Application to Establish and Operate Wine Premises, and Wine Bond

Forms and Documents

Document Name	Status
Application to Establish and Operate Wine Premises Form	Modified
1513-0009 Supporting Statement (2016-12-02).docx Supporting Statement A	2016-12-06
PONL User Guide.docx Supplementary Document	2016-03-28

IC Document Collections

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

ICR Details

OMB Control No: 1513-0009	ICR Reference No: 201702-1513-002
Status: Historical Active	Previous ICR Reference No: 201603-1513-017
Agency/Subagency: TREAS/TTB	Agency Tracking No: PATH (Bonds) 2/9
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: 02/06/2017
	Date Received in OIRA: 02/06/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2017	6 Months From Approved	06/30/2019
Responses	8,790	0	3,500
Time Burden (Hours)	4,400	0	1,525
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: PL: Pub.L. 114 - 113 332 (Div. Q) Name of Law: PATH Act

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
1513-AC30	Final or interim final rulemaking	82 FR 1108	01/04/2017

---

Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

---

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

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

---

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	8,790	3,500	5,290	0	0	0
Annual Time Burden (Hours)	4,400	1,525	2,875	0	0	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: As described above, TTB is making program changes associated with this information collection to implement the bond exemption under the PATH Act. TTB is amending its regulations to provide that an applicant or existing proprietor must state on TTB Form 5120.25 whether the proprietor is exempt from bond requirements. As for adjustments, we are increasing the estimated annual burden for this information collection to account for 2,795 wine premises proprietors who will file one TTB Form 5120.25 in each of the next three years in order to apply for the bond exemption authorized under the IRC at 26 U.S.C. 5551(d). TTB expects this will be a one-time increase over the next three years. TTB is also adding a new item to the form where the applicant or proprietor selects whether the person is eligible for the bond exemption, and TTB is amending an existing statement on another part of the form to reflect this change.

---

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: 12/22/2016

---