Authorization to Furnish Financial Information and Certificate of Compliance

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1513-0004 can be found here:

Documents and Forms

Document Name Document Type
Form TTB F 5030.6 Authorization to Furnish Financial Information and Certificate of Compliance Form and Instruction
TTB F 5030.6 Authorization to Furnish Financial Information and Certi TTB F 5030.6 (12-2015 draft).pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Authorization to Furnish Financial Information and Certificate of Compliance	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 27 CFR 1.24 27 CFR 41.198 and 41.238 27 CFR 44.92 27 CFR 19.92 and 19.96 27 CFR 40.74 and 40.498

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 5030.6	Authorization to Furnish Financial Information and Certificate of Compliance	TTB F 5030.6 (12-2015 draft).pdf		Yes	No	Fillable Printable

Line of Business: Law Enforcement

Subfunction: Substance Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 240	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	240	-1,760	2,000
Annual IC Time Burden (Hours)	60	-440	500
Annual IC Cost Burden (Dollars)	0	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.