Application for an Industrial Alcohol User Permit

Forms and Documents

Document Name	Status
Form TTB F 5150.22 Application for an Industrial Alcohol User Permit (Private Sector) Form and Instruction	Modified
Form TTB F 5150.22 Application for an Industrial Alcohol User Permit (State & Local Government) Form and Instruction	Modified
1513-0028 Supporting Statement (11-2017).docx Supporting Statement A	2017-11-30

IC Document Collections

IC ID	Document Title	Status
43834	Application for an Industrial Alcohol User Permit (Private Sector) Form and Instruction	Modified
212779	Application for an Industrial Alcohol User Permit (State & Local Government) Form and Instruction	Modified

ICR Details

OMB Control No: 1513-0028	ICR Reference No: 201711-1513-006
Status: Active	Previous ICR Reference No: 201407-1513-002
Agency/Subagency: TREAS/TTB	Agency Tracking No: ICN 66 - 1/6
Title: Application for an Industrial Alcohol User Permit
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/28/2018
	Date Received in OIRA: 11/30/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2021	36 Months From Approved	02/28/2018
Responses	510	0	575
Time Burden (Hours)	357	0	435
Cost Burden (Dollars)	0	0	0

---

Abstract: The Internal Revenue Code (IRC) at 26 U.S.C. 5271 authorizes the Secretary of the Treasury to prescribe regulations requiring persons using tax-free alcohol for certain nonbeverage purposes (hospitals, laboratories, research centers, etc.) and persons using or dealing in specially denatured spirits (alcohol and/or rum) to apply for and receive a permit to do so prior to commencing business. Under that authority, the TTB regulations prescribe the use of TTB F 5150.22 as the application form for dealers or users of specially denatured spirits (alcohol/rum) (see 27 CFR 20.41) and for users of tax-free alcohol (see 27 CFR 22.41). TTB uses the information reported on the form to, among other things, determine the eligibility of the applicant to engage in certain operations involving specially denatured or tax-free alcohol, the location of the business or entity, and whether the operations will be in conformance with Federal laws and regulations.

---

Authorizing Statute(s): US Code: 26 USC 5271 Name of Law: Internal Revenue Code
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 42722	09/11/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 56327	11/28/2017
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
Application for an Industrial Alcohol User Permit (State & Local Government)	TTB F 5150.22, n/a, n/a, n/a	Application for an Industrial Alcohol User Permit ,   Permits Online: Application for New Specially Denatured Alcohol Dealer ,   Permits Online: Application for New Specially Denatured Alcohol User ,   Permits Online: Application for New Tax Free Alcohol User
Application for an Industrial Alcohol User Permit (Private Sector)	TTB F 5150.22, n/a, n/a, n/a	Application for an Industrial Alcohol User Permit ,   Permits Online: Application for New Specially Denatured Spirits Dealer ,   Permits Online: Application for New Specially Denatured Spirits User ,   Permits Online: Application for New Tax Free Alcohol User

---

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	510	575	0	0	-65	0
Annual Time Burden (Hours)	357	435	0	0	-78	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: There are no program changes associated with this information collection. As for adjustments, due to a change in agency estimates caused by a decrease in the number of respondents submitting an application for an industrial alcohol user permit, TTB is decreasing the number of annual respondents and responses from 575 (505 private sector and 70 government) to 510 (450 private sector and 60 State and local government). This also results in a decrease of the estimated annual burden from 435 hours (383 private sector and 52 government) to 357 hours (315 private section and 42 State and local government).

---

Annual Cost to Federal Government: $16,922

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

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: 11/30/2017

---