Information Collection

Referral of Information

IC 182306 under ICR 202309-1513-003 · OMB 1513-0003.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form TTB F 5000.21 Referral of Information	Form and Instruction
TTB F 5000.21 Referral of Information TTB F 5000.21 (05-2017).pdf	Form and Instruction
TTB F 5000.21 Referral of Information TTB F 5000.21 (05-2017).pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

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 5000.21	Referral of Information	TTB F 5000.21 (05-2017).pdf		Yes	No	Fillable Printable

Line of Business: Law Enforcement

Subfunction: Substance Control

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	100	-25	125
Annual IC Time Burden (Hours)	100	-25	125
Annual IC Cost Burden (Dollars)	200	-50	250

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.