Information Collection

Application, Permit, and Report -- Wine and Beer (Puerto Rico)

IC 45721 under ICR 201702-1513-010 · OMB 1513-0123.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1513-0123 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form TTB F 5100.21 Application, Permit, and Report -- Wine and Beer (Puerto Rico)	Form and Instruction
TTB F 5100.21 Application, Permit, and Report - Wine and Beer (Puerto 4. Draft - TTB F 5100.21 (0123) v12-05-2016.pdf	Form and Instruction

IC Title:

Application, Permit, and Report -- Wine and Beer (Puerto Rico)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 27 CFR 26.96, 26.96b, 26.102, 27 CFR 26.76, 26.93, 26.94, 26.95 27 CFR 26.103, 26.104, 26.105, 27 CFR 26.105a, 26.108(b), 26.110

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	TTB F 5100.21	Application, Permit, and Report - Wine and Beer (Puerto Rico)	4. Draft - TTB F 5100.21 (0123) v12-05-2016.pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.