Application to Establish and Operate Wine Premises, and Wine Bond

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form TTB F 5120.25 Application to Establish and Operate Wine Premises	Form and Instruction	Modified	Available
Form TTB F 5120.36 Wine Bond	Form	Modified	Available
PONL User Guide.docx	Supplementary Document	Uploaded 2016-03-28	Available
1513-0009 Supporting Statement (2016-03-28).docx	Supporting Statement A	Uploaded 2016-03-28	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
44767	Application to Establish and Operate Wine Premises	Form and Instruction	Modified
15953	Wine Bond	Form	Modified

ICR Details

OMB Control No: 1513-0009	ICR Reference No: 201603-1513-017
Status: Historical Active	Previous ICR Reference No: 201301-1513-016
Agency/Subagency: TREAS/TTB	Agency Tracking No: IC 57 - 15/19
Title: Application to Establish and Operate Wine Premises, and Wine Bond
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: 06/03/2016
	Date Received in OIRA: 03/31/2016
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2019	36 Months From Approved	06/30/2016
Responses	3,500	0	3,900
Time Burden (Hours)	1,525	0	1,775
Cost Burden (Dollars)	0	0	0

---

Abstract: TTB uses the TTB F 5120.25, Application to Establish and Operate Wine Premises, to collect information used to determine the qualifications of an applicant applying to establish and operate a new wine premises. TTB F 5120.25 is also used by proprietors of established wine premises to report changes to required information such as location and ownership. TTB F 5120.36, Wine Bond, is used by new wine premises applicants or established proprietors and a surety company as a contract to ensure the payment of the Federal excise tax on wine.

---

Authorizing Statute(s): US Code: 26 USC 5351, 5352, 5354, 5356 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:
	81 FR 1679	01/13/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 18692	03/31/2016
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Wine Bond	None, TTB F 5120.36	Wine Bond ,   PONL Winery Application
Application to Establish and Operate Wine Premises	None, TTB F 5120.25	Application to Establish and Operate Wine Premises ,   PONL Winery Application

---

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	3,500	3,900	0	0	-400	0
Annual Time Burden (Hours)	1,525	1,775	0	0	-250	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: There are no program changes associated with this collection. As for adjustments, we are decreasing the estimated annual burden for this information collection, largely due to a decrease in the number of new wine premises applications received by TTB. Previously, TTB reported 3,900 annual responses and 1,775 total annual burden hours for this information collection. We are now reporting 2,500 annual responses and 1,275 annual burden hours, a decrease of 1,400 annual responses and 500 annual burden hours.

---

Annual Cost to Federal Government: $106,000

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: 03/31/2016

---