Information Collection

Authorization to Furnish Financial Information and Certificate of Compliance

IC 43832 under ICR 201903-1513-002 · OMB 1513-0004.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1513-0004 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form TTB F 5030.6 Authorization to Furnish Financial Information and Certificate of Compliance	Form and Instruction
TTB F 5030.6 Authorization to Furnish Financial Information and Certi TTB F 5030.6 (12-2015).pdf www.ttb.gov/forms/5000.shtml	Form and Instruction

IC Title:

Authorization to Furnish Financial Information and Certificate of Compliance

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 27 CFR 40.74, 40.498, 27 CFR 41.198, 41.238, & 44.92 27 CFR 1.24, 1.25, 19.92, 19.96,

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 5030.6	Authorization to Furnish Financial Information and Certificate of Compliance	TTB F 5030.6 (12-2015).pdf	https://www.ttb.gov/forms/5000.shtml	Yes	No	Fillable Printable

Line of Business: Law Enforcement

Subfunction: Substance Control

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 240

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	240	240
Annual IC Time Burden (Hours)	60	60
Annual IC Cost Burden (Dollars)	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.