You may omit
printing the expiration date on this form.
Inventory as of this Action
Requested
Previously Approved
09/30/1998
09/30/1998
03/31/1996
500
0
0
1,280
0
1,280
0
0
0
Certain sellers of gasoline and diesel
fuel may be requried, under section 4101 to post bond before they
incur liability for gasoline and diesel fuel excise taxes imposed
by sections 4081 and 4091. This form is used by taxpayers to give
bond and provide other information required by Regulations sections
48.4101-2T
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.