NECESSARY TO CONTROL SHIPMENTS OF
NON-BEVERAGE WINE THAT MAY BE DIVERTED FRO BEVERAGE USE. FORM IS AN
INVOICE, BILL OF LADING OR SIMILAR DOCUMENT THAT IDENTIFIES SHIPPER
AND RECEIVER, QUANTITY AND TYPE OF WORK AND CERTIFICATION OF
RECEIPT BY SHIPPER. MAY LATER BE USED BY ATF TO AUDIT ACTIVITIES
FOR POSSIBLE BEVERAGE (TAX) USE.
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.