Information Collection

Report of Wine Premises Operations

IC 39127 under ICR 200809-1513-002 · OMB 1513-0053.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1513-0053 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form TTB F 5120.17 Report of Wine Premises Operations	Form and Instruction
TTB F 5120.17 Report of Wine Premises Operations TTB F 5120.17.pdf	Form and Instruction

IC Title:

Report of Wine Premises Operations

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	TTB F 5120.17	Report of Wine Premises Operations	TTB F 5120.17.pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,930

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	23,160	14,068	9,092
Annual IC Time Burden (Hours)	25,476	15,476	10,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.