Tax Information Authorization

ICR 201011-1513-011

OMB: 1513-0001

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Form and Instruction
Modified
Supplementary Document
2010-11-30
Supplementary Document
2010-11-30
Supplementary Document
2007-10-10
Supplementary Document
2007-10-10
Supporting Statement A
2010-11-30
IC Document Collections
ICR Details
1513-0001 201011-1513-011
Historical Active 200710-1513-001
TREAS/TTB
Tax Information Authorization
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 03/27/2011
Retrieve Notice of Action (NOA) 02/02/2011
  Inventory as of this Action Requested Previously Approved
03/31/2014 36 Months From Approved
50 0 0
50 0 0
0 0 0

TTB F 5000.19 is required by TTB to be filed when a respondent's representative, not having a power of attorney, wishes to obtain confidential information regarding the respondent. After proper completion of the form, information can be released to the representative. TTB uses this form to properly identify the representative and his/her authority to obtain confidential information.

None
None

Not associated with rulemaking

  75 FR 59797 09/28/2010
76 FR 5857 02/02/2011
No

2
IC Title Form No. Form Name
Tax Information Authorization TTB F 5000.19 Tax Information Authorization
Tax Information Authorization TTB F 5000.19 Tax Information Authorization

  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 50 0 0 0 0 50
Annual Time Burden (Hours) 50 0 0 0 0 50
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$2,496
No
No
No
No
No
Uncollected
Mary Wood 202 927-8185 [email protected]

  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.
02/02/2011


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