Information Collection

Referral of Information

IC 182306 under ICR 201705-1513-002 · OMB 1513-0003.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1513-0003 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form TTB F 5000.21 Referral of Information Referral of Information	Form and Instruction
TTB F 5000.21 Referral of Information TTB F 5000.21 (05-2017).pdf	Form and Instruction

IC Title:

Referral of Information

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

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 5000.21				Yes	No	Fillable Printable

Line of Business: Law Enforcement

Subfunction: Substance Control

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: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	100	-100	200
Annual IC Time Burden (Hours)	100	-100	200
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.

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