APPLICATION FOR IMPORTER'S AND/OR WHOLESALER'S BASIC PERMIT UNDER FEDERAL ALCOHOL ADMINISTRATION ACT -- ATF F 5170.4

ICR 199211-1512-006

OMB: 1512-0220

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
1512-0220 199211-1512-006
Historical Active 198911-1512-008
TREAS/BATF
APPLICATION FOR IMPORTER'S AND/OR WHOLESALER'S BASIC PERMIT UNDER FEDERAL ALCOHOL ADMINISTRATION ACT -- ATF F 5170.4
Extension without change of a currently approved collection   No
Regular
Approved without change 03/08/1993
Retrieve Notice of Action (NOA) 11/19/1992
  Inventory as of this Action Requested Previously Approved
04/30/1996 04/30/1996 01/31/1993
1,300 0 1,300
3,900 0 3,900
0 0 0

ALCOHOLIC BEVERAGES, LIQUOR, PERMITS, LICENSES, IMPORTERS, WHOLESALER FORM 5170.4 IS COMPLETED BY PERSONS INTENDING TO ENGAGE IN THE BUSINES OF IMPORTING AND/OR WHOLESALING ALCOHOLIC BEVERAGES. THE INFORMATION BUSINESS AND TO DETERMINE WHETHER THE APPLICANT QUALIFIES FOR A BASIC PERMIT UNDER THE FEDERAL ALCOHOL ADMINISTRATION ACT.

None
None


No

1
IC Title Form No. Form Name
APPLICATION FOR IMPORTER'S AND/OR WHOLESALER'S BASIC PERMIT UNDER FEDERAL ALCOHOL ADMINISTRATION ACT -- ATF F 5170.4 ATF F 5170.4

  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 1,300 1,300 0 0 0 0
Annual Time Burden (Hours) 3,900 3,900 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.
11/19/1992


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