Information Collection

Records of Processing Operations (TTB REC 5110/03), and Monthly Reports of Processing Operations.

IC 181685 under ICR 201704-1513-004 · OMB 1513-0041.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1513-0041 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form TTB F 5110.28 Records of Processing Operations (TTB REC 5110/03), and Monthly Reports of Processing Operations.	Form and Instruction
F 5110.28 Tutorial-Instructions 04-17-17.doc www.pay.gov	Instruction
TTB F 5110.28 Monthly Report of Processing Operations TTB F 5110.28 (04-2017).pdf www.pay.gov	Form and Instruction

IC Title:

Records of Processing Operations (TTB REC 5110/03), and Monthly Reports of Processing Operations.

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 27 CFR 19.599, 19.600, 19.601 27 CFR 19.602, 19.603, 19.604 27 CFR 19.596, 19.597, 19.598 27 CFR 19.622, 19.624, 19.632

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 5110.28	Monthly Report of Processing Operations	TTB F 5110.28 (04-2017).pdf	www.pay.gov	Yes	Yes	Fillable Fileable
Instruction			F 5110.28 Tutorial-Instructions 04-17-17.doc	www.pay.gov	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 30 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,200	480	720
Annual IC Time Burden (Hours)	2,400	960	1,440
Annual IC Cost Burden (Dollars)	0	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.