Approved. See
OMB NO. 1512-0192 for conditions of clearance.
Inventory as of this Action
Requested
Previously Approved
01/31/1988
01/31/1988
240
0
0
96
0
0
0
0
0
THIS FORM IS NECESSARY TO DOCUMENT THE
LIABILITY OF TAX AND THE TAX PAYMENT ON WINE THAT IS BROUGHT INTO
THE U.S. THIS LIABILITY IS RECEIVED BY THE GOVERNMENT BY HAVING THE
TAXPAYER PREPAY THE TAX BEFOR LEAVING PUERTO RICO. THE FORM
IDENTIFIES THE TAXPAYER, TAX TO BE PAID METHOD OF PAYMENT, SHIPMENT
OF WINE AND EVIDENCE BY THE GOVERNMENT.
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.