APPROVED WITH
THE UNDERSTANDING THAT THE INSTRUCTIONS FOR THIS FORM WILL BE
CHANGED TO AGREE WITH TREASURY DECISION ATF-111 PUBLISHED IN
47FR38521, DATED SEPTEMBER 1, 1982, WHICH REQUIRES THE FILING OF
ONLY AN ORIGINAL FORM WITH A COPY TO BE RETAINED BY THE TAXPAYER.
THE EXPIRATION DATE AND THE OMB NUMBER ARE REQUIRED TO BE PRINTED
ON THIS FORM. A COPY OF THE REPRINTED FORM SHOULD BE SUBMITTED TO
OMB AS SOON AS IT IS AVAILABLE.
Inventory as of this Action
Requested
Previously Approved
08/31/1987
08/31/1987
08/31/1984
2,424
0
2,424
2,424
0
2,500
0
0
0
THIS FORM IS USED FOR EXCISE TAX
COLLECTION PURPOSES ON BARRELS OF BEER. THE TAX RETURN SHOWS THE
AMOUNT OF BEER REMOVED FROM A BREWER ON A SEMI-MONTHLY BASIS, THE
AMOUNT OF TAX DUE, ADJUSTMENTS TO THE RETURN AND ACTUAL TAX PAID.
EXCISE TAX ON BEER IS $9.00 A BARREL AND IS MOSTLY PAID ON A
DEFERRED BASIS.
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.