LIMITED WITHDRAWAL PERMIT TO PROCURE SDA OR TAX-FREE ALCHOL

ICR 198111-1512-004

OMB: 1512-0175

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
1512-0175 198111-1512-004
Historical Active 198104-1512-175
TREAS/BATF
LIMITED WITHDRAWAL PERMIT TO PROCURE SDA OR TAX-FREE ALCHOL
Revision of a currently approved collection   No
Regular
Approved without change 11/17/1981
Retrieve Notice of Action (NOA) 11/09/1981
This request for clearance is approved for use through December 31, 1982 or until publication of the final rule changing the regulation. whichever comes first. Notify OMB for reduction of burden by program decrease when this form is eliminated.
  Inventory as of this Action Requested Previously Approved
01/31/1983 01/31/1983 12/31/1981
10,000 0 10,000
2,500 0 2,500
0 0 0

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.

None
None


No

1
IC Title Form No. Form Name
LIMITED WITHDRAWAL PERMIT TO PROCURE SDA OR TAX-FREE ALCHOL ATF F 4327, (5150.11)

  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 10,000 10,000 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.
11/09/1981


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