AUTHORIZATION TO FURNISH FINANCIAL INFORMATION (RIGHTS TO FINANCIAL PRIVACY ACT FO 1978)

ICR 198104-1512-038

OMB: 1512-0038

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
1512-0038 198104-1512-038
Historical Active
TREAS/BATF
AUTHORIZATION TO FURNISH FINANCIAL INFORMATION (RIGHTS TO FINANCIAL PRIVACY ACT FO 1978)
Revision of a currently approved collection   No
Regular
Approved without change 04/30/1981
Retrieve Notice of Action (NOA) 04/30/1981
  Inventory as of this Action Requested Previously Approved
12/31/1981 12/31/1981
2,000 0 0
500 0 0
0 0 0

FORM ALLOWS ATF TO EXAMINE A BANK ACCOUNT FOR INVESTIGATION PURPOSE AND DOCUMENTS ATF COMPLIANCE WITH THE LAW FOR A REPORT TO CONGRESS. DESCRIBES THE BANK ACCOUNT TO BE EXAMINED, AUTHORIZATION BY THE BUSINESS OR INDIVIDUAL, AND THE PURPOSE FOR WHICH DISCLOSUR IS TO BE MADE.

None
None


No

1
IC Title Form No. Form Name
AUTHORIZATION TO FURNISH FINANCIAL INFORMATION (RIGHTS TO FINANCIAL PRIVACY ACT FO 1978) ATF F 5030.6

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 2,000 0 0 0 2,000 0
Annual Time Burden (Hours) 500 0 0 0 500 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
04/30/1981


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