Application to Establish and Operate Wine Premises, and Wine Bond

ICR 201603-1513-017

OMB: 1513-0009

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Form
Modified
Supplementary Document
2016-03-28
Supporting Statement A
2016-03-28
IC Document Collections
ICR Details
1513-0009 201603-1513-017
Historical Active 201301-1513-016
TREAS/TTB IC 57 - 15/19
Application to Establish and Operate Wine Premises, and Wine Bond
Revision of a currently approved collection   No
Regular
Approved without change 06/03/2016
Retrieve Notice of Action (NOA) 03/31/2016
  Inventory as of this Action Requested Previously Approved
06/30/2019 36 Months From Approved 06/30/2016
3,500 0 3,900
1,525 0 1,775
0 0 0

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.

US Code: 26 USC 5351, 5352, 5354, 5356 Name of Law: Internal Revenue Code
  
None

Not associated with rulemaking

  81 FR 1679 01/13/2016
81 FR 18692 03/31/2016
No

2
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

  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
No
No
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.

$106,000
No
No
No
No
No
Uncollected
Jennifer Berry 540 344-9333 [email protected]

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
03/31/2016


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