THIS FORM IS USED TO APPLY FOR EXCISE
TAX REGISTRATION. THE REGISTRATION APPLIES TO REFINERS OR PRODUCERS
OF GASOLINE AND TO CERTA MANUFACTURERS OR SELLERS AND PURCHASERS
THAT MUST REGISTER TO BE EXEMP FROM THE EXCISE TAX ON TAXABLE
ARTICLES. THE DATA IS USED TO DETERMIN IF THE APPLICANT QUALIFIES
FOR THE EXEMPTION. GASOLINE PRODUCERS ARE REQUIRED BY SECTION 4101
TO REGISTER WITH THE SERVICE BEFORE INCURRING
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.