Drawback on Distilled Spirits Exported

ICR 200301-1513-042

OMB: 1513-0042

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
16017 Migrated
ICR Details
1513-0042 200301-1513-042
Historical Active 200210-1512-005
TREAS/TTB
Drawback on Distilled Spirits Exported
Extension without change of a currently approved collection   No
Regular
Approved without change 01/24/2003
Retrieve Notice of Action (NOA) 01/24/2003
  Inventory as of this Action Requested Previously Approved
01/31/2006 01/31/2006
5,000 0 0
10,000 0 0
0 0 0

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 (US). The form describes the claimant, spirits for tax purposes, amount of tax to be refunded, and a certification by the US Government agent attesting to exportation.

None
None


No

1
IC Title Form No. Form Name
Drawback on Distilled Spirits Exported 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 0 0 5,000 0 0
Annual Time Burden (Hours) 10,000 0 0 10,000 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
01/24/2003


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