WITHDRAWAL OF SPIRITS, SPECIALLY DENATURED SPIRITS OR WINES FOR EXPORTATION

ICR 198107-1512-021

OMB: 1512-0190

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
1512-0190 198107-1512-021
Historical Active 198104-1512-190
TREAS/BATF
WITHDRAWAL OF SPIRITS, SPECIALLY DENATURED SPIRITS OR WINES FOR EXPORTATION
Revision of a currently approved collection   No
Regular
Approved without change 08/13/1981
Retrieve Notice of Action (NOA) 07/31/1981
  Inventory as of this Action Requested Previously Approved
08/31/1984 08/31/1984 12/31/1981
10,100 0 10,000
1,100 0 1,000
0 0 0

THIS FORM IS USED TO DETERMINE THAT A SHIPMENT OF WINE HAS BEEN LAWFULLY EXPORTED. IT DESCRIBES THE SHIPPER, THE PERSON TO WHOM SHIPPED, THE REASON FOR EXPORT OR USE OUTSIDE THE U.S., DETAILS OF THE SHIPMENT FOR TAX PURPOSES, AND CERTIFICATION BY A U.S. GOVERNMENT AGENT SHOWING EXPORTATION OR USE OUTSIDE THE U.S. SHIPMENT IS MADE IN BOND (WITHOUT COLLECTION OF TAX).

None
None


No

1
IC Title Form No. Form Name
WITHDRAWAL OF SPIRITS, SPECIALLY DENATURED SPIRITS OR WINES FOR EXPORTATION ATF F 5100., 11

  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 10,100 10,000 0 100 0 0
Annual Time Burden (Hours) 1,100 1,000 0 100 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
07/31/1981


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