Referral of Information

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1513-0003 can be found here:

Documents and Forms

Document Name Document Type
Form TTB F 5000.21 Referral of Information Form and Instruction
TTB F 5000.21 Referral of Information TTB F 5000.21.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Referral of Information	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	TTB F 5000.21	Referral of Information	TTB F 5000.21.pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	200	200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.