Application for Operating Permit Under 26 U.S.C. 5171(d) ATF F 5110.25

ICR 200209-1512-013

OMB: 1512-0195

Federal Form Document

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ICR Details
1512-0195 200209-1512-013
Historical Active 199907-1512-007
TREAS/BATF
Application for Operating Permit Under 26 U.S.C. 5171(d) ATF F 5110.25
Extension without change of a currently approved collection   No
Regular
Approved without change 10/31/2002
Retrieve Notice of Action (NOA) 09/25/2002
  Inventory as of this Action Requested Previously Approved
10/31/2005 10/31/2005 10/31/2002
80 0 80
20 0 20
0 0 0

ATF F 5110.25 is completed by proprietors of distilled spirits plants who engage in certain specified types of activities. ATF district office personnel use the information on the form to identify the applicant, the location of the business and the types of activities to be conduted.

None
None


No

1
IC Title Form No. Form Name
Application for Operating Permit Under 26 U.S.C. 5171(d) ATF F 5110.25 5110.25

  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 80 80 0 0 0 0
Annual Time Burden (Hours) 20 20 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.
09/25/2002


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