REPORT OF WINE SPIRITS ADDED TO WINES

ICR 198302-1512-013

OMB: 1512-0217

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
125957 Migrated
ICR Details
1512-0217 198302-1512-013
Historical Active 198111-1512-051
TREAS/BATF
REPORT OF WINE SPIRITS ADDED TO WINES
Extension without change of a currently approved collection   No
Regular
Approved without change 04/20/1983
Retrieve Notice of Action (NOA) 02/16/1983
  Inventory as of this Action Requested Previously Approved
02/28/1986 02/28/1986 02/28/1983
10,000 0 10,000
2,500 0 2,500
0 0 0

FORM IS NECESSARY TO SHOW THE ADDITION OF WINE SPIRITS TO WINE ON A BONDED CELLAR'S PREMISES. DESCRIBES QUANTITY OF WINE SPIRITS USED, TYPE OF WINE THAT WINE SPIRITS ARE TO BE ADDED TO, BONDED WINE CELLAR, ALCOHOL CONTENT AND QUANTITY OF THE MIXED WINE AND WINE SPIRITS. USED BY ATF TO AUDIT OPERATIONS FOR REVENUE AND CONSUMER PROTECTION PURPOSES.

None
None


No

1
IC Title Form No. Form Name
REPORT OF WINE SPIRITS ADDED TO WINES ATF F5120.28

  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.
02/16/1983


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