Report of Wine Premises Operations

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form TTB F 5120.17 Report of Wine Premises Operations	Form and Instruction	Modified	Repair queued
Form TTB F 5120.17 Report of Wine Premises Operations	Form and Instruction	Removed	Available
Form TTB F 5120.17 Report of Wine Premises Operations	Form and Instruction	Removed	Available
1513-0053_SS_(10-31-2011)REV.doc	Supporting Statement A	Uploaded 2011-10-26	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
39127	Report of Wine Premises Operations	Form and Instruction	Modified
186522	Report of Wine Premises Operations	Form and Instruction	Removed
186521	Report of Wine Premises Operations	Form and Instruction	Removed

ICR Details

OMB Control No: 1513-0053	ICR Reference No: 201109-1513-004
Status: Historical Active	Previous ICR Reference No: 200809-1513-002
Agency/Subagency: TREAS/TTB	Agency Tracking No:
Title: Report of Wine Premises Operations
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: 12/13/2011
	Date Received in OIRA: 10/26/2011
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2014	36 Months From Approved	12/31/2011
Responses	32,429	0	26,924
Time Burden (Hours)	35,672	0	29,616
Cost Burden (Dollars)	0	0	0

---

Abstract: This report is used to monitor wine operations, ensure collection of wine tax revenue, and ensure wine is produced in accordance with law and regulations. This report also provides raw data for TTB's monthly statistical release on wine.

---

Authorizing Statute(s): US Code: 27 USC 5367 Name of Law: Internal Revenue Code
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 33811	06/09/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 66131	10/25/2011
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Report of Wine Premises Operations	TTB F 5120.17	Report of Wine Premises Operations
Report of Wine Premises Operations	TTB F 5120.17	Report of Wine Premises Operations
Report of Wine Premises Operations	TTB F 5120.17	Report of Wine Premises Operations

---

ICR Summary of Burden

table that charts list 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	32,429	26,924	0	0	5,505	0
Annual Time Burden (Hours)	35,672	29,616	0	0	6,056	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The previous ICs were separated only due to the frequency of reporting (monthly, quarterly, and annually); the collection instrument was the same for all. This revision combines the three ICs into one, reporting an aggregate number and the breakout due to frequency is identified in the supporting statement. The increase of 5,505 responses and 6,056 hours is due to an adjustment in the number of respondents to reflect the current number reporting.

---

Annual Cost to Federal Government: $68,957

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

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

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(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: 10/26/2011

---