounts due to the Export-Import Bank of the United States.
Form Number: EXIM Bank

Minority Bank Investments

Description: This form collects the interest owed to St. Lawrence Seaway from Minority Bank Investments.

CMS Health Insurance Marketplace and Premium Stabilization Programs Payment Form

Description: Please use this form to pay amounts owed related to the Health Insurance Marketplace and Premium Stabilization Programs. Additionally, if necessary, provide the following information to your bank to prevent debit blocking on the payments processed through Pay.gov on your dunning letter/invoice: ACH Company Name: USDEPTHHSCMS...Agency Company ID: 7505008014

Counsel Rulings User Fees

Description: Use this form to pay your User Fee Payment. If necessary, provide the following information to your bank to prevent debit blocking on the payments processed through Pay.gov: ACH Company ID: 2009000325
Form Number: 1128, 2553, 3115, 8716

Counsel Supplemental User Fees

Description: Use this form to pay your supplemental User Fee. If necessary, provide the following information to your bank to prevent debit blocking on the payments processed through Pay.gov: ACH Company ID: 2009000325
Form Number: Supplemental 1128, 2553, 3115, 8716

DLA Disposition Services Surplus Payment (formerly DRMS)

Description: Use this form to pay term billings, pre-payments, bid deposits and one time sales. Payment method by Bank account (ACH) has a maximum allowable limit of $25 Million USD. Payment method by credit card has a maximum allowable limit of $24,999.99.
Form Number: DRMS040109

DLA Information Operations Subscriptions

Description: Please use this form for your DLA Information Operations Subscriptions Sales Order Payment Request. Payment method by Bank account (ACH) has a maximum allowable limit of $ 100,000 USD. Payment method by credit card has a maximum allowable limit of $24,999.99.
Form Number: DLA SUBS

Library of Congress Cable Royalty Payment

Description: Use this form to pay royalty and filing fees using Bank account (ACH) debit, credit card or debit card.

Library of Congress DART Royalty Payment

Description: Use this form to pay royalty fees using Bank account (ACH) debit, credit card or debit card.

Library of Congress Satellite Royalty Payment

Description: Use this form to pay royalty and filing fees using Bank account (ACH) debit, credit card or debit card.

Maritime Administration Miscellaneous Payments and USMMA Graduate Tuition

Description: Please use this form to pay your: Rebate Refund--US Bank Purchase Card or Citibank Travel Card, Construction Differential Subsidy Repayment 70x1708, Travel Overpayment, Travel GovTrip, Travel Advance, Payroll, Health Benefit Workman's Compensation, Rent, USMMA Graduate Tuition
Form Number: MaritimeMisc.payment

Pipeline and Hazardous Materials Safety Administration Miscellaneous Payments

Description: Please use this form to pay any not previously identified payments, formerly directed to the decommissioned lockbox: Bank of America 403415 located in Atlanta, Georgia

U.S. Department of Energy General Collections

Description: Please use this form to pay the Department of Energy for all previously advised payments. These payments were previously sent to U.S. Bank Lockbox 979019.
Form Number: EnergyGeneralCollect

Outer Banks Group Special Use Permit Fees

Description: Use this form to pay for special use permit fees at Outer Banks Group parks.

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