PREPAYMENT TAX RETURN-DISTILLED SPIRITS(PUERTO RICO)

ICR 198501-1512-006

OMB: 1512-0212

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
125922 Migrated
ICR Details
1512-0212 198501-1512-006
Historical Active 198104-1512-212
TREAS/BATF
PREPAYMENT TAX RETURN-DISTILLED SPIRITS(PUERTO RICO)
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 01/23/1985
Retrieve Notice of Action (NOA) 01/22/1985
Approved. See OMB No. 1512-0192 for conditions of clearance.
  Inventory as of this Action Requested Previously Approved
01/31/1988 01/31/1988
768 0 0
230 0 0
0 0 0

THIS FORM IS NECESSARY TO DOCUMENT THE LIABILITY OF TAX AND THE TAX PAYMENT ON DISTILLED SPIRITS THAT ARE BROUGHT INTO THE U.S. THIS LIABILITY IS RECEIVED BY THE GOVERNMENT IN THE MANNER OF HAVING THE TAXPAYER PREPAY THE TAX BEFORE LEAVING PUERTO RICO. THE FORM THE FORM IDENTIFIES THE TAXPAYER, TAX TO BE PAID55, METHOD OF PAYMENT, IDENTIFIES THE TAXPAYER, TAX TO BE PAID, METHOD OF PAYMENT, SHIPMENT AND CERTIFICATION BY THE GOVERNMENT.

None
None


No

1
IC Title Form No. Form Name
PREPAYMENT TAX RETURN-DISTILLED SPIRITS(PUERTO RICO) ATF F 5110.5, 3

  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 768 0 0 768 0 0
Annual Time Burden (Hours) 230 0 0 230 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
01/22/1985


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