Report of Wine Premises Operations

Forms and Documents

Document Name	Status
Form TTB 5120.17 Report of Wine Premises Operations Form and Instruction	Modified
1513-0053 Supporting Statement (12-2014 Final) 123114.doc Supporting Statement A	2014-12-31

IC Document Collections

IC ID	Document Title	Status
39127	Report of Wine Premises Operations Form and Instruction	Modified

ICR Details

OMB Control No: 1513-0053	ICR Reference No: 201412-1513-004
Status: Historical Active	Previous ICR Reference No: 201109-1513-004
Agency/Subagency: TREAS/TTB	Agency Tracking No: PRA-49-0053
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: 04/08/2015
	Date Received in OIRA: 12/31/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2018	36 Months From Approved	04/30/2015
Responses	31,555	0	32,429
Time Burden (Hours)	34,711	0	35,672
Cost Burden (Dollars)	0	0	0

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Abstract: TTB uses the information submitted on TTB F 5120.17 to monitor wine premises operations to ensure collection of the Federal excise tax due on the wine produced, and to ensure wine is produced in accordance with Federal law and regulations. TTB also uses this report to collect raw data on wine premises activity for its monthly statistical report on wine operations.

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Authorizing Statute(s): US Code: 27 USC 5367 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:
	79 FR 61940	10/15/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 78139	12/29/2014
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
Report of Wine Premises Operations	TTB 5120.17	Report of Wine Premises Operations

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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	31,555	32,429	0	0	-874	0
Annual Time Burden (Hours)	34,711	35,672	0	0	-961	0
Annual Cost Burden (Dollars)	0	0	0	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: TTB has lowered the number of responses and the resulting burden hours because a number of small-production wineries eligible to file excise tax returns on a quarterly basis are now able to file their report of wine premises operations (TTB F 5120.17) on a quarterly basis as well. As a result, there has been a drop in the number of wineries filing on a monthly basis; now able to file quarterly. The reduction of 961 burden hours is attributed to an adjustment in agency estimates.

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Annual Cost to Federal Government: $67,012

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: 12/31/2014

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