FORM IS USED TO DETERMINE WHETHER A
PERSON HAS BECOME LIABLE FOR SPECIAL OCCUPATIONAL TAXES INVOLVING
ALCOHOLIC BEVERAGES. DESCRIBES THE PERSON WHO IS LIABLE OR REASON
WHY PERSON IS NOT, DETAILS CONCERNING PAYMENT OF SPECIAL
OCCUPATIONAL TAX, AND IF APPLICABLE, PERSON TO WHOM BUSINESS WAS
SOLD. FORM IS USED TO ASSESS TAXES FOR THOSE PERSONS WHO ARE LIABLE
FOR PAYMENT.
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.