Letterhead Applications and Notices Relating to Wine (5120/2)

Forms and Documents

Document Name	Status
1513-0057 SS (11-30-2012).doc Supporting Statement A	2012-11-19

IC Document Collections

IC ID	Document Title	Status
43837	Letterhead Applications and Notices Relating to Wine (5120/2)	Modified
190557	Letterhead Applications and Notices Relating to Wine (TTB REC 5120/2)	Removed

ICR Details

OMB Control No: 1513-0057	ICR Reference No: 201211-1513-003
Status: Historical Active	Previous ICR Reference No: 200909-1513-006
Agency/Subagency: TREAS/TTB	Agency Tracking No:
Title: Letterhead Applications and Notices Relating to Wine (5120/2)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/21/2013
	Date Received in OIRA: 11/30/2012
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/29/2016	36 Months From Approved	02/28/2013
Responses	1,650	0	1,650
Time Burden (Hours)	825	0	826
Cost Burden (Dollars)	0	0	0

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Abstract: Letterhead applications and notices relating to wine are required to ensure that the intended activity will not jeopardize the revenue or defraud consumers.

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Authorizing Statute(s): US Code: 26 USC 5351, 5352, 5353, 5354, 5355 Name of Law: Internal Revenue Code
   US Code: 26 USC 5356, 5357, 5361, 5362, 5363 Name of Law: Internal Revenue Code
   US Code: 26 USC 5364, 5365, 5366, 5367, 5368 Name of Law: Internal Revenue Code
   US Code: 26 USC 5369, 5370, 5371, 5372, 5373 Name of Law: Internal Revenue Code
   US Code: 26 USC 5381, 5382, 5383, 5384, 5385 Name of Law: Internal Revenue Code
   US Code: 26 USC 5386, 5387, 5388, 5391, 5392 Name of Law: Internal Revenue Code
   US Code: 26 USC 5661, 5662, 5663 Name of Law: Internal Revenue Code
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 38886	06/29/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 71207	11/29/2012
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Letterhead Applications and Notices Relating to Wine (TTB REC 5120/2)
Letterhead Applications and Notices Relating to Wine (5120/2)

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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	1,650	1,650	0	825	-825	0
Annual Time Burden (Hours)	825	826	0	412	-413	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: No

Burden Reduction Due to:

Short Statement: Although there are 2 different reasons for submissions, we combined everything into 1 IC. The burden is decreased by 1 hour because it was reported incorrectly, it should have been 825 rather than 826.

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Annual Cost to Federal Government: $0

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

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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: 11/30/2012

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