FORM IS USED BY PERSONS QUALIFIED TO
USE SPECIALLY DENATURED SPIRITS OR TAX-FREE ALCOHOL IN LIMITED
QUANTITITES TO WITHDRAW SUCH ARTICLES. IDENTIFIES THE USER AND HIS
LOCATION, WHETHER SPECIALLY DENATURED SPIRITS OR TAX-FREE ALCOHOL
IS WANTED, THE PERSON FROM WHOM ARTICLES ARE TO BE PROCURED AND THE
MAXIMUM ALLOWABLE TO BE SHIPPED AT ONE TIME DURING ONE YEAR.
PRESHIPPER IDENTIFIES EACH SHIPMENT ON THE FORM.
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.