Report of Wine Premises Operations

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1513-0053 can be found here:

Documents and Forms

Document Name Document Type
Form TTB F 5120.17 Report of Wine Premises Operations Form and Instruction
TTB F 5120.17 Report of Wine Premises Operations TTB F 5120.17 (12-2016).pdf pay.gov Form and Instruction
TTB F 5120.17sm Report of Wine Premises Operations (Smart Form) TTB F 5120.17sm (12-2016).pdf www.ttb.gov/forms/5000.shtml Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Report of Wine Premises Operations	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 27 CFR 24.65, 24.75, 24.136 27 CFR 24.140, 24.176, 24.197 27 CFR 24.237, 24.292 - 24.295 27 CFR 24.300, 24.303 27 CFR 24.313, 24.316 27 CFR 28.126

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	TTB F 5120.17	Report of Wine Premises Operations	TTB F 5120.17 (12-2016).pdf	https://pay.gov	Yes	Yes	Fillable Fileable
Form and Instruction	TTB F 5120.17sm	Report of Wine Premises Operations (Smart Form)	TTB F 5120.17sm (12-2016).pdf	https://www.ttb.gov/forms/5000.shtml	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title: Regulatory Enforcement Record System (Treasur/TTB .001)	FR Citation: 80 FR 4637

Number of Respondents: 6,043	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 33 %

	Approved	Previously Approved
Annual Number of Responses for this IC	31,555	31,555
Annual IC Time Burden (Hours)	34,711	34,711
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.