Drawback on Distilled Spirits Exported

ICR 199908-1512-003

OMB: 1512-0199

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
15649 Migrated
ICR Details
1512-0199 199908-1512-003
Historical Active 199607-1512-002
TREAS/BATF
Drawback on Distilled Spirits Exported
Extension without change of a currently approved collection   No
Regular
Approved without change 10/22/1999
Retrieve Notice of Action (NOA) 08/18/1999
The agency must update the PRA notice on the form.
  Inventory as of this Action Requested Previously Approved
11/30/2002 11/30/2002 10/31/1999
5,000 0 5,000
10,000 0 10,000
0 0 1,400,000

ATF F 5110.30 is used by persons who export distilled spirits and wish to claim a drawback of taxes already paid in the United States (U.S.). The form describes the claimant, spirits for tax purposes, amount of tax to be refunded, and a certification by the U.S. Government agent attesting to exportation.

None
None


No

1
IC Title Form No. Form Name
Drawback on Distilled Spirits Exported FORM-5110.30

  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 1,400,000 0 -1,400,000 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.
08/18/1999


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