PERSONNEL QUESTIONNAIRE, ALCOHOL AND TOBACCO PRODUCTS -- ATF F 5000.9

ICR 199303-1512-002

OMB: 1512-0034

Federal Form Document

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Status
No forms / supporting documents in this ICR. Check IC Document Collections.
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ICR Details
1512-0034 199303-1512-002
Historical Active 199001-1512-004
TREAS/BATF
PERSONNEL QUESTIONNAIRE, ALCOHOL AND TOBACCO PRODUCTS -- ATF F 5000.9
Extension without change of a currently approved collection   No
Regular
Approved without change 05/14/1993
Retrieve Notice of Action (NOA) 03/02/1993
  Inventory as of this Action Requested Previously Approved
04/30/1996 04/30/1996 04/30/1993
5,000 0 5,000
10,000 0 10,000
0 0 0

LICENSES, TOBACCO PRODUCTS, ALCOHOL, PERMITS, PERSONNEL QUESTIONNAIRE THE INFORMATION LISTED ON ATF F 5000.9 PERSONNEL QUESTIONNAIRE ENABLES ATF TO DETERMINE WHETHER OR NOT AN APPLICANT FOR AN ALCOHOL OR TOBACCO PERMIT MEETS THE MINIMUM QUALIFICATIONS. THE FORM IDENTIFIES THE INDIVIDUAL, RESIDENCE, BUSINESS BACKGROUND, FINANCIAL SOURCES FOR BUSINESS, AND CRIMINAL RECORD. IF THE APPLICANT IS FOUND NOT TO BE QUALIFIED, THE PERMIT MAY BE DENIED.

None
None


No

1
IC Title Form No. Form Name
PERSONNEL QUESTIONNAIRE, ALCOHOL AND TOBACCO PRODUCTS -- ATF F 5000.9

  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 5,000 5,000 0 0 0 0
Annual Time Burden (Hours) 10,000 10,000 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.
03/02/1993


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