TAX PAID SPIRITS RETURNED TO BONDED PREMISES

ICR 198110-1512-083

OMB: 1512-0194

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
125781 Migrated
ICR Details
1512-0194 198110-1512-083
Historical Active 198104-1512-194
TREAS/BATF
TAX PAID SPIRITS RETURNED TO BONDED PREMISES
Revision of a currently approved collection   No
Regular
Approved without change 11/20/1981
Retrieve Notice of Action (NOA) 10/29/1981
  Inventory as of this Action Requested Previously Approved
01/31/1984 01/31/1984 12/31/1981
5,000 0 5,000
2,500 0 2,500
0 0 0

FORM USED TO DETERMINE SPIRITS THAT ARE RETURNED TO BONDED PREMISES OF A DISTILLED SPIRITS PLANT AND AS SUPPORTING DATA FOR A CLAIM TO BE FILED FOR REFUND OR CREDIT TAXES ON SUCH SPIRITS. IDENTIFIES DISTILLED SPIRITS PLANT, TYPE AND AMOUNT OF SPIRITS AND REASON FOR RETURNING THE SPIRITS TO BOND. USED BY ATF TO VERIFY THE ACCURACY OF THE CLAIM FOR TAXES.

None
None


No

1
IC Title Form No. Form Name
TAX PAID SPIRITS RETURNED TO BONDED PREMISES ATF F, 5110.17

  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 5,000 5,000 0 0 0 0
Annual Time Burden (Hours) 2,500 2,500 0 0 0 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.
10/29/1981


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