AUTHORIZATION TO FURNISH FINANCIAL INFORMATION AND CERTIFICATE OF COMPLIANCE (RIGHT TO FINANCIAL PRIVACY ACT OF 1978), ATF F 50.30.6

ICR 198502-1512-001

OMB: 1512-0038

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
1512-0038 198502-1512-001
Historical Active 198212-1512-005
TREAS/BATF
AUTHORIZATION TO FURNISH FINANCIAL INFORMATION AND CERTIFICATE OF COMPLIANCE (RIGHT TO FINANCIAL PRIVACY ACT OF 1978), ATF F 50.30.6
Revision of a currently approved collection   No
Regular
Approved without change 03/06/1985
Retrieve Notice of Action (NOA) 02/08/1985
  Inventory as of this Action Requested Previously Approved
03/31/1988 03/31/1988 12/31/1985
2,000 0 2,000
500 0 500
0 0 0

THE RIGHT TO FINANCIAL PRIVACY ACT OF 1978 LIMITS ACCESS TO RECORDS HELD BY FINANCIAL INSTITUTIONS AND PROVIDES FOR CERTAIN PROCEDURES TO GAIN ACCESS TO INFORMATION. THIS FORM SERVES AS BOTH A CUSTOMER AUTHORIZATION FOR ATF TO RECEIVE INFORMATION AND AS THE REQUIRED CERTIFICATION TO THE FINANCIAL INSTITUTION.

None
None


No

1
IC Title Form No. Form Name
AUTHORIZATION TO FURNISH FINANCIAL INFORMATION AND CERTIFICATE OF COMPLIANCE (RIGHT TO FINANCIAL PRIVACY ACT OF 1978), ATF F 50.30.6 ATF F 5030.6

  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 2,000 2,000 0 0 0 0
Annual Time Burden (Hours) 500 500 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
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.
02/08/1985


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