THIS FORM IS REQUIRED TO TRANSFER
DRAWBACK RIGHTS ON DOMESTIC TAX PAID ALCOHOL FROM THE ALCOHOL
DISTILLER TO THE DRAWBACK MANUFACTURER AND TO IDENTIFY THE SERIAL
NUMBERS OF THE TAX-PAID STAMPS WHICH ARE ASSIGNED A MANUFACTURER BY
BATF. THIS DATA WILL SUBSEQUENTLY BE REFERENCED ON A CERTIFICATE OF
MANUFACTURE. THIS IS A RECORDKEEPING REQUIREMENT PURSUANT TO 19 CFR
191.5 WITH A RETENTION PERIOD OF 3 YEARS AFTER PAYMENT OF SUCH
CLAIM.
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.