In short: there's a big .ini file clusterduck. I never bothered to use process of elimination to find out which ones actually need to be edited (as in, which ones overwrite each other), so here are all the locations:
Documents > My Games > FalloutNV > Fallout.ini
Documents > My Games > FalloutNV > FalloutPrefs.ini
Program Files > Steam > steamapps > common > fallout new vegas > Fallout_default.ini
Program Files > Steam > userdata > 39775384 > 22380 > falloutprefs.ini
My advice to you, is to start drinking heavily--er, make sure none of them are read-only and make your changes within all of those files to be on the safe side.
As a side note, it seems steam might "update/reset" the main .ini file from time to time. Happened to me at least once. So... be prepared for that.

EDIT: The location of the last file is subject to change--those were my numbers, they may match up, they may not. Poke around enough and you should find it.