Application for an Industrial Alcohol User Permit (State & Local Government)

Application for an Industrial Alcohol User Permit

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1513-0028 can be found here:

Documents and Forms

Document Name Document Type
Form TTB F 5150.22 Application for an Industrial Alcohol User Permit (State & Local Government) Form and Instruction
TTB F 5150.22 Application for an Industrial Alcohol User Permit TTB F 5150.22 (11-2017).pdf www.ttb.gov/forms/5000.shtml Form and Instruction
Permits Online: Application for New Specially Denatured PONL Application - Specially Denatured Spirits Dealer.docx www.ttb.gov/ponl/permits-online.shtml Form and Instruction
Permits Online: Application for New Specially Denatured PONL Application - Specially Denatured Spirits User.docx www.ttb.gov/ponl/permits-online.shtml Form and Instruction
Permits Online: Application for New Tax Free Alcohol Use PONL Application - Tax Free Alcohol User.docx www.ttb.gov/ponl/permits-online.shtml Form and Instruction

Information Collection (IC) Details

IC Title:	Application for an Industrial Alcohol User Permit (State & Local Government)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 27 CFR 20.41, 20.42, 20.43, 20.45 27 CFR 22.41, 22.42, 22.43, 22.45

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 5150.22	Application for an Industrial Alcohol User Permit	TTB F 5150.22 (11-2017).pdf	https://www.ttb.gov/forms/5000.shtml	Yes	No	Fillable Printable
Form and Instruction	n/a	Permits Online: Application for New Specially Denatured Alcohol Dealer	PONL Application - Specially Denatured Spirits Dealer.docx	https://www.ttb.gov/ponl/permits-online.shtml	Yes	Yes	Fillable Fileable Signable
Form and Instruction	n/a	Permits Online: Application for New Specially Denatured Alcohol User	PONL Application - Specially Denatured Spirits User.docx	https://www.ttb.gov/ponl/permits-online.shtml	Yes	Yes	Fillable Fileable Signable
Form and Instruction	n/a	Permits Online: Application for New Tax Free Alcohol User	PONL Application - Tax Free Alcohol User.docx	https://www.ttb.gov/ponl/permits-online.shtml	Yes	Yes	Fillable Fileable Signable

Line of Business: Law Enforcement

Subfunction: Substance Control

Privacy Act System of Records
Title: Treasury/TTB .001, Regulatory Enforcement Record System	FR Citation: 80 FR 4637

Number of Respondents: 60	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 60 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	60	-10	70
Annual IC Time Burden (Hours)	42	-10	52
Annual IC Cost Burden (Dollars)	0	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.