Form TTB F 5154.1 TTB F 5154.1 Formula and Process for Nonbeverage Product

OMB No. 1513-0021
1. FORMULA NUMBER

DEPARTMENT OF THE TREASURY
ALCOHOL AND TOBACCO TAX AND TRADE BUREAU

FORMULA AND PROCESS FOR NONBEVERAGE PRODUCT
(See instructions after page 2)
4. CHECK IF
SAMPLE WILL
BE SUBMITTED

3. NAME OF PRODUCT

6. NAME OF MANUFACTURER & ADDRESS WHERE PRODUCT WILL BE
PRODUCED (If multiple production sites, list other addresses on the next page.)

2. KIND (e.g. Alcohol, Rum) &
PROOF OF SPIRITS ON WHICH
5. NUMBER OF DAYS
DRAWBACK WILL BE CLAIMED
TO COMPLETE
PROCESS

7. CHECK KIND OF PRODUCT

8. FORMULAS SUPERSEDED

MEDICINE/MEDICINAL PREPARATION
FLAVOR/FLAVORING EXTRACT
FOOD PRODUCT
PERFUME
DIETARY SUPPLEMENT
9. ELIGIBLE ABSOLUTE ALCOHOL BY
VOLUME USED

10. ALCOHOL CONTENT BY VOLUME
OF FINISHED PRODUCT

MAILING ADDRESS (if different from manufacturing address)

%

%
11. IF MADE WITH RECOVERED SPIRITS: ELIGIBLE PLUS RECOVERED
ABSOLUTE ALCOHOL BY VOLUME USED

%
12. FORMULA AND PROCESS (Use additional space on the next page if necessary)

12a. THEORETICAL YIELD (Weight and Volume)

12b. ACTUAL YIELD (Weight and Volume)

12c. DENSITY OF FINAL PRODUCT (ex: lbs/gal, g/mL)

12d. MANUFACTURING PROCESS

12e. UNFIT FOR BEVERAGE PURPOSES STATEMENT

13. CONTACT PERSON (Include Area Code, Phone
No. and E-mail Address)

14. SIGNATURE & TITLE OF APPLICANT OR AUTHORIZED AGENT

FOR TTB USE ONLY
16. SAMPLE ID #

17. ATTACHMENT #

TTB F 5154.1 (xx/2018) Previous versions are obsolete.

Page 1 of 2

18. SUBMISSION ID #

15. DATE

19.

SPACE FOR CONTINUATION (Please indicate item number(s) being continued.)

TTB F 5154.1 (10/2018) Previous versions are obsolete.

Page 2 of 2

INSTRUCTIONS
GENERAL INSTRUCTIONS

Before filling out this form read carefully Subpart F of Part 17, Title 27, Code
of Federal Regulations. Submit a separate formula for each nonbeverage
product made with tax paid distilled spirits on which drawback is claimed
(except current U.S.P., N.F., and H.P.U.S. preparations for which quantitative
formulas are not required).
This form must be filed within 6 months after the end of the quarter in which
distilled spirits were first used to manufacture the product for drawback.
Submit to: Deputy Director, Nonbeverage Alcohol and Tobacco Branch, 6000
Ammendale Road, Beltsville, MD 20705-1250.
An alternative way to submit formulas electronically via Formulas Online can
be found at https://www.ttb.gov/formulation/fonl-main.shtml.
SPECIFIC INSTRUCTIONS
ITEM 1 – FORMULA NUMBER.
Formula numbers begin with number "1" for the first submission and
progress sequentially with future submissions. For numbering when
formulas will be used at more than one plant, see 27 CFR 17.121(c). In
Formulas Online this number is the Company Formula # which is different
from the automatically generated TTB Formula ID.
ITEM 2 – KIND & PROOF OF SPIRITS ON WHICH DRAWBACK WILL BE
CLAIMED.
Enter the kind and proof of the eligible spirits used. Include
intermediate products where applicable (see 27 CFR 17.154).
ITEM 3 – NAME OF PRODUCT.
The name must reflect the type of product. For detailed naming guidelines,
refer to the Drawback Tutorial at http://www.ttb.gov/ssd/dbmenu4.shtml
ITEM 4 – CHECK IF SAMPLE WILL BE SUBMITTED.
The submission of samples is required for certain types of products (27
CFR 17.124). Please refer to the Drawback Tutorial for more guidance. If
it is known that a sample will be submitted, either with the formula or
under separate cover, please check the box.
ITEM 5 – NUMBER OF DAYS TO COMPLETE PROCESS.
State the number of days it takes to manufacture the product. If it takes
only a few hours to mix it, but takes an additional day to filter it, that should
be noted.
ITEM 6 – NAME OF MANUFACTURER & ADDRESS WHERE PRODUCT
WILL BE PRODUCED.
State the manufacturing location. If you wish the form to be returned to
another address, include this address also.
ITEM 7 – CHECK KIND OF PRODUCT.
Indicate the type of product. Cough syrups and cold relief products are
considered medicine/medicinal preparations. Cakes and similar products
are considered to be food products, while products such as lemon extracts
are considered flavors. Submit commercial labels or facsimiles and any
available supporting data for bitters (flavoring or medicinal) and for any
other product that cannot be readily classified in the product types listed.
ITEM 8 – FORMULAS SUPERSEDED.
State the number(s) of any formulas to be replaced by the current
submission. If formula(s) being superseded have been approved for use at
plant(s) other than the one in item 6, specify such plant(s).
ITEM 9 – ELIGIBLE ABSOLUTE ALCOHOL BY VOLUME USED.
Determine the quantity of absolute alcohol used by multiplying the quantity
of alcohol used by the percentage of alcohol (as a decimal). Divide the
quantity (in volume) of absolute alcohol used in manufacturing and
standardizing the product by the actual yield (in volume) of finished
product. Multiply the result by 100 to get percent by volume.
If there are multiple sources of eligible alcohol, add the amounts of eligible
absolute alcohol in your product and divide that sum by the volume of
product produced. Eligible alcohol includes alcohol contained in
intermediate products (as defined in 27 CFR 17.11) but NOT alcohol
contained in nonbeverage products, being used as ingredients, on which
drawback may be claimed separately. Please keep in mind that this is an
entirely calculated value and therefore may sometimes exceed 100%. If a
range include the reason(s) for variation in Item 12 or 19 (such as there is
a range in the amount of alcohol used or a range in the yield).

TTB F 5154.1 (xx/2018) Previous versions are obsolete.

If the finished product is not a liquid, express as “proof gallons (pg) per batch”.
To determine proof gallons take the absolute alcohol in gallons and multiply by
2. If metric units are stated in the formula, liters must be converted to gallons
in order to calculate the proof gallons. The batch size should be defined in
Item 9 such as proof gallons per number of items or proof gallons per number
of pounds.
Examples:
English:
3.68 gal of 95% alcohol used with a 11.5 gal Yield:
(((3.68 gal * .95) /11.5 gal)*100) = 30.4% by volume
English:
5 gal of 45% alcohol used with a 100 cake Yield:
(5 gal*.45)*2 = 4.5 proof gallons per 100 cakes
Metric:
2.50 L of 50% alcohol used with a 10.8 L Yield:
(((2.50 L * .50) / 10.8 L)*100) = 11.6% by volume
Metric:
5 L of 45% alcohol used with a 10 kg Yield:
(5 L /3.785L/gal) = 1.32 gal; (1.32 gal * .45)*2 =1.2 pg /10 kg
ITEM 10 – ALCOHOL CONTENT BY VOLUME OF FINISHED PRODUCT.
State the actual percentage of absolute alcohol by volume in the finished
liquid product. If the product is not a liquid, state the actual percentage of
absolute alcohol by weight in the finished solid product. Include all alcohol,
both eligible and ineligible. For most processes this value is a calculated
value. If there is processing such as heating where alcohol is lost the stated
value can be an analysis value. When using an analysis value in Item 10 the
reason for doing so should be stated in Item 12 or 19. A tolerance should be
included with the percentage of alcohol in Box 10. Please see the Drawback
Tutorial for the tolerance table.
https://www.ttb.gov/ssd/pdf/tolerance_table.pdf.
When the product is analyzed the analysis value should fall within the
tolerance range stated in Item 10.
Examples:
Liquid:
A simple mixture using 3.68 gal of 95% alcohol and 0.51 gal of 3% alcohol
used with an 11.5 gal Yield
((((3.68gal *.95) + (0.51 gal * .03)) /11.5 gal)*100)= 30.5% by volume (+/1.5)
Solid:
A solid product using 3.68 gal of 95% alcohol and 0.51 gal of 3% alcohol
used with 100 lb Yield
(((((3.68 gal * .95) + (0.51 gal * .03))* 6.6097 lb/gal) / 100 lb)*100) = 23.2%
by weight (+/-1.5)
ITEM 11 – IF MADE WITH RECOVERED SPIRITS ELIGIBLE PLUS
RECOVERED ABSOLUTE ALCOHOL BY VOLUME USED.
Answer only if recovered alcohol will be used to make this product. Add the
quantities, of all eligible absolute spirits used (including eligible spirits
recovered from intermediate products) AND all ineligible recovered spirits
used; then divide by the actual yield of finished product, and multiply the
result by 100. A range may be stated. If the finished product is not a liquid,
express as "proof gallons (pg) per batch." The batch size should be defined
in Item 11 such as proof gallons per number of items or proof gallons per
number of pounds.
ITEM 12 – FORMULA AND PROCESS.
List the name, quantity, and alcohol content (by volume), if any, of each
ingredient used. Either metric or English units may be used. Usage of
ingredients containing alcohol and the yield of liquid products must be
expressed in volume. Include the proof of eligible spirits and recovered spirits
used. Show the approximate loss of spirits, if any, during processing (i.e.
filtration, evaporation, etc.), and indicate what quantity of alcohol and its
proof, if any, is recovered. If the manufacturing process involves separate
stages, fully describe them and indicate the alcohol content (as a percent by
volume) and yield (as a volume) at the end of each stage.
Give the product name and TTB formula no. (Form TTB Form 5154.1 or ATF
F 1678) of alcoholic ingredients if self-manufactured. If purchased, give the
manufacturer's name, the name of the product, and the TTB formula
number, if known.

Identify any colors by their official FDA designations (e.g. caramel, FD&C
Yellow No. 5). Label all limited ingredients as such. Provide quantities of
limited ingredients present in self-manufactured and purchased products
ITEM 12a – THEORETICAL YIELD.
The theoretical yield is the sum of all ingredients added prior to any
processing and will equal 100%.
ITEM 12b – ACTUAL YIELD.
The actual (final) yield is the amount of product that remains at the end of
the manufacturing process. Theoretically, if there is no loss of product
during production, the actual yield would equal 100%. In some processes,
there may be a loss of product. In these cases the actual yield would be
less than 100%. The actual yield should not be higher than the theoretical
yield in any situation.
ITEM 12c – DENSITY.
Density is mass divided by volume. It is usually measured in grams per
milliliter or pounds per gallon. To calculate the density, divide mass (how
much it weighs) by volume (how much space it takes up).
ITEM 12d – MANUFACTURING PROCESS.
Describe the manufacturing process (i.e. simple mixture, filtration,
maceration, percolation, etc.). For processes other than simple mixtures
and filtrations, detailed process information should be stated in Item 12 or
19.
ITEM 12e – UNFIT FOR BEVERAGE PURPOSES STATEMENT.
When possible, cite a specific guideline that makes the nonbeverage
product unfit for beverage purposes. For more guidance, refer to
TTB’s Drawback Tutorial. https://www.ttb.gov/ssd/dbmenu3sub1.shtml.

Formula Example:

NATURAL AND ARTIFICIAL RASPBERRY FLAVOR:
N&A Raspberry Flavor – TTB # 52, 3% alc v/v ……… 4.1 lbs (0.51 gal)
Limited Ingredients: Propylene Glycol = 40% w/w, Art Vanillin = 2% w/w

Alcohol - 190 proof ...................................................... 25.0 lbs (3.68 gal)
Propylene Glycol (limited ingredient)………………….. 55.8 lbs
Citric Acid, anhydrous………………………………....... 15.0 lbs
Nat Ethyl Butyrate (0.05 lbs) and
other natural esters………………………………….. 0.1 lbs
Final Yield…………………………………………………. 100 lbs (11.5 gal)
ITEM 14 – SIGNATURE & TITLE OF APPLICANT OR AUTHORIZED AGENT.
The applicant or his/her authorized agent must sign in the space provided and
indicate the capacity in which he/she is signing (e.g. sole proprietor, attorneyin-fact, etc.)
This form can be obtained online at http://www.ttb.gov/forms/5000.shtml or by
calling 1-877-882-3277 or by mail at the National Revenue Center, 550 Main St,
Ste. 8002, Cincinnati, OH 45202-5215.

PAPERWORK REDUCTION ACT NOTICE
This request is in accordance with the Paperwork Reduction Act of 1995. The information provided on this form is used by TTB to determine if the
described product is nonbeverage in character so that the manufacturer may file for drawback of distilled spirits excise taxes (see 26 U.S.C. 5111–5114).
The information is required to obtain a benefit. The information collected on this form must be considered confidential tax information under 26 U.S.C.
6103 and must not be disclosed to any unauthorized party under 26 U.S.C. 7213.
The estimated burden associated with this collection of information is 30 minutes per respondent or record keeper, depending on individual
circumstances. Comments concerning the accuracy of this burden estimate and suggestions for reducing this burden should be addressed to the Reports
Management Officer, Regulations and Rulings Division, Alcohol and Tobacco Tax and Trade Bureau, 1310 G Street, NW., Box 12, Washington, DC 20005.
An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a current, valid OMB control
number.

PRIVACY ACT NOTICE
1. Authority: We provide this information to comply with section 3 of the Privacy Act of 1974 (5 U.S.C. 522a(e)(3)).
2. Purpose: We require this information under the authority of 26 U.S.C. 5111–5114. You must disclose the formula and process information requested
on this form for a nonbeverage product made with distilled spirits for which excise tax drawback will be claimed. This information allows TTB to
determine if the described product is unfit for beverage use and is of the types of products authorized by law for nonbeverage product drawback (see 26
U.S.C. 5111-5114).
3. Routine Uses: We use this information to make the determinations set forth in paragraph 2. In addition, this information may be disclosed to other
Federal, State, local, and foreign law enforcement and regulatory agency personnel to verify information on the application where such disclosure is not
prohibited by law. TTB may disclose the information to the Justice Department if it appears that the furnishing of false information may constitute a
violation of Federal law. TTB also may disclose information to individuals to verify information on the application where such disclosure is not prohibited.
4. Effects of Not Supplying the Information Requested: If you fail to provide all of the requested information, TTB will not be able to process your
formula application and will not be able to approve the described nonbeverage product for excise tax drawback.

TTB F 5154.1 (xx/2018) Previous versions are obsolete.