THE DOCUMENT IS USED BY CLAIMANTS WHO
ARE FILING FOR DRAWBACK ON DOMESTIC TAX-PAID ALCOHOL. SINCE THE
DRAWBACK CLAIMANT IS NOT ALWAYS THE MANUFACTURER OF THE DRAWBACK
MERCHANDISE, THIS FORM IS NECESSARY TO PROVIDE DOCUMENTARY TRANSFER
OF DRAWBACK RIGHTS FROM THE MANUFACTUR BACK TO THE DRAWBACK
CLAIMANT. THIS IS A RECORDKEEPING REQUIREMENT PURSUANT TO 19 CFR
191.5 WITH A RETENTION PERIOD OF THREE YEARS AFTER PAYMENT OF SUCH
CLAIMS.
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.