CERTIFICATE OF PREPAYMENT OF TAX ON PREPAYMENT OF TAX ON PR CIGARS CIGARETTES CIGARETTE PAPERS OR TUBES

ICR 198104-1512-170

OMB: 1512-0170

Federal Form Document

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Document
Name
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No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
1512-0170 198104-1512-170
Historical Active
TREAS/BATF
CERTIFICATE OF PREPAYMENT OF TAX ON PREPAYMENT OF TAX ON PR CIGARS CIGARETTES CIGARETTE PAPERS OR TUBES
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
500 0 0
250 0 0
0 0 0

FORM IS NECESSARY FOR BRINGING IN TOBACCO ARTICLES INTO THE U.S. FROM PUERTO RICO BY THE PERSON WHO PREPAID INTERNAL REVENUE TAX ON SUCH ARTICLES. THE FORM DESCRIBES THE TAXPAYER, PERSON TO WHOM BEING SHIPPED, DATE AND SERIOAL NUMBER OF FORM FOR PREPAYMENT AND THE TAXABLE ARTICLES BEING SHIPPED. AN ATF OFFICER IN PUERTO RICO CERTIFIES THE TAXPAYMENT CERTIFICATE WHICH IS PRESENTED BY THE SHIPPER TO A CUSTOMS OFFICER.

None
None


No

1
IC Title Form No. Form Name
CERTIFICATE OF PREPAYMENT OF TAX ON PREPAYMENT OF TAX ON PR CIGARS CIGARETTES CIGARETTE PAPERS OR TUBES (5200.9), ATF F 3075

  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 500 0 0 0 500 0
Annual Time Burden (Hours) 250 0 0 0 250 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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