FORM USED TO DETERMINE SPIRITS THAT
ARE RETURNED TO BONDED PREMISES OF A DISTILLED SPIRITS PLANT AND AS
SUPPORTING DATA FOR A CLAIM TO BE FILED FOR REFUND OR CREDIT TAXES
ON SUCH SPIRITS. IDENTIFIES DISTILLED SPIRITS PLANT, TYPE AND
AMOUNT OF SPIRITS AND REASON FOR RETURNING THE SPIRITS TO BOND.
USED BY ATF TO VERIFY THE ACCURACY OF THE CLAIM FOR TAXES.
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:
(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;
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.