Application for a Permit as a Mfr of Tob. Products or Processed Tob. or as an Expt Warehouse Proprietor; Application for an Amended Permit as a Mfr of TPs or Proc. Tob. or an Export Warehouse, et. al.

Forms and Documents

Document Name	Status
Form TTB F 5230.5 Application for an Amended Permit under 26 U.S.C. 5712, Importer of Tobacco Products or Processed Tobacco Form and Instruction	Unchanged
Form TTB F 5230.5 Application for an Amended Permit under 26 U.S.C. 5712, Importer of Tobacco Products or Processed Tobacco Form and Instruction	Unchanged
Form TTB F 5230.4 Application for a Permit under 26 U.S.C. Chapter 52, Importer of Tobacco Products or Processed Tobacco Form and Instruction	Unchanged
Form TTB F 5230.4 Application for Permit under 26 U.S.C. Chapter 52, Importer of Tobacco Products or Processed Tobacco Form and Instruction	Unchanged
Form TTB F 5200.16 Application for an Amended Permit as a Manufacture of Tobacco Products or Processed Tobacco or as an Export Warehouse Proprietor Form and Instruction	Unchanged
Form TTB F 5200.16 Application for an Amended Permit as a Manufacture of Tobacco Products or Processed Tobacco or as an Export Warehouse Proprietor Form and Instruction	Unchanged
Form TTB F 5200.3 Application for a Permit as a Manufacture of Tobacco Products or Processed Tobacco or as an Export Warehouse Proprietor Form and Instruction	Unchanged
Form TTB F 5200.3 Application for a Permit as a Manufacture of Tobacco Products or Processed Tobacco or as an Export Warehouse Proprietor Form and Instruction	Unchanged
1513-0078 SS (CHIPRA).doc Supporting Statement A	2009-12-11
1513-0078 Laws and Regs.doc Supplementary Document	2008-12-09
1513-0078 FR Notice (09-04-08).pdf Supplementary Document	2008-12-09

IC Document Collections

IC ID	Document Title	Status
187460	Application for an Amended Permit under 26 U.S.C. 5712, Importer of Tobacco Products or Processed Tobacco Form and Instruction	Unchanged
187459	Application for an Amended Permit under 26 U.S.C. 5712, Importer of Tobacco Products or Processed Tobacco Form and Instruction	Unchanged
187458	Application for a Permit under 26 U.S.C. Chapter 52, Importer of Tobacco Products or Processed Tobacco Form and Instruction	Unchanged
187457	Application for Permit under 26 U.S.C. Chapter 52, Importer of Tobacco Products or Processed Tobacco Form and Instruction	Unchanged
187456	Application for an Amended Permit as a Manufacture of Tobacco Products or Processed Tobacco or as an Export Warehouse Proprietor Form and Instruction	Unchanged
187454	Application for an Amended Permit as a Manufacture of Tobacco Products or Processed Tobacco or as an Export Warehouse Proprietor Form and Instruction	Unchanged
187453	Application for a Permit as a Manufacture of Tobacco Products or Processed Tobacco or as an Export Warehouse Proprietor Form and Instruction	Unchanged
16089	Application for a Permit as a Manufacture of Tobacco Products or Processed Tobacco or as an Export Warehouse Proprietor Form and Instruction	Unchanged

ICR Details

OMB Control No: 1513-0078	ICR Reference No: 200912-1513-014
Status: Historical Active	Previous ICR Reference No: 200905-1513-001
Agency/Subagency: TREAS/TTB	Agency Tracking No:
Title: Application for a Permit as a Mfr of Tob. Products or Processed Tob. or as an Expt Warehouse Proprietor; Application for an Amended Permit as a Mfr of TPs or Proc. Tob. or an Export Warehouse, et. al.
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/11/2010
	Date Received in OIRA: 12/11/2009
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2013	36 Months From Approved	01/31/2012
Responses	1,518	0	630
Time Burden (Hours)	2,277	0	1,130
Cost Burden (Dollars)	149,390	0	62,000

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Abstract: These forms are used by the tobacco industry members to obtain and amend permits necessary to engage in business as a manufacturer of tobacco products or processed tobacco, or as an export warehouse proprietor.

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Authorizing Statute(s): PL: Pub.L. 111 - 3 702 Name of Law: Children’s Health Insurance Program Reauthorization Act of 2009
  

Citations for New Statutory Requirements: PL: Pub.L. 111 - 3 702 Name of Law: Children’s Health Insurance Program Reauthorization Act of 2009

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
1513-AB72	Final or interim final rulemaking	74 FR 29401	06/22/2009

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 8

IC Title	Form No.	Form Name
Application for a Permit as a Manufacture of Tobacco Products or Processed Tobacco or as an Export Warehouse Proprietor	TTB F 5200.3	Application for a Permit as a Manufacture of Tobacco Products or Processed Tobacco or as an Export Warehouse Proprietor
Application for an Amended Permit under 26 U.S.C. 5712, Importer of Tobacco Products or Processed Tobacco	TTB F 5230.5	Application for an Amended Permit under 26 U.S.C. 5712, Importer of Tobacco Products or Processed Tobacco
Application for an Amended Permit as a Manufacture of Tobacco Products or Processed Tobacco or as an Export Warehouse Proprietor	TTB F 5200.16	Application for an Amended Permit as a Manufacture of Tobacco Products or Processed Tobacco or as an Export Warehouse Proprietor
Application for an Amended Permit as a Manufacture of Tobacco Products or Processed Tobacco or as an Export Warehouse Proprietor	TTB F 5200.16	Application for an Amended Permit as a Manufacture of Tobacco Products or Processed Tobacco or as an Export Warehouse Proprietor
Application for an Amended Permit under 26 U.S.C. 5712, Importer of Tobacco Products or Processed Tobacco	TTB F 5230.5	Application for an Amended Permit under 26 U.S.C. 5712, Importer of Tobacco Products or Processed Tobacco
Application for Permit under 26 U.S.C. Chapter 52, Importer of Tobacco Products or Processed Tobacco	TTB F 5230.4	Application for a Permit under 26 U.S.C. Chapter 52, Importer of Tobacco Products or Processed Tobacco
Application for a Permit under 26 U.S.C. Chapter 52, Importer of Tobacco Products or Processed Tobacco	TTB F 5230.4	Application for a Permit under 26 U.S.C. Chapter 52, Importer of Tobacco Products or Processed Tobacco
Application for a Permit as a Manufacture of Tobacco Products or Processed Tobacco or as an Export Warehouse Proprietor	TTB F 5200.3	Application for a Permit as a Manufacture of Tobacco Products or Processed Tobacco or as an Export Warehouse Proprietor

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ICR Summary of Burden

	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	1,518	630	888	0	0	0
Annual Time Burden (Hours)	2,277	1,130	1,147	0	0	0
Annual Cost Burden (Dollars)	149,390	62,000	87,390	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The changes to the form arise from the extension of the permit requirement to those engaged in the business of importing or manufacturing processed tobacco by Public Law 111-3.

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Annual Cost to Federal Government: $835,175

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 12/11/2009

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