This request for
clearance is approved through 7/31/84. This extensio will allow for
the continued use of the form during possible regulator changes
which may affect the use of this form.
Inventory as of this Action
Requested
Previously Approved
07/31/1984
07/31/1984
01/31/1983
50
0
50
100
0
100
0
0
0
FORM IS NECESSARY TO DETERMINE WHETHER
A PERSON CAN OPERATE A TAXPAID BOTTLING WINE HOUSE. DESCRIBES THE
APPLICANT'S BUSINESS, LOCATION PREMISES AND TYPE OF OPERATIONS TO
BE CONDUCTED, AND OTHER INFORMAITON TO DETERMINE QUALIFICAITONS
ACCORDING TO LAW AND REGULATIONS. A DETERMINATION IS MADE ON
WHETHER TO ALLOW OPERATIONS ON THE BASIS OF THE COMPLETED
APPLICATION.
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.