THIS FORM ESTABLISHES THE CLAIMANT'S
BASIS FOR A CREDIT REMISSION AND ALLOWANCE OF TAX OR A LOSS OF
TAXABLE ARTICLES (ALCOHOL, SPIRITS, WINE, BEER, TOBACCO PRODUCTS,
ETC.). IT REQUIRES THE CLAIMANT TO LIST THE REASONS WHY HE SHOULD
GET THE CREDIT REMISSION, ETC. WITH THIS COMPLETED FORM AND
SUPPORTING DATA REQUIRED, A DETERMINATION ON WHETHER TO GRANT THE
CREDIT, ETC. IS MADE.
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.