PREPAYMENT TAX RETURN-DISTILLED SPIRITS(PUERTO RICO)

ICR 198104-1512-212

OMB: 1512-0212

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
125921 Migrated
ICR Details
1512-0212 198104-1512-212
Historical Active
TREAS/BATF
PREPAYMENT TAX RETURN-DISTILLED SPIRITS(PUERTO RICO)
Revision of a currently approved collection   No
Regular
Approved without change 04/30/1981
Retrieve Notice of Action (NOA) 04/30/1981
  Inventory as of this Action Requested Previously Approved
12/31/1981 12/31/1981
500 0 0
250 0 0
0 0 0

FORM DESCRIBES TAX LIABILITY AND TAXPAYMENT BY PERSON WHO IS SHIPPING SPIRITS INTO U.S. FORM PUERTO RICO WITHOUT DEFERRING TAX. DESCRIBES TAXPAYER AMOUNT OF TAX DUE, METHOD AND AMOUNT OF TAXPAYMENT, RELATED RECORDS ON WHICH TAX WAS DETERMINED, AND CERTIFICATION OF TAXPAYMENT BY IRS OFFICIAL IN PUERTO RICO.

None
None


No

1
IC Title Form No. Form Name
PREPAYMENT TAX RETURN-DISTILLED SPIRITS(PUERTO RICO) ATF F 5110.5, 3

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 500 0 0 0 500 0
Annual Time Burden (Hours) 250 0 0 0 250 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

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.
04/30/1981


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